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Topographic EEG changes due to hypobaric hypoxia at simulated high altitude.

Multichannel human EEG signals were studied topographically in subjects exposed to an atmosphere of reduced air pressure in a chamber in which high-altitude conditions were simulated. EEG signals from 16 electrodes placed on the scalp were recorded simultaneously with electrocardiography and vertical eye movement. Baseline records were first obtained at sea level (PRE 0 m), and then at reduced air pressures corresponding to the altitudes of 3000 m, 4000 m, and 6000 m, respectively, and after returning to sea level (POST 0 m). A complete set of EEG records under all 6 conditions was obtained in 5 of the 15 subjects, and under 5 conditions (all except the 6000 m condition) in 3 other subjects. The spectral powers of 1 min epochs of the multichannel EEG signal under each altitude condition were compared to that at PRE 0 m using analysis of variance. Under the 3000 m condition, the spectral power of the 10-11 Hz components was significantly decreased and, with increasing altitude, significant decrease of spectral power was observed in a wider range of the alpha frequency band. Under the 6000 m condition, the decrease of spectral power of the alpha band in the posterior brain areas was -7 dB compared to the baseline. In contrast, the spectral power of the theta frequency band in anterior brain areas increased significantly in the 5000 m and 6000 m conditions. At the POST 0 m condition after return from the 5000 m condition (without exposure to the 6000 m condition), the EEG showed recovery to the level of the baseline PRE 0 m condition.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

The effect of pressure change rate on the eustachian tube function in pressure chamber tests.

The capacity of the Eustachian tube to equilibrate pressure differences across the eardrum was tested repeatedly at different rates of pressure change with the aid of a quantitative impedance method in a pressure chamber. Three recordings of the active and passive pressure equilibration functions were made during chamber pressure changes of 0.3, 0.7 and 1.5 kPa-1s in 53 ears in 28 otologically healthy subjects. The middle ear pressures at which the active and passive equilibrations were achieved increased with increasing rates. The test-retest reliability was not rate dependent as regards the passive pressure equilibration functions, but tended to deteriorate with increasing rates for the active equilibration functions. Advantages and disadvantages of the different rates in such tests are discussed.

Adult↗

Elevation-dependent symptom, mood, and performance changes produced by exposure to hypobaric hypoxia.

Altitude exposures above 3,000 m produce changes in symptoms, moods, and cognitive/motor performance of unacclimatized individuals and should produce graded effects on these parameters as elevation and duration are increased. This study examined effects on these parameters as a function of altitude level and duration of exposure by administering standardized tests from 1 to 3 times to 23 males in an altitude chamber during 4.5-hour exposures to 3 levels of hypobaric hypoxia: 500 m, 4,200 m, and 4,700 m. Exposure to altitude significantly affected symptoms, moods, and performance in an elevation-dependent fashion. Adverse changes increased with higher altitudes (all measures were affected at 4,700 m, whereas only some were at 4,200 m) and usually with longer durations. Therefore, specific aspects of symptoms, moods, and performance are significantly degraded after only a few hours of exposure to hypobaric hypoxia, and the severity of the effects dramatically increases when testing is conducted at 4,700 m compared to 4,200 m.

Adolescent↗

Energy requirements of man living in a weightless environment.

The ability to maintain energy balance is a vital factor in maintaining body composition. A negative energy balance requires that body tissue be consumed to sustain biochemical and physiological activity. Such a caloric imbalance coupled with reduced physical activity results in (among other things): a negative balance which can not be reversed by increased protein intake; negative balances for electrolytes; and a suspension of erythrocyte production. Body weight losses were experienced by all astronauts during Gemini and Apollo missions. Data on the magnitude of the changes, together with data on energy consumption, were used to calculate energy imbalances. These data, when compared with results obtained from precise energy balance measurements made on 64 men living in low pressure chambers, show close correlation. When energy requirements are expressed in kilocalories per kilogram of body weight, the difference in energy requirements among the astronauts and chamber subjects was small and not statistically significant. These data indicated that reliable prediction of energy needs for astronauts, during long-term space missions, can be made by studying either the astronauts or healthy subjects in a ground-based environment similar to that of the spacecraft. These data also indicate that changes in body weight and certain other body measurements detected during Gemini and Apollo missions were probably caused, at least in part, by a calorie deficit.

Adipose Tissue↗

Measurement of fatigue following 18 msw dry chamber dives breathing air or enriched air nitrox.

