Effects of swimming with a wet suit on energy expenditure during subsequent cycling.]

The aim of this study was to investigate the effects of swimming with a wetsuit on energy expenditure during subsequent cycling. Nine well-trained triathletes underwent three submaximal trials. The first trial (SC) consisted of a 750-m swim realised at a competition pace, followed by a 10-min cycling exercise at a power output corresponding to the ventilatory threshold . The two other trials were composed of the same cycling exercise, preceded either by a 750-m swim with a wetsuit (WSC) or by a cycling warm-up (Ctrl). The main results are that the WSC trial was characterised by significantly lower swimming cadence (-14%), heart rate (-11%), and lactate values (-47%) compared to the SC trial, p < 0.05. Moreover, cycling efficiency was significantly higher in the WSC trial compared to the SC trial (12.1% difference, p < 0.05). The lower relative intensity observed during swimming with a wetsuit suggest the relative importance of swimming condition on the total performance in a sprint triathlon.     

Does prior 1500-m swimming affect cycling energy expenditure in well-trained triathletes?

The purpose of this study was to determine the effects of a 1,500-m swim on energy expenditure during a subsequent cycle task. Eight well-trained male triathletes (age 26.0 +/- 5.0 yrs; height 179.6 +/- 4.5 cm; mass 71.3 +/- 5.8 kg; VO(2)max 71.9 +/- 7.8 ml.kg(-1).min(-1)) underwent two testing sessions in counterbalanced order. The sessions consisted of a 30-min ride on the cycle ergometer at 75% of maximal aerobic power (MAP), and at a pedaling frequency of 95 rev.min(-1), preceded either by a 1,500-m swim at 1.20 m.s(-1) (SC trial) or by a cycling warm-up at 30% of MAP (C trial). Respiratory and metabolic data were collected between the 3rd and the 5th min, and between the 28th and 30th min of cycling. The main results indicated a significantly lower gross efficiency (13.0%) and significantly higher blood lactate concentration (56.4%), VO(2) (5.0%), HR (9.3%), VE (15.7%), and RF (19.9%) in the SC compared to the C trial after 5 min, p < 0.05. After 30 min, only VE (7.9%) and blood lactate concentration (43.9%) were significantly higher in the SC compared to the C trial, p < 0.05. These results confirm the increase in energy cost previously observed during sprint-distance triathlons and point to the importance of the relative intensity of swimming on energy demand during subsequent cycling.     

Differences in cardiorespiratory responses during and after arm crank and cycle exercise

The differences in cardiorespiratory responses were examined during and after intermittent progressive maximal arm-crank and cycle exercise. Arm-crank exercise was performed in a standing position using no torso restraints to maximize the amount of active skeletal muscle mass. Recovery was followed for 16 min. In the tests a variety of ventilatory gas exchange variables, heart rate, the blood pressure, and the arm venous blood lactate concentration were measured in 21 untrained healthy men aged 24-45 years. At equal submaximal external workloads for arm cranking and cycling (50 and 100 W) the respiratory frequency, tidal volume, pulmonary ventilation, oxygen uptake, carbon dioxide output, the respiratory exchange ratio, heart rate, the arm venous blood lactate concentration, and the ventilatory equivalent for oxygen were higher (P less than 0.001) during arm cranking than cycling. The maximal workload for arm cranking was 44% lower than that for cycling (155 +/- 37 vs 277 +/- 39 W, P less than 0.001) associated with significantly (P less than 0.001) lower maximal tidal volume (-20%), oxygen uptake (-22%), carbon dioxide output (-28%), systolic blood pressure (-17%) and oxygen pulse (-22%) but a higher ventilatory equivalent for carbon dioxide (+22%) and arm venous blood lactate concentration (+37%). However, these responses after arm-crank and cycle exercises behaved almost similarly during recovery. The high cardiorespiratory stress induced by arm work should be taken into account when the work stress and work-rest regimens in actual manual tasks are assessed, and when arm work is used for clinical testing, and in physiotherapy particularly for patients with heart or pulmonary diseases.     

