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Am J Physiol Regul Integr Comp Physiol (June 20, 2002). doi:10.1152/ajpregu.00036.2002
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Articles in PresS, published online ahead of print June 20, 2002
Am J Physiol Regu Physiol, 10.1152/ajpregu.00036.2002
Submitted on January 22, 2002
Accepted on June 19, 2002

Role of hypoxemia for the cardiovascular responses to apnea during exercise

Peter Lindholm1*, Jessica Nordh1, and Dag Linnarsson1

1 Physiology and Pharmacology, Karolinska Institutet, Section of Environmental Physiology, Stockholm, Stockholm, Sweden

* To whom correspondence should be addressed. E-mail: peter.lindholm{at}fyfa.ki.se.

We sought to define the role of hypoxemia in eliciting the cardiovascular responses to apnea during exercise. Eleven men performed repeated apneas during 100W steady-state exercise, either with normoxic gas (air) or 95% oxygen (oxygen). Beat-by-beat arterial blood pressure, arterial oxygen saturation, and heart rate (HR) were determined, and stroke volume (SV) was estimated from impedance cardiography calibrated with soluble-gas rebreathing. There were large inter-individual variabilities of HR, mean arterial pressure (MAP), and total peripheral resistance (TPR) at end-apnea (ea). However, for each individual HRea, MAPea, and TPRea were highly correlated between air and oxygen (R=0.94, 0.78 and 0.93). HR decreased and MAP increased faster during apnea with air than with oxygen (ANOVA, p<0.05) but MAPea was not different between conditions. Cardiac output (COea) was reduced by 33% with air and 11% with oxygen (p<0.001 for air vs. oxygen). We conclude that the hypoxemia component cannot account for the wide inter-individual differences of HR and TPR responses to apnea. However, hypoxemia augments the HR and TPR responses and may limit the MAP response to apnea by preventing a bradycardia-associated increase of SV.




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