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DOI: 10.1055/s-0034-1389969
Cardiovascular Responses during Free-Diving in the Sea
Publication History
accepted after revision 01 August 2014
Publication Date:
27 November 2014 (online)
Abstract
Cardiac output has never been assessed during free-diving diving in the sea. Knowledge of human diving response in this setting is therefore scarce. 3 immersions were performed by 7 divers: at depths of 10 m, 20 m and 30 m. Each test consisted of 3 apnea phases: descent, static and ascent. An impedance cardiograph provided data on stroke volume, heart rate and cardiac output. Mean blood pressure, arterial O2 saturation and blood lactate values were also collected. Starting from a resting value of 4.5±1.6 L∙min−1, cardiac output at 10 m showed an increase up to 7.1±2.2 L∙min−1 (p<0.01) during the descent, while conditions during the static and ascent phases remained unchanged. At 20 m cardiac output values were 7.3±2.4 L∙min−1 and 6.7±1.2 L∙min−1 during ascent and descent, respectively (p<0.01), and 4.3±0.9 L∙min−1 during static phase. At 30 m cardiac output values were 6.5±1.8 L∙min−1 and 7.5±2 L∙min−1 during descent and ascent, respectively (p<0.01), and 4.7±2.1 L∙min−1 during static phase. Arterial O2 saturation decreased with increasing dive depth, reaching 91.1±3.4% (p<0.001 vs. rest) upon emergence from a depth of 30 m. Blood lactate values increased to 4.1±1.2 mmol∙L−1 at the end of the 30 m dive (p<0.001 vs. rest). Results seem to suggest that simultaneous activation of exercise and diving response could lead to an absence of cardiac output reduction aimed at an oxygen-conserving effect.
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References
- 1 Bjertnæs L, Haug J, Kjekshus J, Søyland J. Cardiovascular responses to face immersion and apnoea during steady state muscle exercise. Acta Physiol Scand 1984; 120: 605-612
- 2 Breskovic T, Uglesic L, Zubin P, Kuch B, Kraljevic J, Zanchi J, Ljubkovic M, Sieber A, Dujic Z. Cardiovascular changes during underwater static and dynamic breath-hold dives in trained divers. J Appl Physiol 2011; 111: 673-678
- 3 Caspers C, Cleveland S, Schipke JD. Diving reflex: can the time course of heart rate reduction be quantified?. Scand J Med Sci Sports 2011; 21: 18-31
- 4 Charloux A, Lonsdorfer-Wolf E, Richard R, Lampert E, Oswald-Mammosser M, Mettauer B, Geny B, Lonsdorfer J. A new impedance cardiograph device for the non-invasive evaluation of cardiac output at rest and during exercise: comparison with the “direct” Fick method. Eur J Appl Physiol 2000; 82: 313-320
- 5 Concu A, Marcello C. Stroke volume response to progressive exercise in athletes engaged in different types of training. Eur J Appl Physiol 1993; 66: 11-17
- 6 Costalat G, Coquart J, Castres I, Tourny C, Lemaître F. Hemodynamic adjustments during breath-holding in trained divers. Eur J Appl Physiol 2013; 113: 2523-2529
- 7 Crisafulli A, Orrù V, Melis F, Tocco F, Concu A. Hemodynamics during active and passive recovery from a single bout of supramaximal exercise. Eur J Appl Physiol 2003; 89: 209-216
- 8 Crisafulli A, Scott AC, Wensel R, Davos CH, Francis DP, Pagliaro P, Coats AJS, Concu A, Piepoli MF. Muscle Metaboreflex-induced increases in stroke volume. Med Sci Sports Exerc 2003; 35: 221-228
- 9 Crisafulli A, Salis E, Tocco F, Melis F, Milia R, Pittau G, Caria MA, Solinas R, Meloni L, Pagliaro P, Concu A. Impaired central hemodynamic response and exaggerated vasoconstriction during muscle metaboreflex activation in heart failure patients. Am J Physiol 2007; 292: 2988-2996
- 10 Crisafulli A, Milia R, Lobina A, Caddeo M, Tocco F, Concu A, Melis F. Hemodynamic effect of metaboreflex activation in men after running above and below the velocity of the anaerobic threshold. Exp Physiol 2008; 93: 447-457