Transmural distribution of left ventricular glucose uptake in spontaneously hypertensive rats during rest and exercise

The transmural distribution of glucose uptake was studied in the left ventricle of 6-month-old male Wistar-Kyoto (WKY) and spontaneously hypertensive rats (SHR) during rest and swimming (20 min) using the 2-deoxyglucose method. The baseline mean arterial pressure was 128 +/- 8 (n = 8) in the WKY and 188 +/- 22 mmHg (n = 8) in the SHR (P less than 0.001). This pressure remained constant in the resting groups, whereas the product of mean arterial pressure and heart rate was initially 45 x 10(3) +/- 3 x 10(3) and 63 x 10(3) +/- 4 x 10(3) mmHg beats min-1 in the swimming WKY and SHR and increased by 34-48 x 10(3) mmHg beats min-1 during the swimming period. Total glucose uptake was 3.9 +/- 1.2 mumol min-1 g-1 protein in the resting WKY rats and 1.4 +/- 0.4 mumol min-1 g-1 protein (P less than 0.001) in the swimming ones, the corresponding values for the resting and swimming SHR being 4.8 +/- 1.4 mumol min-1 g-1 protein and 3.2 +/- 1.2 mumol min-1 g-1 protein (P less than 0.01). Glucose uptake was 30% greater in the subendocardium (ENDO) of the resting WKY than in the subepicardium (EPI) (P less than 0.01), but this gradient disappeared during swimming. Glucose uptake in the resting SHR was greatest in the middle layer of the ventricular wall, with no difference between ENDO and EPI, whereas during swimming the glucose uptake was distributed evenly across the left ventricular wall. The blood lactate/pyruvate ratio increased only transitorily during the first minutes in the swimming SHR, while their plasma free fatty acid concentration was 1.2-1.3 mM initially and decreased by 32% (P less than 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)     

Effect of exercise duration on optimal pedaling rate choice in triathletes.

The purpose of this study was to investigate the effect of an exercise duration similar to triathlon's cyclism event (approximately 1 hr), on factors determining the freely chosen cadence. Nine trained triathletes completed a cycling track session conducted at a speed corresponding to 75% of maximal heart rate. This session was composed of five submaximal rides performed at five cadences presented in a random order (65, 80, 95, 110 rpm and freely chosen cadence) realized before and after a 1-hr exercise at the freely chosen cadence. Results show, during the first condition, that triathletes choose spontaneously a cadence (90,1 +/- 10,7 rpm) close to the neuromuscular optimum (89,6 +/- 1,1 rpm) while at the end of exercise, a decrease of the freely chosen cadence (82,8 +/- 8,7 rpm) was observed toward the energetically optimal cadence (78,6 +/- 5,8 rpm). These findings suggest the hypothesis of an adaptation of the movement pattern with the exercise duration in order to minimize the energy cost rather than the neuromuscular cost of cycling.     

Preload maintenance and the left ventricular response to prolonged exercise in men

This study examined whether left ventricular function was reduced during 3 h of semi-recumbent ergometer cycling at 70% of maximal oxygen uptake while preload to the heart was maintained via saline infusion. Indices of left ventricular systolic function (end-systolic blood pressure-volume relationship, SBP/ESV) and diastolic filling (ratio of early to late peak filling velocities into the left ventricle, E:A) were calculated during recovery and compared with baseline resting data. During exercise in seven healthy, trained male subjects, an arterial catheter allowed continuous assessment of arterial pressure, stroke volume (SV), cardiac output ( ) and an index of contractility (dP/dt(max)). A venous catheter assessed that central venous pressure (CVP) was maintained throughout rest, exercise and 10 min into recovery. Both systolic blood pressure and heart rate (HR) increased with the onset of exercise (from 132 +/- 5 to 185 +/- 19 mmHg and from 66 +/- 9 to 135 +/- 23 beats min(-1); increases from rest to the end of the first 5 min of exercise in SBP and HR, respectively) but systolic blood pressure did not change from 30 to 180 min of exercise ( approximately 150 mmHg), while heart rate only increased by 8 +/- 9 beats min(-1) (means +/- s.d.; P > 0.05). The attenuated increase in HR compared with other studies suggests that the maintained CVP ( approximately 5 mmHg) helped to prevent cardiovascular drift in this protocol. Stroke volume, and dP/dt(max) were all increased with the onset of exercise (from 85 +/- 8 to 120 +/- 18 ml, from 5.4 +/- 1.3 to 16.5 +/- 3.3 l min(-1) and from 14.4 +/- 4 to 28 +/- 8 mmHg s(-1); values from rest to the end of the first 5 min of exercise for SV, and dP/dt(max), respectively) and were maintained during exercise. There was no difference in the SBP/ESV ratio from pre- to postexercise. Conversely, E:A was reduced from 2.0 +/- 0.4 to 1.6 +/- 0.5 postexercise (P < 0.05), returning to normal values at 24 h postexercise. This change in diastolic filling could not be fully explained (r(2) = 0.39) by an increased heart rate and, with CVP unchanged, it is likely to represent some depression of intrinsic relaxation properties of left ventricular myocytes. Three hours of semi-supine cycling resulted in no evidence of a depression in left ventricular systolic function, while left ventricular diastolic function declined postexercise.     

