TY - JOUR
T1 - Ventilatory responses to hypoxia and high altitude during sleep in aconcagua climbers
AU - Snyder, Eric M.
AU - Stepanek, Jan
AU - Bishop, Sheryl L.
AU - Johnson, Bruce D.
N1 - Funding Information:
This work was supported by NIH Grants HL71478 , and AHA Grant 56051Z . We would like to thank Kathy O’Malley and Angela Heydman for their help with data collection, and Renee Blumers for her help with manuscript preparation, as well as the tremendous efforts of the 2 climbers, and Vivometrics for their continued help and support. We would also like to thank the staff of the Mayo Clinic General Clinical Research Center (GCRC) for their assistance throughout this study. The Mayo Clinic GCRC is supported by US Public Health Service grant M01-RR00585 .
PY - 2007
Y1 - 2007
N2 - Background/Objective. - We examined the changes in ventilation during sleep at high altitude using the LifeShirt monitoring system on 2 climbers who were attempting to summit Mount Aconcagua (6956 m). Methods. - Prior to the summit attempt, we measured cardiovascular and pulmonary function at 401 m (Rochester, MN) and gathered respiratory and cardiovascular data during sleep using the LifeShirt monitoring system with exposure to normobaric normoxia and normobaric hypoxia (simulated 4300 m). We then monitored the ventilatory response during sleep at 3 altitudes (4100 m, 4900 m, and 5900 m). Results. - During normoxic sleep, subjects had normal oxygen saturation (O2sat), heart rate (HR), respiratory rate (RR), tidal volume (VT) and minute ventilation (VE), and exhibited no periodic breathing (O2sat = 100 ± 2%, HR = 67 ± 1 beats/min, RR = 16 ± 3 breaths/min, VT = 516 ± 49 mL, and VE = 9 ± 1 L/min, mean ± SD). Sleep during simulated 4300 m caused a reduction in O 2sat, an increase in HR, RR, VT, and VE, and induced periodic breathing in both climbers (O2sat, = 79 ± 4%, HR = 72 ± 14 beats/min, RR = 20 ± 3 breaths/min, VT = 701 ± 180 mL, and VE = 14 ± 3 L/min). All 3 levels of altitude had profound effects on O2sat, HR, and the ventilatory strategy during sleep (O2sat, = 79 ± 2, 70 ± 8, 60 ± 2%; HR = 70 ± 12, 76 ± 6, 80 ± 3 beats/min: RR = 17 ± 6, 18 ± 4, 20 ± 6 breaths/min; VT = 763 ± 300, 771 ± 152, 1145 ± 123 mL; and VE = 13 ± 1, 14 ± 0, 22 ± 4 L/min; for 4100 m, 4900 m, and 5900 m, respectively). There were strong negative correlations between O2sat and VE and ventilatory drive (VT/Ti. where Ti is the inspiratory time) throughout the study. Conclusions. - Interestingly, the changes in ventilatory response during simulated altitude and at comparable altitude on Aconcagua during the summit attempt were similar, suggesting reductions in FiO2, rather than in pressure, alter this response.
AB - Background/Objective. - We examined the changes in ventilation during sleep at high altitude using the LifeShirt monitoring system on 2 climbers who were attempting to summit Mount Aconcagua (6956 m). Methods. - Prior to the summit attempt, we measured cardiovascular and pulmonary function at 401 m (Rochester, MN) and gathered respiratory and cardiovascular data during sleep using the LifeShirt monitoring system with exposure to normobaric normoxia and normobaric hypoxia (simulated 4300 m). We then monitored the ventilatory response during sleep at 3 altitudes (4100 m, 4900 m, and 5900 m). Results. - During normoxic sleep, subjects had normal oxygen saturation (O2sat), heart rate (HR), respiratory rate (RR), tidal volume (VT) and minute ventilation (VE), and exhibited no periodic breathing (O2sat = 100 ± 2%, HR = 67 ± 1 beats/min, RR = 16 ± 3 breaths/min, VT = 516 ± 49 mL, and VE = 9 ± 1 L/min, mean ± SD). Sleep during simulated 4300 m caused a reduction in O 2sat, an increase in HR, RR, VT, and VE, and induced periodic breathing in both climbers (O2sat, = 79 ± 4%, HR = 72 ± 14 beats/min, RR = 20 ± 3 breaths/min, VT = 701 ± 180 mL, and VE = 14 ± 3 L/min). All 3 levels of altitude had profound effects on O2sat, HR, and the ventilatory strategy during sleep (O2sat, = 79 ± 2, 70 ± 8, 60 ± 2%; HR = 70 ± 12, 76 ± 6, 80 ± 3 beats/min: RR = 17 ± 6, 18 ± 4, 20 ± 6 breaths/min; VT = 763 ± 300, 771 ± 152, 1145 ± 123 mL; and VE = 13 ± 1, 14 ± 0, 22 ± 4 L/min; for 4100 m, 4900 m, and 5900 m, respectively). There were strong negative correlations between O2sat and VE and ventilatory drive (VT/Ti. where Ti is the inspiratory time) throughout the study. Conclusions. - Interestingly, the changes in ventilatory response during simulated altitude and at comparable altitude on Aconcagua during the summit attempt were similar, suggesting reductions in FiO2, rather than in pressure, alter this response.
KW - High altitude
KW - Hypoxia
KW - Low-oxygen
KW - Periodic breathing
KW - Respiration
KW - Sleep
KW - Ventilatory response
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U2 - 10.1580/06-WEME-BR-041R.1
DO - 10.1580/06-WEME-BR-041R.1
M3 - Article
C2 - 17590060
AN - SCOPUS:34447305179
SN - 1080-6032
VL - 18
SP - 138
EP - 145
JO - Wilderness and Environmental Medicine
JF - Wilderness and Environmental Medicine
IS - 2
ER -