Many divers report less fatigue following diving breathing oxygen rich N2-O2 mixtures compared with breathing air. In this double blinded, randomized controlled study 11 divers breathed either air or Enriched Air Nitrox 36% (oxygen 36%, nitrogen 64%) during an 18 msw (281 kPa(a)) dry chamber dive for a bottom time of 40 minutes. Two periods of exercise were performed during the dive. Divers were assessed before and after each dive using the Multidimensional Fatigue Inventory-20, a visual analogue scale, Digit Span Tests, Stroop Tests, and Divers Health Survey (DHS). Diving to 18m produced no measurable difference in fatigue, attention levels, ability to concentrate or DHS scores, following dives using either breathing gas.

Adult↗

[Oxygen barotherapy in the combined treatment of patients with chronic ischemic disease].

As many as 20 patients with coronary heart disease (CHD) were examined for the efficacy of oxygen pressure chamber therapy (OPCT) combined with drugs. Optimal modes of OPCT were elaborated. The treatment consisted of 10-15 daily sessions with the partial oxygen pressure 0.25 MPa and the exposition 50-60 minutes. The treatment with compressed oxygen arrested or decreased heart pain, improved sleep. OPCT ameliorated the ECG readings, raised exercise tolerance, and made lipid metabolism return to normal. Satisfactory long-term results have also been obtained.

Adult↗

[Changes in the characteristics of human granulo- and monocytopoiesis and the activity of stromal precursor cells in acute hypobaric hypoxia].

10 healthy men underwent a 48 hour acute hypobaric hypoxia in the "Tabaĭ" climate chamber imitating conditions of an altitude of 4.00 m. above s.l. The "ascent" and "descent" took 30 minutes each. Blood and bone marrow samples were taken before entering the chamber and immediately after leaving it. A decrease in colony-forming capacity of granulo- and monocyte and fibroblast precursors was shown, along with an increase in functional activity of circulating monocytes and monocyte precursors in bone marrow. A possible role of changes in granulo- and monocytopoiesis and in stromal cells is discussed in relation to the increased morbidity and decreased cicatricial and bone tissue reparation in the mountains.

Acute Disease↗

Peripheral chemoreflex function in hyperoxia following ventilatory acclimatization to altitude.

After a period of ventilatory acclimatization to high altitude (VAH), a degree of hyperventilation persists after relief of the hypoxic stimulus. This is likely, in part, to reflect the altered acid-base status, but it may also arise, in part, from the development during VAH of a component of carotid body (CB) activity that cannot be entirely suppressed by hyperoxia. To test this hypothesis, eight volunteers undergoing a simulated ascent of Mount Everest in a hypobaric chamber were acutely exposed to 30 min of hyperoxia at various stages of acclimatization. For the second 10 min of this exposure, the subjects were given an infusion of the CB inhibitor, dopamine (3 microg. kg(-1). min(-1)). Although there was both a significant rise in ventilation (P < 0.001) and a fall in end-tidal PCO(2) (P < 0.001) with VAH, there was no progressive effect of dopamine infusion on these variables with VAH. These results do not support a role for CB in generating the persistent hyperventilation that remains in hyperoxia after VAH.

Acclimatization↗

Enhanced effect of increased erythrocyte production rate on plasma erythropoietin levels of mice during subsequent exposure to hypobaria.

The present study was undertaken to determine plasma EPO levels in response to acute exposure to hypobaria in transfused-polycythemic mice previously exposed to different forms of erythropoietic stimulation. The erythrocyte production rate (EPR) was stimulated by one of the following conditions: (1) discontinuous exposure to 456 mb during 4 weeks, (2) one weekly injection of phenylhydrazine (PHZ) during 4 weeks for induction of a compensated hemolytic state, and 3) three weekly injections of rHuEPO at a dose level of 1500 U/Kg body weight for 4 weeks. Treated and control mice received different volumes of packed red cells in order to obtain hematocrit values around 65% in all groups. Mice from each group were exposed to 456 mb during 14 h, 4 days after transfusion. Mice were bled immediately through cardiac puncture after removal from the hypobaric chamber. Plasma EPO titer was estimated by radioimmunoassay. Two observations were worth noting: (1) plasma iEPO level was very low in mice with transfusion polycythemia exposed to hypobaria, the value of 12 +/- 1.3 mU/ml being significantly different from that of 180 +/- 18 mU/ml found in normocythemic mice similarly exposed, and (2) plasma iEPO levels during EPRs were previously stimulated by different conditions (hypobaria, PHZ and rHuEPO) were at least as high as those found in normocythemic mices similarly exposed. All these values were significantly higher than the value corresponding to polycythemic mice whose EPRs were not stimulated before exposure to hypobaria.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Cardiac arrhythmias and heart rate changes in prolonged hyperbaric air exposures.

