Age- and exercise-related sympathetic activity in untrained volunteers, trained athletes and patients with impaired left-ventricular contractility.

To study the influence of training, aging and left-ventricular contractility on the sympathetic nervous system, responses of plasma catecholamines and density of adrenoreceptors on intact blood cells were evaluated in 21 dynamically trained subjects, 8 statically trained weight lifters, 15 healthy young and 15 old control subjects, and 55 post-infarction patients. Plasma catecholamines are indicators of the overall sympathetic tone, while the density of adrenoreceptors is a cellular indicator of the sensitivity to catecholamines. Static and dynamic training result in lower catecholamine response at identical work loads during incremental ergometric tests. Higher density of beta 2 receptors on intact leucocytes and higher sensitivity to isoproterenol are seen in the dynamically trained test subjects. Higher density of alpha 2 receptors on intact thrombocytes is found in the weight lifters. Despite the training-dependent control of the sympathetic activity bradycardia occurs only in endurance-trained subjects, indicating an additionally increased vagal control. The exercise-related tachycardia of the weight lifters, on the other hand, points to an insufficient vagal control of the cardiac sinus rate. Decrease of physical fitness, as related to aging, a deficit in physical training and impaired left-ventricular contractility are connected with a higher sympathetic activity at identical work loads and a lower beta-receptor density on intact blood cells and, in cardiac patients, on myocardial cells as well (Bristow et al. 1982). Changes in the sympathetic system may amplify the age- and disease-dependent decrease of the cardiac function.(ABSTRACT TRUNCATED AT 250 WORDS)