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A Four-Way Comparison of Cardiac Function with Normobaric Normoxia, Normobaric Hypoxia, Hypobaric Hypoxia and Genuine High Altitude

There has been considerable debate as to whether different modalities of simulated hypoxia induce similar cardiac responses. This was a prospective observational study of 14 healthy subjects aged 22-35 years. Echocardiography was performed at rest and at 15 and 120 minutes following two hours exerci...

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Bibliographic Details
Published in:PloS one 2016-04, Vol.11 (4), p.e0152868-e0152868
Main Authors: Boos, Christopher John, O'Hara, John Paul, Mellor, Adrian, Hodkinson, Peter David, Tsakirides, Costas, Reeve, Nicola, Gallagher, Liam, Green, Nicholas Donald Charles, Woods, David Richard
Format: Article
Language:English
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Summary:There has been considerable debate as to whether different modalities of simulated hypoxia induce similar cardiac responses. This was a prospective observational study of 14 healthy subjects aged 22-35 years. Echocardiography was performed at rest and at 15 and 120 minutes following two hours exercise under normobaric normoxia (NN) and under similar PiO2 following genuine high altitude (GHA) at 3,375 m, normobaric hypoxia (NH) and hypobaric hypoxia (HH) to simulate the equivalent hypoxic stimulus to GHA. All 14 subjects completed the experiment at GHA, 11 at NN, 12 under NH, and 6 under HH. The four groups were similar in age, sex and baseline demographics. At baseline rest right ventricular (RV) systolic pressure (RVSP, p = 0.0002), pulmonary vascular resistance (p = 0.0002) and acute mountain sickness (AMS) scores were higher and the SpO2 lower (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0152868