Daily resting and exercise electrocardiograms from 81 healthy subjects taking part in eight different air saturation chamber experiments at depths of 2-132 ft sea water gauge (fswg) were recorded and interpreted. Scalar and planar characteristics were measured and analyzed in addition to noting changes in rhythm. Of the measured variables, only the heart rate and QT-interval changed significantly in the majority of exposures. Heart rate decrements of 14%-23% were observed, generally with normalization after several days at depth, and in some cases a rebound immediately postexposure. The observed increase in QT-interval can be explained entirely by the bradycardia, which seems to be due to a combination of pressure, hyperoxia, and a chamber effect. Further distinction among these factors was not possible. Associated with the decrements in heart rate were asymptomatic supraventricular arrhythmias, generally AV-nodal escape rhythms or beats, in 10% of the subjects. One incident of symptomatic ventricular tachycardia was noted 20 h after surfacing during an exercise test. Otherwise, only infrequent, isolated premature ventricular beats were detected at depth, but were not more frequent than in the predive periods. These findings are consistent with the premise that exposure to hyperbaric air and other nitrogen-oxygen mixtures causes an increase in parasympathetic tone of sufficient magnitude to cause cardiac arrhythmias. That autonomic imbalance in diving activities may cause more malignant arrhythmias is discussed.

Adult↗

Training-induced increases in sea-level performance are enhanced by acute intermittent hypobaric hypoxia.

The goal of this study was to investigate to what extent intermittent exposure to altitude in a hypobaric chamber can improve performance at sea-level. Over a 10-day period, elite male triathletes trained for 2 h each day on a cycle ergometer placed in a hypobaric chamber. Training intensity was 60-70% of the heart rate reserve. Eight subjects trained at a simulated altitude of 2.500 m (hypoxia group), the other eight remained at sea-level (sea-level group). Baseline measurements were done on a cycle ergometer at sea-level, which included an incremental test until exhaustion and a Wingate Anaerobic Test. Nine days after training in hypoxia, significant increases were seen in all important parameters of the maximal aerobic as well as the anaerobic test. A significant increase of 7.0% was seen in the mean maximal oxygen uptake per kilogram body weight (VO2max), and the mean maximal power output per kilogram body weight (Wmax) increased significantly by 7.4%. The mean values of both mean power per kilogram body weight and peak power per kilogram body weight increased significantly by 5.0%, and the time-to-peak decreased significantly by 37.7%. In the sea-level group, no significant changes were seen in the abovementioned parameters of both the maximal aerobic and the maximal anaerobic test at the second post-test. The results of this study indicate that intermittent hypobaric training can improve both the aerobic and the anaerobic energy-supply systems.

Adult↗

Inert gas and raised pressure: evidence that motor decrements are due to pressure per se and cognitive decrements due to narcotic action.

The psychomotor and cognitive abilities of experienced professional divers participating in training and experimental dives in a hyperbaric chamber were investigated during experiments at high ambient pressure of either air or hydrogen-helium-nitrogen-oxygen mixtures. Decrements in psychomotor ability were not as large as decrements in cognitive ability: manual dexterity was 2-16%, number ordination 4-46% below control. To determine the respective roles of inert gases and pressure per se, the data were compared with lipid solubility theories of narcosis. This analysis indicated that impairment of cognitive ability was a consequence of the narcotic action of the inert gases, whereas impairment of motor ability was a consequence of the raised pressure per se.

Adult↗

Robert Hooke, inventor of the vacuum pump and the first altitude chamber (1671).

Robert Hooke (1635-1703), an assistant researcher to Robert Boyle (1627-1691), invented the first functional British air pump. Applying it to scientific research, Hooke operated the world's first hypobaric chamber in 1671, using it for self-experimentation. He recorded the first physiological observations in an artificial altitude-equivalent environment up to 2400 m. Though Hooke's experiment showed some methodological insufficiencies, his imaginative experimental techniques were remarkable for their time and were indicative of the lively intellectual atmosphere of the Royal Society and the significant contributions of Hooke, who was a member. Two centuries passed before the French physiologist Paul Bert (1830-1886) conducted his famous laboratory-supported investigations of high altitude physiology. Bert played a decisive role in the discovery of the causes of decompression sickness; a contribution Hooke could not make due to the technical deficiencies of the 17th century.

Altitude↗

[Prevention of altitude decompression sickness during short flights in a depressurized cabin at high altitudes].