Ventilatory threshold characterizations during incremental rowing and cycling exercises in older subjects.

In order to individualize the intensity of an aerobic training program on different ergometers in healthy elderly subjects using a single test of muscular exercise, we analysed cardiorespiratory responses in 8 men (65.7 +/- 4.5 yrs) and 10 women (63.3 +/- 4.8 yrs). The heart rate corresponding to the ventilatory threshold was defined as individualised exercise intensity. All subjects carried out two incremental exercise tests on the cycle and rowing ergometers. For men, the results on the cycle ergometer and rowing ergometer demonstrated that, at ventilatory threshold, heart rates were not significantly different (114.6 +/- 13.7 and 115.6 +/- 14.2 beats x min (-1), respectively), but ventilation was significantly higher in rowing (p < 0.05). At ventilatory threshold, heart rates for women were not significantly different between the cycle ergometer and rowing ergometer (121.3 +/- 12.4 and 125.1 +/- 15.2 beats x min (-1 ), respectively), but ventilation was significantly higher in rowing (p< 0.01). At maximal exercise, maximal tidal volume for men (p < 0.01) and women (p < 0.05) was significantly higher in rowing. In spite of alterations of breathing patterns on the rowing ergometer, it is possible to design an individualized training program for healthy elderly subjects based on a single muscle evaluation exercise in order to diversify and optimize the cardiorespiratory benefits following an aerobic training program.     

Effects of chronic dobutamine administration on the response to acute exercise in dogs

The effects of chronic dobutamine administration on haemodynamic and metabolic responses to submaximal and maximal exercise were studied in dogs. Dobutamine was infused at a rate of 40 micrograms/kg min-1, 2 h day-1, 5 days week-1 for a period of 6 weeks. Acute infusion of dobutamine for 1 h increased heart rate by 73 +/- 30 beats min-1 and cardiac output by 143 +/- 141 ml/min kg-1, reduced mean arterial blood pressure by 12 +/- 10 mmHg and arterial-venous O2 difference by 1.5 +/- 1 vol%. Maximal oxygen consumption, heart rate, stroke volume, cardiac output and arterial-venous O2 difference were unchanged after 6 weeks of treatment. Reductions in heart rate at rest and during submaximal exercise following chronic dobutamine treatment were small and significant only at the lowest exercise level studied. Mixed venous lactate concentrations measured at rest, during submaximal and maximal exercise and at 2 min of recovery were not different after dobutamine treatment. Chronic dobutamine infusion did not change the citrate synthase activity in the lateral gastrocnemius muscle. These results suggest that chronic dobutamine therapy in healthy dogs does not produce aerobic training responses.     

Interrelationships between skeletal muscle adaptations and performance as studied by detraining and retraining.

