Mayer waves
Oscillations in arterial blood pressure
Mayer waves are rhythmic oscillations in arterial blood pressure that occur at a frequency of approximately 0.1 Hz in humans. These waves are named after the German physiologist Siegmund Mayer, who first described them in 1876. Mayer waves are an important physiological phenomenon and are thought to be related to the autonomic regulation of blood pressure.
Physiology
Mayer waves are believed to be generated by the baroreflex, a feedback mechanism that helps maintain stable blood pressure. The baroreflex involves sensors known as baroreceptors, which are located in the carotid sinus and aortic arch. These receptors detect changes in blood pressure and send signals to the central nervous system, which in turn adjusts the heart rate and vascular resistance to stabilize blood pressure.
The oscillations of Mayer waves are thought to arise from the interaction between the baroreflex and the autonomic nervous system, particularly the sympathetic nervous system. When blood pressure rises, the baroreflex activates, leading to a decrease in sympathetic activity and a reduction in heart rate and vascular resistance. Conversely, when blood pressure falls, sympathetic activity increases, raising heart rate and vascular resistance. This feedback loop creates the characteristic oscillations of Mayer waves.
Clinical Significance
Mayer waves are of interest in both clinical and research settings. They can be used as a non-invasive measure of autonomic function and baroreflex sensitivity. Abnormalities in Mayer wave patterns may indicate dysfunction in autonomic regulation, which can be associated with various cardiovascular and neurological disorders.
In clinical practice, Mayer waves can be observed using continuous blood pressure monitoring techniques, such as finger photoplethysmography or arterial catheterization. These methods allow for the detection of the low-frequency oscillations characteristic of Mayer waves.
Research Applications
Mayer waves are studied in various research contexts to understand the mechanisms of blood pressure regulation and the role of the autonomic nervous system. They are also used to investigate the effects of different interventions, such as pharmacological agents, on autonomic function and cardiovascular health.
Research on Mayer waves has expanded our understanding of the complex interactions between the cardiovascular and nervous systems. It has also provided insights into the pathophysiology of conditions such as hypertension, heart failure, and autonomic neuropathy.
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Contributors: Prab R. Tumpati, MD