Effects of hyperoxia on ventilation and pulmonary hemodynamics during immersed prone exercise at 4.7 ATA: Possible implications for immersion pulmonary edema

Journal of Applied Physiology

Volumn 109, Issue 1, 2010, Pages 68-78

  Peacher, Dionne F ^a   Pecorella, Shelly R H ^a   Freiberger, John J ^a   Natoli, Michael J ^a   Schinazi, Eric A ^a   Owen Doar, P ^a   Boso, Albert E ^a   Walker, Aaron J ^a   Gill, Matthew ^a   Kernagis, Dawn ^a   Uguccioni, Donna ^a   Moon, Richard E ^a  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Blood gas analysis; Diving; Pulmonary circulation; Pulmonary wedge pressure

Indexed keywords

CARBON DIOXIDE; OXYGEN;

ADULT; ARTICLE; BLOOD; BODY POSTURE; DIVING; EXERCISE; FEMALE; HEMODYNAMICS; HUMAN; HYPEROXIA; IMMERSION; LUNG EDEMA; LUNG VENTILATION; MALE; OXYGEN CONSUMPTION; PATHOPHYSIOLOGY; PH; PHYSIOLOGY; PRESSURE; PULMONARY ARTERY; SWIMMING; VITAL CAPACITY; YOUNG ADULT;

ADULT; CARBON DIOXIDE; DIVING; EXERCISE; FEMALE; HEMODYNAMICS; HUMANS; HYDROGEN-ION CONCENTRATION; HYPEROXIA; IMMERSION; MALE; OXYGEN; OXYGEN CONSUMPTION; PARTIAL PRESSURE; PRONE POSITION; PULMONARY ARTERY; PULMONARY EDEMA; PULMONARY VENTILATION; SWIMMING; VITAL CAPACITY; YOUNG ADULT;

EID: 77954336736     PISSN: 87507587     EISSN: 15221601     Source Type: Journal    
DOI: 10.1152/japplphysiol.01431.2009     Document Type: Article

References (69)

