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J Appl Physiol (December 23, 2004). doi:10.1152/japplphysiol.00837.2004
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Submitted on August 4, 2004
Accepted on November 29, 2004

Heart rate deflection point as a strategy to defend stroke volume during incremental exercise

Pierre-Marie A Lepretre1*, Carl Foster2, Jean-Pierre Koralsztein3, and Veronique L Billat4

1 LEPHE Department of Sciences and Technologies in Sports and Physical Activities (STAPS), Unversity of Evry Val d'Essonne, Evry, Val d Essonne, France, Metropolitan
2 University of Wisconsin La Crosse, La Crosse, Wisconsin, USA
3 Sport Medicine Center of the CCAS, Paris, Ile de France, France, Metropolitan
4 LEPHE Department of Sciences and Technologies in Sports and Physical Activities (STAPS), Unversity of Evry Val d'Essonne, Evry, Val d Essonne, France, Metropolitan; Sport Medicine Center of the CCAS, Paris, Ile de France, France, Metropolitan

* To whom correspondence should be addressed. E-mail: lepretre.pierre-marie{at}wanadoo.fr.

Purpose: The purpose of this study was to examine whether the heart rate deflection point (HRDP) in the heart rate - power relationship is concomitant with the maximal stroke volume value achievement (SVmax) in endurance-trained subjects. Methods: twenty-two international male cyclists (30.3±7.3yrs, 179.7±7.2cm, 71.3±5.5kg) undertook a graded cycling exercise (50 watts every 3 minutes) in the upright position. Thoracic impedance was used to measure continuously the heart rate (HR) and stroke volume (SV) values. The HRDP was estimated by the third order curvilinear regression method (Dmax). Results: 72.7% of the subjects (HRDP-group, n=16) presented a break point in their HR-work rate curve at 89.9±2.8% of their maximal HR value. The SV value increased until 78.0±9.3% of the power associated with VO2max (pVO2max) in the HRDP-group whereas it increased until 94.4±8.6% of pVO2max in six other subjects (No-HRDP-group, P=0.004). Neither SVmax (mL.beat-1 or mL.beat-1.m-2) nor VO2max (mL.min-1 or mL.kg-1.min-1) were different between both groups. However, SV significantly decreased before exhaustion in the HRDP-group (153±44 vs. 144±40mL.beat-1, P=0.005). In the HDRP-group, 62% of the variance in the power associated at the SVmax (pSVmax) could be also predicted by the power output at which HRDP appeared. Conclusion: In well-trained subjects, the pSVmax-HRDP relationship supposed that the heart rate deflection coincided with the optimal cardiac work for which SVmax was attained.




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