- 11 Dujic Z, Breskovic T. Impact of breath holding on cardiovascular respiratory and cerebrovascular health. Sports Med 2012; 42: 459-472
- 12 Ferrigno M, Ferretti G, Ellis A, Warkander D, Costa M, Cerretelli P, Lundgren CE. Cardiovascular changes during deep breath-hold dives in a pressure chamber. J Appl Physiol 1997; 83: 1282-1290
- 13 Foster GE, Sheel AW. The human diving response, its function, and its control. Scand J Med Sci Sports 2005; 15: 3-12
- 14 Harris DJ, Atkinson G. Ethical Standards in Sport and Exercise Science Research: 2014 Update. Int J Sports Med 2013; 34: 1025-1028
- 15 Joulia F, Lemaître F, Fontanari P, Mille ML, Barthelemy P. Circulatory effects of apnoea in elite breath-hold divers. Acta Physiol 2009; 197: 75-82
- 16 Kiviniemi AM, Breskovic T, Uglesic L, Kuch B, Maslov PZ, Sieber A, Seppänen T, Tulppo MP, Dujic Z. Heart rate variability during static and dynamic breath-hold dives in elite divers. Auton Neurosci 2012; 169: 95-101
- 17 Lemaitre F, Bernier F, Petit I, Renard N, Gardette B, Joulia F. Heart rate responses during a breath-holding competition in well-trained divers. Int J Sports Med 2005; 26: 409-413
- 18 Lemaître F, Lafay V, Taylor M, Costalat G, Gardette B. Electrocardiographic aspects of deep dives in elite breath-hold divers. Undersea Hyperb Med 2013; 40: 145-154
- 19 Lindholm P, Blogg SL, Gennser M. Pulse oximetry to detect hypoxemia during apnea: comparison of finger and ear probes. Aviat Space Environ Med 2007; 78: 770-773
- 20 Manley L. Apnoeic heart rate responses in humans. Sports Med 1990; 9: 286-310
- 21 Marabotti C, Belardinelli A, L’Abbate A, Scalzini A, Chiesa F, Cialoni D, Passera M, Bedini R. Cardiac function during breath-hold diving in humans: an echocardiographic study. Undersea Hyperb Med 2008; 35: 83-90
- 22 Marabotti C, Scalzini A, Cialoni D, Passera M, L’Abbate A, Bedini R. Cardiac changes induced by immersion and breath-hold in humans. J Appl Physiol 2009; 106: 293-297
- 23 Nóbrega AC, Williamson JW, Friedman DB, Araújo CG, Mitchell JH. Cardiovascular responses to active and passive cycling movements. Med Sci Sports Exerc 1994; 26: 709-714
- 24 Nóbrega AC, O’Leary D, Silva BM, Marongiu E, Piepoli MF, Crisafulli A. Neural regulation of cardiovascular response to exercise: role of central command and peripheral afferents. Biomed Res Int 2014; 2014: 478965 Epub 2014 Apr 9
- 25 Perini R, Gheza A, Moia C, Sponsiello N, Ferretti G. Cardiovascular time course during prolonged immersed static apnoea. Eur J Appl Physiol 2010; 110: 277-283
- 26 Richard R, Lonsdorfer-Wolf E, Charloux A, Doutreleau S, Buchheit M, Oswald-Mammosser M, Lampert E, Mettauer B, Geny B, Lonsdorfer J. Non-invasive cardiac output evaluation during a maximal progressive exercise test, using a new impedance cardiograph device. Eur J Appl Physiol 2001; 85: 202-207
- 27 Sieber A, L’Abbate A, Passera M, Garbella E, Benassi A, Bedini R. Underwater study of arterial blood pressure in breath-hold divers. J Appl Physiol 2009; 107: 1526-1531
- 28 Tocco F, Crisafulli A, Melis F, Porru C, Pittau G, Milia R, Concu A. Cardiovascular adjustments in breath-hold diving: comparison between divers and non-divers in simulated dynamic apnoea. Eur J Appl Physiol 2012; 112: 543-554
- 29 Tocco F, Crisafulli A, Marongiu E, Milia R, Kalb A, Concu A. A portable device to assess underwater changes of cardio dynamic variables by impedance cardiography. J Phys Conf Ser 2012; 407: 012026
- 30 Tocco F, Marongiu E, Pinna M, Roberto S, Pusceddu M, Angius L, Migliaccio GM, Milia R, Concu A, Crisafulli A. Assessment of circulatory adjustments during underwater apnoea in elite divers by means of a portable device. Acta Physiol Scand 2013; 207: 290-298
- 31 Woods JD.. Wave-induced shear instability in the summer thermocline. J Fluid Mech 1968; 32: 791-800