1. Adir Y, Shupak A, Gil A, Peled N, Keynan Y, Domachevsky L, Weiler-Ravell D. Swimming-induced pulmonary edema: clinical presentation and serial lung function. Chest 126: 394-399, 2004.
2. Aliverti A, Bovio D, Fullin I, Dellaca RL, Lo Mauro A, Pedotti A, Macklem PT. The abdominal circulatory pump. PLoS ONE 4: 1-15, 2009.
3. Anonymous. National Committee for Clinical Laboratory Standards: Definitions of Quantities and Conventions Related to Blood pH and Gas Analysis; Approved Standard. In: NCCLS Document CI2-A. Villanova, PA: National Committee for Clinical Laboratory Standards, 1994.
4. Barratt-Boyes BG, Wood EH. Hemodynamic response of healthy subjects to exercise in the supine position while breathing oxygen. J Appl Physiol 11: 129-135, 1957.
5. Bidart CM, Abbas AE, Parish JM, Chaliki HP, Moreno CA, Lester SJ. The noninvasive evaluation of exercise-induced changes in pulmonary artery pressure and pulmonary vascular resistance. J Am Soc Echocardiogr 20: 270-275, 2007.
6. Biswas R, Shibu PK, James CM. Pulmonary oedema precipitated by cold water swimming. Br J Sports Med 38: e36, 2004.
7. Burnett RW, Noonan DC. Calculations and correction factors used in determination of blood pH and blood gases. Clin Chem 20: 1499-1506, 1974.
8. Cherry AD, Forkner IF, Frederick HJ, Natoli MJ, Schinazi EA, Longphre JP, Conard JL, White WD, Freiberger JJ, Stolp BW, Pollock NW, Doar PO, Boso AE, Alford EL, Walker AJ, Ma AC, Rhodes MA, Moon RE. Predictors of increased Paco, during immersed prone exercise at 4.7 ATA. J Appl Physiol 106: 316-325, 2009.
9. Cochard G, Arvieux J, Lacour JM, Madouas G, Mongredien H, Arvieux CC. Pulmonary edema in scuba divers: recurrence and fatal outcome. Undersea Hyperb Med 32: 39-44, 2005.
10. Cohen CA, Zagelbaum G, Gross D, Roussos C, Macklem P. Clinical manifestations of inspiratory muscle fatigue. Am J Med 73: 308-316, 1982.
11. Craig AB Jr, Dvorak M. Thermal regulation of man exercising during water immersion. J Appl, Physiol 25: 28-35, 1968.
12. Dahlback GO, Jonsson E, Liner MH. Influence of hydrostatic compression of the chest and intrathoracic blood pooling in static lung mechanics during head-out immersion. Undersea Biomed Res 5: 71-85, 1978.
13. Damato AN, Galante JG, Smith WM. Hemodynamic response to treadmill exercise in normal subjects. J Appl Physiol 21: 956-966, 1966.
14. Dempsey JA, McKenzie DC, Haverkamp HC, Eldridge MW. Update in the understanding of respiratory limitations to exercise performance in fit, active adults. Chest 134: 613-622, 2008.
15. 2-consumption in exercising swine. Cardiovasc Res 47: 738-748, 2000.
16. Ekelund LG, Holmgren A. Circulatory and respiratory adaptation during long-term, non-steady state exercise in the sitting positions. Acta Physiol, Scand 62: 240-255, 1964.
17. Flynn ET, Saltzman HA, Summitt JK. Effects of head-out immersion at 19.18 ATA on pulmonary gas exchange in man. J Appl Physiol 33: 113-119, 1972.
18. 2. J Appl Physiol 35: 903-913, 1973.
19. 2 in man. during exercise: effect of SF6 breathing. J Appl, Physiol 45: 512-515, 1978.
20. Hampson NB, Dunford RG. Pulmonary edema of scuba divers. Undersea Hyperb Med 24: 29-33, 1997.
21. Harms CA, Wetter TJ, McClaran SR, Pegelow DF, Nickele GA, Nelson WB, Hanson P, Dempsey JA. Effects of respiratory muscle work on cardiac output and its distribution during maximal exercise. J Appl, Physiol 85: 609-618, 1998.
22. Hatridge J, Haji A, Perez-Padilla JE, Remmers JE. Rapid shallow breathing caused by pulmonary vascular congestion in cats. J Appl Physiol 67: 2257-2264, 1989.
23. Hayashi K, Honda Y, Ogawa T, Kondo N, Nishiyasu T. Relationship between ventilatory response and body temperature during prolonged submaximal exercise. J Appl Physiol 100: 414-420, 2006.
