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J Appl Physiol (November 29, 2007). doi:10.1152/japplphysiol.00553.2007
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Submitted on May 22, 2007
Accepted on November 19, 2007

Cardiovascular and Cerebrovascular Responses to Acute Isocapnic and Poikilocapnic Hypoxia in Humans

Craig D. Steinback1 and Marc J. Poulin2*

1 Physiology & Biophysics, University of Calgary, Calgary, Canada
2 Clinical Neurosciences, University of Calgary, Calgary, Canada; Faculty of Medicine, University of Calgary, Calgary, Canada; Faculty of Kinesiology, University of Calgary, Calgary, Canada; Hotchkiss Brain Institute, University of Calgary, Calgary, Canada; Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

* To whom correspondence should be addressed. E-mail: poulin{at}ucalgary.ca.

We examined the cardiovascular and cerebrovascular responses to acute isocapnic (IH) and poikilocapnic (PH) hypoxia in ten male subjects (25.7 ± 4.2 yrs, mean ± SD). Heart rate (HR) mean arterial pressure (MAP) and middle cerebral artery blood flow velocity (VP) were measured continuously during two randomized protocols of 20 min of step IH and PH (45 Torr). HR was elevated during both IH (p<0.01) and PH (p<0.01), with no differences observed between conditions. MAP was modestly elevated across all time points during IH, but only became elevated after 5 min during PH. During IH, VP was elevated from baseline throughout the exposure with a consistent hypoxic sensitivity of ~ 0.34 cm·s-1·%-1 desaturation (p<0.05). The VP response to PH was biphasic with an initial decrease from baseline occurring at 79 ± 23 sec, followed by a subsequent elevation, becoming equivalent to the IH response by 10 min. The nadir of the PH response exhibited a hypoxic sensitivity of -0.24 cm·s-1·%-1 desaturation. When expressed in relation to end-tidal PCO2, a sensitivity of -1.08 cm·s-1·Torr-1 was calculated, similar to previously reported sensitivities to euoxic hypocapnia. Cerebrovascular resistance (CVR) was not changed during IH. During PH, an initial increase in CVR was observed. However, CVR returned to baseline by 20 min of PH. These data show the cerebrovascular response to PH consists of an early hypocapnia-mediated response, followed by a secondary increase, mediated predominantly by hypoxia.




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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
C. D. Steinback, D. Salzer, P. J. Medeiros, J. Kowalchuk, and J. K. Shoemaker
Hypercapnic vs. hypoxic control of cardiovascular, cardiovagal, and sympathetic function
Am J Physiol Regulatory Integrative Comp Physiol, February 1, 2009; 296(2): R402 - R410.
[Abstract] [Full Text] [PDF]




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