The effects of 15 days of detraining and 15 days of retraining were studied in 6 well-trained runners. Detraining resulted in significant decreases in the mean activities of succinate dehydrogenase (SDH) and lactate dehydrogenase (LDH) of 24% and 13% respectively, but no significant increases in these enzymes activities occured with retraining. Maximal oxygen uptake (VO2 max) decreased by 4% with detraining (p less than 0.05), and increased by a similar amount with retraining. Performance time in an intense submaximal run decreased by 25% (p less than 0.05) with inactivity, but still averaged 9% below the initial level after retraining. Maximal heart rate and peak heart rate during the performance run were higher after detraining by 4 and 9 beats per min, respectively (p less than 0.05). With retraining, these heart rate values were decreased by 7 and 9 beats per min (p less than 0.05). Blood lactate concentrations after the VO2 max and performance run were approximately 20% lower after detraining and retraining (p less than 0.05). Muscle fibre areas for three subjects tended to be larger in biopsy samples taken after detraining and retraining. These data suggest that even short periods of detraining result in significant changes in indices of physiological capacity and function in subjects near their upper limit of adaptation, and that a longer period of retraining is necessary for muscle to re-adapt to its original trained state.     

Prediction of drafted-triathlon race time from submaximal laboratory testing in elite triathletes.

PURPOSE AND METHODS: To determine which physiological variables accurately predict the race time of an Olympic-distance International Triathlon undertaken in drafted conditions, 8 elite triathletes underwent both maximal and submaximal laboratory and field physiological testing: a 400-m maximal swim test; an incremental treadmill test; an incremental cycling test; 30 min of cycling followed by 20 min of running (C-R); and 20 min of control running (R) at the exact same speed variations as in running in C-R. Blood samples were drawn to measure venous lactate concentration after the 400-m swim and the cycle and run segments of C-R. During the maximal cycling and running exercises, data were collected using an automated breath-by-breath system. RESULTS: The only parameters correlated with the overall drafted-triathlon time were lactate concentration noted at the end of the cycle segment (r = 0.83, p < 0. 05) and the distance covered during the running part of the submaximal C-R test (r = 0.92, p < 0. 01). Stepwise multiple regression analysis revealed a highly significant (r = 0.96, p < 0.02) relationship between predicted race time (from laboratory measures) and actual race time, using the following calculation: Predicted Triathlon Time (s) = 1.128 (distance covered during R of C-R [m]) + 38.8 ([lactate] at the end of C in C-R) + 13,338. The high R2 value of 0.93 indicated that, taken together, these two laboratory measures could account for 93% of the variance in race times during a drafted triathlon. CONCLUSION: Complementing previous studies, this study demonstrates that different parameters seem to be reliable for predicting performance in drafted vs. nondrafted Olympic-triathlon races. It also demonstrates that, for elite triathletes competing in a drafted Olympic-distance triathlon, performance is accurately predicted from the results of submaximal laboratory measures.     

Influence of gender on pacing adopted by elite triathletes during a competition

The aim of this study was to compare the pacing strategies adopted by women and men during a World Cup ITU triathlon. Twelve elite triathletes (6 females, 6 males) competed in a World Cup Olympic distance competition where speed and heart rate (HR) were measured in the three events. The power output (PO) was recorded in cycling to determine the time spent in five intensity zones ([0–10% VT1]; [10% VT1–VT1]; [VT1–VT2]; [VT2–MAP] and ≥MAP) [ventilatory threshold (VT); maximal aerobic power (MAP)]. Swimming and running speeds decreased similarly for both genders (P < 0.05) and HR values were similar through the whole race (92 ± 2 and 92 ± 3% of maximal HR for women and men, respectively). The distribution of time spent in the five zones during the cycling leg was the same for both genders. The men’s speed and PO decreased after the first bike lap (P < 0.05) and the women spent relatively more time above MAP in the hilly sections (45 ± 4 vs. 32 ± 4%). The men’s running speed decreased significantly over the whole circuit, whereas the women slowed only over the uphill and downhill sections (P < 0.05). This study indicates that both female and male elite triathletes adopted similar positive pacing strategies during swimming and running legs. Men pushed the pace harder during the swim-to-cycle transition contrary to the women and female triathletes were more affected by changes in slope during the cycling and running phases.     

Effects of caffeine and high ambient temperature on haemodynamic and body temperature responses to dynamic exercise.