24. Higginbotham MB, Morris KG, Williams RS, McHale PA, Coleman RE, Cobb PR. Regulation of stroke volume during submaximal and maximal upright exercise in normal man. Circ Res 58: 281-291, 1986.
25. Hopkins SR, Gavin TP, Siafakas NM, Haseler LJ, Olfert M, Wagner H, Wagner PD. Effect of prolonged, heavy exercise in pulmonary gas exchange in athletes. J Appl Physiol 85: 1523-1532, 1998.
26. Hyde RW, Lawson WH, Forster RE. Influence of carbon dioxide on pulmonary vasculature. J Appl Physiol 19: 734-744, 1964.
27. Jayaweera AR, Ehrlich W. Changes of phasic pleural pressure in awake dogs during exercise: potential effects on cardiac output. Ann Biomed Eng 15: 311-318, 1987.
28. Johnson BD, Babcock MA, Suman OE, Dempsey JA. Exercise-induced diaphragmatic fatigue in healthy humans. J Physiol 460: 385-405, 1993.
29. Kaijser L. Limiting factors for aerobic muscle exercise. Acta Physiol Scand. Suppl 346: 26-58, 1970.
30. Kearon MC, Summers E, Jones NL, Campbell EJM, Killiam KJ. Breathing during prolonged exercise in humans. J Physiol 442: 477-487, 1991.
31. Koehle MS, Lepawsky M, McKenzie DC. Pulmonary oedema of immersion. Sports Med 35: 183-190, 2005.
32. Koizumi T, Gupta R, Banerjee M, Newman JH. Changes in pulmonary vascular tone during exercise. Effects of nitric oxide (NO) synthase inhibition, L-arginine infusion, and NO inhalation. J Clin Invest 94: 2275-2282, 1994.
33. Kovacs G, Berghold A, Scheidl S, Olschewski H. Pulmonary arterial pressure during rest and exercise in healthy subjects: a systematic review. Eur Respir J 34: 888-894, 2009.
34. Kurss DI, Lundgren CEG, Pasche AJ. Effect of water temperature on vital capacity in head-out immersion. In: Underwater Physiology VII Proceedings of the 7th Symposium on Underwater Physiology, edited by Bachrach AJ, and Matzen MM. Bethesda, MD: Undersea Med. Soc., 1981, p. 297-301.
35. 2. J Appl Physiol 14: 966-982, 1959.
36. Lanphier E. Nitrogen-Oxygen Mixture Physiology. Phase 4: Carbon Dioxide Sensitivity as a Potential Means of Personnel Selection. Phase 6: Carbon Dioxide Regulation Under Diving Conditions. Panama City, FL: US Navy Experimental Diving Unit, 1958.
37. 2 pressure. J Appl Physiol 45: 756-761, 1978.
38. Ludwig B, Mahon R, Parrish J, Lamb C, Kerr S. Pulmonary edema in combat swimmers: clinical and bronchoalveolar lavage description demonstrating stress failure of the pulmonary capillaries. Undersea Hyperb Med 31: C42, 2004.
39. Lund KL, Mahon RT, Tanen DA, Bakhda S. Swimming-induced pulmonary edema. Ann Emerg Med 41: 251-256, 2003.
40. MacDonald JR. Potential causes, mechanisms, and implications of post exercise hypotension. J Hum Hypertens 16: 225-236, 2002.
41. Mahon RT, Kerr S, Amundson D, Parrish JS. Immersion pulmonary edema in special forces combat swimmers. Chest 122: 383-384, 2002.
42. Manohar M, Goetz TE. L-NAME does not affect exercise-induced pulmonary hypertension in thoroughbred horses. J Appl Physiol 84: 1902-1908, 1998.
43. Martin BJ, Morgan EJ, Zwillich CW, Weil JV. Control of breathing during prolonged exercise. J Appl Physiol 50: 27-31, 1981.
44. McMahon TJ, Moon RE, Luschinger BP, Carraway MS, Stone AE, Stolp BW, Gow AJ, Pawloski JR, Watke P, Singel DJ, Piantadosi CA, Stamler JS. Nitric oxide in the human respiratory cycle. Nat Med 8: 711-717, 2002.
45. Merkus D, Houweling B, Zarbanoui A, Duncker DJ. Interaction between prostanoids and nitric oxide in regulation of systemic, pulmonary, and coronary vascular tone in exercising swine. Am J Physiol Heart Circ Physiol 286: H114-H1123, 2004.
46. Miller JD, Smith CA, Hemauer SJ, Dempsey JA. The effects of inspiratory intrathoracic pressure production on the cardiovascular response to submaximal exercise in health and chronic heart failure. Am J Physiol Heart Circ Physiol 292: H580-H592, 2007.