Forty altitude chamber experiments were carried out in which 18 test subjects participated. The purpose of the experiments was to prevent decompression sickness in a pilot using an altitude compensatory suit and oxygen mask. It was demonstrated that oxygen breathing on the ground and at an altitude of 8 km for 20 and 50-60 min eliminated severe symptoms and lowered the frequency of occurrence of mild symptoms of decompression sickness during the subsequent 10-20 and 60-120 min exposures to altitudes of 40,000 and 11,000 m respectively. An increase in the absolute pressure to 240-290 mm Hg in the altitude garment prevented decompression sickness of altitudes of 11,000-15,000 m and eliminated it if it occurred at lower barometric pressure.

Adult↗

Effects of acute mild and moderate hypoxia on human mood state.

OBJECTIVE: To explore the effects of acute mild and moderate hypoxia on human mood state. METHOD: The mood states of 18 healthy male volunteers were evaluated by self-assessment questionnaires, profile of mood state (POMS) and state anxiety inventory (S-AI) after random exposure to simulated altitude of 300 m (control), 2800 m, 3600 m and 4400 m for 1 h in a hypobaric chamber. RESULT: The data at 300 m level were taken as the baseline control. The negative mood state factor points (tension, fatigue etc.) increased gradually as the altitude level increased while V (vigor-activity) points had a tendency to decrease (P<0.05 or P<0.01). No significant difference was found in the points of (D, A) even under exposure to 4400 m (P>0.05). At the early period of 2800 m exposure the tension points of POMS and S-AI scores were higher than those of control level (P<0.05) then dropped to baseline level when exposure to this altitude for 1 h. CONCLUSION: Exposure to acute mild hypobaric hypoxia at 2800 m for 1 h has adverse effect on mood state of healthy person and the negative effect was further aggravated with the increment of altitude level.

Adolescent↗

[Clinical manifestations and life quality of patients with myocardial infarction during rehabilitation course with application of hypoxia in a pressure chamber].

The subjects of the study were 85 men aged 49.7 +/- 6.4 years with myocardial scarring after myocardial infarction (MI). The purpose was to evaluate effects of rehabilitation measures on clinical manifestation of the disease and patients' quality of life (QL). The method of adaptation to periodical hypoxia in a pressure chamber was applied to the main group, and classic physical adaptation--to the control group. Positive clinical effect was achieved in 91% of patients in the main group, which was manifested by reduction of symptoms of the disease, as well as non-specific complaints. The study revealed concrete factors causing QL decline. Analysis of AMPI data showed that psychological profile parameters in MI patients were within normal limits. The patients on barotherapy displayed significant improvement of QL according to Medicosocial Questionnaire and Life Quality of a Stenocardia Patient Questionnaire immediately upon the rehabilitation course completion; no such result was achieved in the control group.

Adaptation, Physiological↗

Decompression sickness risk reduced by native intestinal flora in pigs after H2 dives.

Decompression sickness (DCS) risk following a simulated dive in H2 was lower in pigs with a native intestinal flora that metabolized H2. Pigs (n = 27; 19.4 +/- 0.2 kg body mass) were placed in a chamber that was pressurized to 22.2-25.5 atm (absolute; 2.2-2.6 MPa) with 84-93% H2 for 3 h. Chamber concentrations of O2, H2, He, N2, and CH4 were monitored by gas chromatography. Release of CH4 from the pigs indicated that intestinal microbes had metabolized H2 After decompressing to 11 atm, the pigs were observed for DCS. Animals with DCS released significantly less (P < 0.05) methane (0.53 +/- 0.37 ppm CH4; n = 5) than those without DCS (1.40 +/- 0.17 ppm CH4; n = 22). The DCS risk reduction was attributed to the loss of roughly 12% of the total volume of H2 that could be stored in the tissues of the pigs. Thus, H2 metabolism by the native intestinal flora of pigs may protect against DCS following a simulated H2 dive.

Animals↗

[Method of studying the effects of pharmacological substances on work capacity of animals in hypobaric hypoxia].

The method of the study of medical agent influence and biological active substances on duration of small laboratory animals swimming has been worked out excluding the air. For this purpose the animals were placed into altitude chamber, filled with water by 1/3 (one-third) of its volume being in antiorthostatic position on dipping into water. It has been established that at the altitude of 4000 (four thousand) meters high the rat swimming duration became shorter in comparison with their work under normal pressure in 2.5-4 times. Bemitil stimulating work in hypobaric hypoxia depresses it sharply. Bemitil stimulating influence on the rat efficiency did not appear with rising. Antioxidant substance ionol increased efficiency in normal conditions and in hypoxia AKS-85 adaptogenic compound increased swimming in the height duration to a greater degree, mildronat substance for efficiency restoration produced actoprotective influence.

Amphetamine↗