@article {Perini:September 2008:1439-6319:1, author = "Perini, Renza", author = "Tironi, Adelaide", author = "Gheza, Alberto", author = "Butti, Ferdinando", author = "Moia, Christian", author = "Ferretti, Guido", title = "Heart rate and blood pressure time courses during prolonged dry apnoea in breath-hold divers", journal = "European Journal of Applied Physiology", volume = "104", year = "September 2008", abstract = "To define the dynamics of cardiovascular adjustments to apnoea, beat-to-beat heart rate (HR) and blood pressure and arterial oxygen saturation (SaO2) 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, SaO2 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, SaO2 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.", pages = "1-7(7)", url = "http://www.ingentaconnect.com/content/klu/421/2008/00000104/00000001/00000771" doi = "doi:10.1007/s00421-008-0771-1" }