Caffeine can enhance mean arterial blood pressure (MAP) and attenuate forearm blood flow (FBF) and forearm vascular conductance (FVC) during exercise in thermal neutral conditions without altering body temperature. During exercise at higher ambient temperatures, where a greater transfer of heat from the body core to skin would be expected, caffeine-induced attenuation of FBF (i.e. cutaneous blood flow) could attenuate heat dissipation and increase body temperature (T(re)). We hypothesized that during exercise at an ambient temperature of 38 degrees C, caffeine increases MAP, and attenuates FBF and FVC such that T(re) is increased. Eleven caffeine-naive, active men, were studied at rest and during exercise after ingestion of a placebo or 6 mg kg(-1) of caffeine. MAP, heart rate (HR), FBF, FVC, T(re) skin temperature (T(sk)) and venous lactate concentrations (lactate) were assessed sequentially during rest at room temperature, after 45 min of exposure to an ambient temperature of 38 degrees C, and during 35 min of submaximal cycling. Heat exposure caused increases in MAP, FBF, FVC and T(sk) that were not altered by caffeine. HR, T(re), and lactate were unaffected. During exercise, only MAP (95 +/- 2 vs. 102 +/- 2 mmHg), HR (155 +/- 10 vs. 165 +/- 10 beats min(-1)), and lactate (2.0 +/- 0.4 vs. 2.3 +/- 0.4 mmol l(-1)) were increased by caffeine. These data indicate that increases in cutaneous blood flow during exercise in the heat are not reduced by caffeine. This may be because of activation of thermal reflexes that cause cutaneous vasodilation capable of offsetting caffeine-induced reductions in blood flow. Caffeine-induced increases in lactate, MAP and HR during exercise suggest that this drug and high ambient temperatures increase production of muscle metabolites that cause reflex cardiovascular responses.     

Pacing strategy during the initial phase of the run in triathlon: influence on overall performance

The aim of the present study was to determine the best pacing strategy to adopt during the initial phase of a short distance triathlon run for highly trained triathletes. Ten highly trained male triathletes completed an incremental running test to determine maximal oxygen uptake, a 10-km control run at free pace and three individual time-trial triathlons (1.5-km swimming, 40-km cycling, 10-km running) in a randomised order. Swimming and cycling speeds were imposed as identical to the first triathlon performed and the first run kilometre was done alternatively 5% faster (Tri-Run_+5%), 5% slower (Tri-Run_−5%) and 10% slower (Tri-Run_−10%) than the control run (C-Run). The subjects were instructed to finish the 9 remaining kilometres as quickly as possible at a free self-pace. Tri-Run_−5% resulted in a significantly faster overall 10-km performance than Tri-Run_+5% and Tri-Run_−10% (p < 0.05) but no significant difference was observed with C-Run (p > 0.05) (2,028 ± 78 s vs. 2,000 ± 72 s, 2,178 ± 121 s and 2,087 ± 88 s, for Tri-Run_−5%, C-Run, Tri-Run_+5% and Tri-Run_−10%, respectively). Tri-Run_+5% strategy elicited higher values for oxygen uptake, ventilation, heart rate and blood lactate at the end of the first kilometre than the three other conditions. After 5 and 9.5 km, these values were higher for Tri-Run_−5% (p < 0.05). The present results showed that the running speed achieved during the cycle-to-run transition is crucial for the improvement of the running phase as a whole. Triathletes would benefit to automate a pace 5% slower than their 10-km control running speed as both 5% faster and 10% slower running speeds over the first kilometre involved weaker overall performances.     

Interrelationships between skeletal muscle adaptations and performance as studied by detraining and retraining

The effects of 15 days of detraining and 15 days of retraining were studied in 6 well-trained runners. Detraining resulted in significant decreases in the mean activities of succinate dehydrogenase (SDH) and lactate dehydrogenase (LDH) of 24 % and 13 %, respectively, but no significant increases in these enzyme activities occurred with retraining. Maximal oxygen uptake (VO₂ max) decreased by 4% with detraining (p < 0.05), and increased by a similar amount with retraining. Performance time in an intense submaximal run decreased by 25% (p < 0.05) with inactivity, but still averaged 9% below the initial level after retraining. Maximal heart rate and peak heart rate during the performance run were higher after detraining by 4 and 9 beats per min, respectively (p < 0.05). With retraining, these heart rate values were decreased by 7 and 9 beats per min (p < 0.05). Blood lactate concentrations after the VO₂ max and performance run were approximately 20% lower after detraining and retraining (p < 0.05). Muscle fibre areas for three subjects tended to be larger in biopsy samples taken after detraining and retraining. These data suggest that even short periods of detraining result in significant changes in indices of physiological capacity and function in subjects near their upper limit of adaptation, and that a longer period of retraining is necessary for muscle to re-adapt to its original trained state.     

