Physiology, Diving Reflex

Book
In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan.
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Excerpt

The diving reflex commonly referred to as the mammalian dive reflex, diving bradycardia, and the diving response is a protective, multifaceted physiologic reaction that occurs in mammals including humans in response to water submersion. Aspects of the dive reflex were first described in 1786 by Edmund Goodwyn; however, it would take until an 1870 publication by Paul Bert for the physiologic adaptations to be recognized. The dive reflex is believed to aid in the conservation of oxygen stores in mammals by initiating several specific physiologic changes during aquatic immersion. When a human holds their breath and submerges in water, the face and nose become wet which in turn causes bradycardia, apnea, and increased peripheral vascular resistance; these three main physiologic changes are collectively referred to as the diving reflex. The cause of increased peripheral resistance is thought to redistribute blood to the vital organs while limiting oxygen consumption by non-essential muscle groups. In addition to vascular resistance, bradycardia is initiated to decrease the work of the heart and further limit unnecessary oxygen consumption. Overall, the dive reflex is an innate multi-system physiologic response present in all vertebrates that functions to preserve oxygen stores during times of water immersion.

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