47. Moon RE, Cherry AD, Stolp BW, Camporesi EM. Pulmonary gas exchange in diving. J Appl Physiol 106: 668-677, 2009.
48. Morrison JB, Florio JT, Butt WS. Observations after loss of consciousness under water. Undersea Biomed Res 5: 179-187, 1978.
49. Overend TJ, Cummingham DA, Paterson DH, Smith WDF. Physiological responses of young and elderly men to prolonged exercise at critical power. Eur J Appl Physiol 64: 187-193, 1992.
50. Paintal AS. Mechanism of stimulation of type J pulmonary receptors. J Physiol 203: 511-532, 1969.
51. Pinsky MR. Hemodynamic effects of ventilation and ventilatory maneuvers. In: Respiratory-Circulatory Interactions in Health and Disease, edited by Scharf SM, Pinsky MR, Magder S. New York: Dekker, 2001, p. 183-218.
52. Prefaut C, Lupi-HE, Anthonisen NR. Human lung mechanics during water immersion. J Appl Physiol 40: 320-323, 1976.
53. Ray AD, Pendergast DR, Lundgren CEG. Respiratory muscle training improves swimming endurance at depth. Undersea Hyperb Med 35: 185, 2008.
54. Ray AD, Pendergast DR, Lundgren CEG. Respiratory muscle training reduces the work of breathing at depth. Eur J Appl Physiol 108: 811-820, 2010.
55. Robotham JL, Peters J. Mechanical effects of intrathoracic pressure on ventricular performance. In: Heart-Lung Interactions in Health and Disease, edited by Scharf SM, Cassiday SS. New York: Dekker, 1989, p. 251-283.
56. Romer LM, Polkey MI. Exercise-induced respiratory muscle fatigue: implications for performance. J Appl Physiol 104: 879-888, 2008.
57. Saltzman HA, Salzano JV, Blenkarn GD, Kylstra JA. Effects of pressure on ventilation and gas exchange in man. J. Appl Physiol 30: 443-449, 1971.
58. Salzano JV, Camporesi EM, Stolp BW, Moon RE. Physiological responses to exercise at 47 and 66 ATA. J Appl Physiol 57: 1055-1068, 1984.
59. Siggaard-Andersen O. The Acid-Base Status of the Blood. Baltimore: Williams and Wilkins, 1974.
60. Slonim NB, Ravin A, Balchum OJ, Dressier SH. The effect of mild exercise in the supine position on the pulmonary arterial pressure of five normal human, subjects. J Clin Invest 33: 1022-1030, 1954.
61. St Croix CM, Morgan BJ, Wetter TJ, Dempsey JA. Fatiguing inspiratory muscle work causes reflex sympathetic activation in humans. J Physiol 529: 493-504, 2000.
62. Stanek V, Jebavy P, Hurych J, Widimsky J. Central haemodynamics during supine exercise and pulmonary artery occlusion in normal subjects. Bull Physiopath Respir (Nancy) 9: 1203-1217, 1973.
63. Taylor JFN, Lee JC, Downing SE. Effects of acidosis, catechols, and atrial function on pulmonary pressure gradients. J Surg Res 18: 587-596, 1975.
64. Thalmann ED, Sponholtz DK, Lundgren CE. Chamber-based system for physiological monitoring of submerged exercising subjects. Undersea Biomed Res 5: 293-300, 1978.
65. Wasserman K, Whipp BJ, Casaburi R. Respiratory control during exercise. In: Handbook of Physiology. The Respiratory System. Control of Breathing. Bethesda, MD: Am Physiol Soc, 1965, sect. 3, vol. II, pt. 2, chapt. 17, p, 595-619.
66. Wester TE, Cherry AD, Pollock NW, Freiberger JJ, Natoli MJ, Schinazi EA, Doar PO, Boso AE, Alford EL, Walker AJ, Uguccioni DM, Kernagis D, Moon RE. Effects of head and body cooling on hemodynamics during immersed prone exercise at 1 ATA. J Appl Physiol 106: 691-700, 2008.
67. Wilmshurst PT, Crowther A, Nuri M, Webb-Peploe MM. Coldinduced pulmonary oedema in scuba divers and swimmers and subsequent development of hypertension. Lancet 333: 62-65, 1989.
68. Wood LD, Bryan AC, Bau SK, Weng TR, Levinson H. Effect of increased gas density on pulmonary gas exchange in man.. J Appl Physiol 41: 206-210, 1976.
69. Wylegala JA, Pendergast DR, Gosselin LE, Warkander DE, Lundgren CEG. Respiratory muscle training improves swimming endurance in divers. Eur J Appl Physiol 99: 393-404, 2007.