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Biomedical subjects

A Ilkov

Publications and source records attributed to A Ilkov.

7 recordsLinked to original sources
PubMed1990

Hormonal and cardiorespiratory changes following simulated saturation dives to 4 and 11 ATA.

Professional divers were compressed with trimix to 4 ATA (2 persons, aged 35 and 26) and to 11 ATA (3 persons, aged 34, 26, and 23) for saturation dives with durations of 48 and 50 h, followed by 33 and 109 h of decompression, respectively. Pre- and postdive cardiorespiratory reactions to a step test--heart rate (HR) and ventilation (VE)--and concentrations of growth hormone, corticotropin, cortisol, insulin, lutotropin, folitropin, triiodothyronine (T3), thyroxine (T4), thyrotropin, and testosterone in serum were studied. All divers developed postdecompression tachycardia (90-108 beats/min), which persisted 24 h after surfacing. Physical fitness assessed by steady state HR and VE during a step test was lowered 24 h after decompression compared with the predive values in 4 divers and enhanced in 1. These data provide evidence for hindered and delayed readaptation of the cardiorespiratory system to a normobaric environment. T3, T4, and testosterone were significantly decreased postdive. Hormonal responses were found to exhibit a very individual pattern from which it was possible to estimate the adaptive reactions after hyperbaric exposure. Professional divers with a lower level of physical fitness showed more pronounced hormonal responses to hyperbaric environments.

Adaptation, Physiological↗
PubMed1986

Human growth hormone, cortisol, and acid-base balance changes after hyperventilation and breath-holding.

The purpose of this study was to investigate the effects of hyperventilation and breath-holding on hormonal activity and the acid-base balance in men. Three different experimental procedures were carried out with 11 trained subjects aged 24.5 years. In experiment I, all subjects performed hyperventilation for 3 min maintaining a paced ventilation of 47 l X min-1. In experiment II, they performed a threefold maximal voluntary breath-holding, separated by 1-min periods of normal breathing. Experiment III consisted of a combination of hyperventilation immediately followed by maximal voluntary breath-holding. Capillary blood samples were taken for determination of pO2, pCO2, and pH. Venous blood samples were drawn before and at the 5th and 30th min after the cessation of the applied procedure for RIA determination of human growth hormone (HGH) and cortisol. During the last 15 s of hyperventilation, pO2 increased to 89.4 +/- 16.2 mm Hg, pCO2 decreased to 19.6 +/- 1.6 mm Hg, and pH increased to 7.652 +/- 0.041. During the last 15 s of the third breath-holding, the results were pO2 = 58.0 +/- 5.1, pCO2 = 45.7 +/- 3.7, and pH = 7.367 +/- 0.053. In experiment III, the mean values were pO2 = 42.6 +/- 7.9 mmHg, pCO2 = 39.2 +/- 4.6 mmHg, and pH = 7.320 +/- 0.024. A significant hormonal response after the applied experimental procedures was found for HGH (1.5- to 5.56-fold increase) and cortisol (1.5- to 2.2-fold increase).(ABSTRACT TRUNCATED AT 250 WORDS)

Acid-Base Equilibrium↗
PubMed1975

[Carbohydrate tolerance, serum insulin and triglycerides in coronary disease].

The authors set up the task to study the changes in blood sugar, immunoreactive insulin and triglycerides in patients with manifested coronary disease during an oral glucoso-tolerance test in the course of three hours. They examined 32 patients with coronary disease and 19 control subjects, similar in age and body weight, divided into three subgroups: with normal glucose tolerance (NGT), suspiciously-pathological glucose tolerance (SPGT) and pathological glucose tolerance (PGT). They are led by age conformed criteria in the assessment of the blood sugar curves obtained. For a better idea about the insulin response volume, provoked by glucose loading, they compare the sums of the insulinemic values and "insulinogenic index", among the control subjects and the patients examined. The study of the carbohydrate tolerance of the patients examined, show that manifested or suspiciously pathological deviations in carbohydrate metabolism were found in almost 60% of them. Insulinemia during the glucose loading was found to be higher than that of the control subjects, maximal point appearing later and restoration to initial values delayed. The highest absolute insulin values and increased volume of insulin secretion were established in the patients with NGT and the lowest--in patients with PGT. The highest insulinogenic index is in NGT patients and is with about 50% higher than that of the control subjects while in patients with PGT it is quite the reverse, i. e.--glucose tolerance deteriorated parallelly with the reducing of insulin response to glucose stimulus or, in other words--normal glucose tolerance in patients maintained by the increased insulin production. The correlation of blood sugar and insulinemic curves with those of triglyceridemia reveals that with blood sugar elevation and insulinemia during glucose loading--triglyceride level rapidly elevates--i.e. a positive correlation was found among blood sugar, insulinemia and triglyceridemia where triglyceridemia correlates with hyperinsulinemia more intimately than with glycemia. Basing on the data obtained and the general theoretical conditons--the problem of pathogenetic commonness (at least in certain relations) between atherosclerosis, obesity and diabetes mellitus is discussed. A practical conclusion is drawn that the establishment of increased serum triglycerides and hyperinsulinism in pathological and even in still normal carbohydrate tolerance in one subject may play the role of an important diagnostic test, speaking of the possible development or for the presence of already manifested atherosclerosis.

Adult↗