Effects of heat removal through the hand on metabolism and performance during cycling exercise in the heat.

OBJECTIVE: This two-part study tested the hypotheses that the use of a new cooling device, purported to extract heat from the body core through the palm of the hand, would (a) attenuate core temperature rise during submaximal exercise in the heat, thereby suppressing exercise-associated metabolic changes, and (b) facilitate a higher sustained workload, thus shortening the completion time of a time-trial performance test. METHODS: In Study 1, 8 male triathletes (age 27.9 +/- 2.0 yrs, mass 77.2 +/- 3.1 kg, VO2peak 59.0 +/- 4.1 ml x min(-1) x kg(-1)) cycled for 1 hr at the same absolute workload (approximately 60% VO2peak) in a heated room (31.9 +/- 0.1 degrees C, 24 +/- 1% humidity) on two occasions counterbalanced for cooling (C) or noncooling (NC). In Study 2, 8 similar subjects (age 26.9 +/- 2.0 yrs, mass 75.2 +/- 3.7 kg, VO2peak 54.1 +/- 3.1 ml x min(-1) x kg(-1)) performed two 30-km cycling time-trial performance tests under the same conditions (C(T), NC(T)). RESULTS: In Study 1, cooling attenuated the rise in tympanic temperature (T(TY)) (1.2 +/- 0.2 vs. 1.8 +/- 0.2 degrees C; p < 0.01) and lowered mean oxygen consumption (VO2, 2.4 +/- 0.1 vs. 2.7 +/- 0.1 L x min(-1); p < 0.05) and blood lactate (1.7 +/- 0.2 vs. 2.2 +/- 0.2 mmol x L(-1); p < 0.01) during exercise. There were no significant differences in respiratory exchange ratio (RER), blood glucose, heart rate (HR), face temperature (T(F)), or back temperature (T(B)) between NC and C. In Study 2, time to complete 30 km was 6 +/- 1% less with cooling than without cooling (60.9 +/- 2.0 vs. 64.9 +/- 2.6 min; p < 0.01). During the last 20% of C(T), subjects sustained a workload that was 14 +/- 5% (p = 0.06) higher than NC(T) at the same T(TY) and HR. CONCLUSIONS: Heat extraction through the hand during cycle ergometer exercise in the heat can (a) lower T(TY), lactate concentration, and VO2 during a submaximal set-workload test and (b) reduce the time it takes to complete a 30-km time-trial test.     

Pulmonary responses during the cycle-run succession in elite and competitive triathletes.

OBJECTIVES: The purpose of this study was to determine the effect of performance level on the pulmonary responses in triathletes during the cycle-run succession. METHODS: Eight regionally and nationally ranked (Competitive) and six internationally ranked (Elite) male triathletes underwent 30 min of cycling followed by 20 min of running (C-R) and 30 min of control cycling (C). Before and 10 min after each trial, the triathletes underwent lung function testing. Ventilatory data were collected every minute using an automated breath-by-breath system. RESULTS: The results showed that (a) cycling induced a significant increase in residual volume and functional residual capacity in the Elite group (P <.05); (b) although cycling induced a significant decrease in DLCO in both groups, this decrease persisted at the end of the cycle-run exercise in the Competitive group only (P <.05); and (c) the rise in breathing frequency was significantly greater in the Competitive triathletes during the first 8 min of the subsequent run (P <.04). CONCLUSIONS: We conclude that the internationally ranked--or elite-performance--triathletes may have developed specific responses to the cycle-run succession.     

Comparison of SA nodal and subsidiary atrial pacemaker function and location in the dog.

