Baroreflex (BR) testing with phenylephrine (PE)
and amyl nitrite (AN) provided an opportunity to evaluate
the ability of impedance cardiography (IC) to track the
rapid hemodynamic (HD) changes elicited by these drugs.
The AN response was measured after inhalation and the PE
response was measured after a bolus injection in 19 subjects
on two occasions. High reliability was observed for all
of the HD measures. Blood pressure (BP), peripheral resistance
(PR), and preejection period (PEP) decreased significantly
after administration of AN, whereas heart rate (HR) and
cardiac output (dotted Q) increased. BP and total PR increased
significantly after administration of PE; HR and dotted Q decreased
and PEP did not change significantly. Stroke volume did
not change significantly with either drug. The BR slope
was reliably elicited with AN and PE. The IC and Finapres
BP consistently detected short-term changes in HD responses
to AN and PE. The pharmacological interventions demonstrated
that IC measures followed the course predicted by the actions
of the drugs. Change in PEP and dZ/dt reflected increased
contractility. The BR sensitivity was also reproducible.