Heart rate and blood pressure time courses during prolonged dry apnoea in breath-hold divers

Eur J Appl Physiol. 2008 Sep;104(1):1-7. doi: 10.1007/s00421-008-0771-1. Epub 2008 May 22.

Abstract

To define the dynamics of cardiovascular adjustments to apnoea, beat-to-beat heart rate (HR) and blood pressure and arterial oxygen saturation (SaO(2)) were recorded during prolonged breath-holding in air in 20 divers. Apnoea had a mean duration of 210 +/- 70 s. In all subjects, HR attained a value 14 beats min(-1) lower than control within the initial 30 s (phase I). HR did not change for the following 2-2.5 min (phase II). Then, nine subjects interrupted the apnoea (group A), whereas 11 subjects (group B) could prolong the breath-holding for about 100 s, during which HR continuously decreased (phase III). In both groups, mean blood pressure was 8 mmHg above control at the end of phase I; it then further increased by additional 12 mmHg at the end of the apnoea. In both groups, SaO(2) did not change in the initial 100-140 s of apnoea; then, it decreased to 95% at the end of phase II. In group B, SaO(2) further diminished to 84% at the end of phase III. A typical pattern of cardiovascular readjustments was identified during dry apnoea. This pattern was not compatible with a role for baroreflexes in phase I and phase II. Further readjustment in group B may imply a role for both baroreflexes and chemoreflexes. Hypothesis has been made that the end of phase II corresponds to physiological breakpoint.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Physiological
  • Adult
  • Apnea / metabolism
  • Apnea / physiopathology*
  • Autonomic Nervous System / physiopathology
  • Baroreflex
  • Blood Pressure*
  • Bradycardia / physiopathology
  • Diving*
  • Female
  • Heart Rate*
  • Humans
  • Hypertension / physiopathology
  • Male
  • Middle Aged
  • Oxygen / blood
  • Respiratory Mechanics*
  • Time Factors

Substances

  • Oxygen