A 3-4 cm length of sulcus terminalis tissue including the sinoatrial node (SAN) was excised from 14 dogs. After an initial junctional rhythm with SAN excision a P wave emerged within days to weeks in 12 animals. Maximum heart rates of the SAN (preoperative) in response to exercise (276 +/- 15 beats/min), isoproterenol infusion in conscious animals (272 +/- 11 beats/min), and stellate stimulation during anesthesia (273 +/- 9 beats/min) were significantly greater than subsidiary pacemakers (postoperatively) for exercise (219 +/- 9 beats/min), isoproterenol (226 +/- 8 beats/min), and stellate stimulation (197 +/- 9 beats/min). During a final experiment, electrophysiological mapping of the area of earliest epicardial activation (pacemaker location) was carried out. By use of a suction electrode in reference to plunge electrodes located in the anterior interatrial band (AIB), eustachian ridge of the coronary sinus, and limbus of the fossa ovalis, the pacemaker was located at the inferior vena cava-inferior right atrial junction in 80% of the animals mapped. During isoproterenol infusion the foci shifted to regions of the AIB in 70% of the animals mapped. The concept of pacemaker hierarchy is discussed.     

Middle cerebral artery blood velocity during exercise with beta-1 adrenergic and unilateral stellate ganglion blockade in humans

A reduced ability to increase cardiac output (CO) during exercise limits blood flow by vasoconstriction even in active skeletal muscle. Such a flow limitation may also take place in the brain as an increase in the transcranial Doppler determined middle cerebral artery blood velocity (MCA V(mean)) is attenuated during cycling with beta-1 adrenergic blockade and in patients with heart insufficiency. We studied whether sympathetic blockade at the level of the neck (0.1% lidocaine; 8 mL; n=8) affects the attenuated exercise - MCA V(mean following cardio-selective beta-1 adrenergic blockade (0.15 mg kg(-1) metoprolol i.v.) during cycling. Cardiac output determined by indocyanine green dye dilution, heart rate (HR), mean arterial pressure (MAP) and MCA V(mean) were obtained during moderate intensity cycling before and after pharmacological intervention. During control cycling the right and left MCA V(mean) increased to the same extent (11.4 +/- 1.9 vs. 11.1 +/- 1.9 cm s(-1)). With the pharmacological intervention the exercise CO (10 +/- 1 vs. 12 +/- 1 L min(-1); n=5), HR (115 +/- 4 vs. 134 +/- 4 beats min(-1)) and delta MCA V(mean) (8.7 +/- 2.2 vs. 11.4 +/- 1.9 cm s(-1) were reduced, and MAP was increased (100 +/- 5 vs. 86 +/- 2 mmHg; P < 0.05). However, sympathetic blockade at the level of the neck eliminated the beta-1 blockade induced attenuation in delta MCA V(mean) (10.2 +/- 2.5 cm s(-1)). These results indicate that a reduced ability to increase CO during exercise limits blood flow to a vital organ like the brain and that this flow limitation is likely to be by way of the sympathetic nervous system.     

Left ventricular volumes during exercise in endurance athletes assessed by contrast echocardiography

AIM: The objective was to assess left ventricular (LV) volumes at rest and during upright submaximal exercise in endurance athletes to see whether changes in heart volume could explain the large predicted increase in cardiac output in endurance athletes. METHOD: Contrast echocardiography was used to assess changes in LV volumes during upright bicycle exercise in 24 healthy male endurance athletes. Maximal oxygen uptake and oxygen pulse were measured by using cardiopulmonary exercise testing. RESULTS: From rest to exercise at a heart rate of 160 beats min(-1) end-diastolic volume increased by 18% (P < 0.001) and end-systolic volume decreased by 21% (P = 0.002). Stroke volume showed an almost linear increase during exercise (45% increase, P < 0.001). The increase in end-diastolic volume contributed to 73% of the increase in stroke volume. No significant differences were observed between stroke volume calculated from LV volumes with contrast echocardiography and stroke volume calculated from oxygen pulse at heart rates of 130 and 160 beats min(-1). Using the linear regression equation between oxygen uptake and cardiac output assessed by echocardiography during exercise (r=0.87, P=0.002), cardiac output at maximal exercise was estimated at 33 +/- 3 L min(-1), with an estimated increase in stroke volume by 69% from rest to maximal exercise. CONCLUSION: By using contrast echocardiography, a large increase in stroke volume in endurance athletes could be explained by an almost linear increase in end-diastolic volume and an initial small decrease in end-systolic volume during incremental upright exercise.