Abstract
Thermoneutral water immersion increases cardiac preload and changes the neuroendocrine settings of blood volume regulation. The resulting marked diuresis may lead to significant haemodynamic changes after the end of a prolonged water immersion. Ten volunteers underwent 6 h of complete thermoneutral water immersion. Changes in cardiovascular status were assessed 1 h and 16 h after water immersion. Haemodynamic changes were assessed by Doppler echocardiography. Arterial wall distensibility was estimated by pulse wave velocity analysis. One hour after water immersion, mean weight loss was 1.78 kg and urine volume amounted to 1.5 litres. Echocardiographic measurements evidenced a significant decrease in dimensions of the left cardiac chambers and inferior vena cava. The decreased cardiac preload was paralleled by a lower stroke volume and cardiac output. A peripheral vasoconstriction associated with a relative decrease in the lower limb blood flow was evidenced by an increase in carotid-pedal pulse wave velocity and by a decrease in ankle brachial index. Sixteen hours after water immersion, cardiac preload and cardiac output remained below baseline values and peripheral vascular tone was still higher than at baseline. Marked haemodynamic changes had not returned to baseline 16 h after water immersion. There is a need to design fluid-replacement protocols to improve this recovery.
| Original language | English |
|---|---|
| Pages (from-to) | 641-649 |
| Number of pages | 9 |
| Journal | Journal of Sports Sciences |
| Volume | 27 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 1 Apr 2009 |
| Externally published | Yes |
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Keywords
- Cardiac function
- Cardiovascular control
- Diving
- Doppler echocardiography
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Physical Therapy, Sports Therapy and Rehabilitation
Cite this
Haemodynamic changes after prolonged water immersion. / Boussuges, Alain; Gole, Yoann; Mourot, Laurent; Jammes, Yves; Melin, Bruno; Regnard, Jacques; Robinet, Claude.
In: Journal of Sports Sciences, Vol. 27, No. 6, 01.04.2009, p. 641-649.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Haemodynamic changes after prolonged water immersion
AU - Boussuges, Alain
AU - Gole, Yoann
AU - Mourot, Laurent
AU - Jammes, Yves
AU - Melin, Bruno
AU - Regnard, Jacques
AU - Robinet, Claude
PY - 2009/4/1
Y1 - 2009/4/1
N2 - Thermoneutral water immersion increases cardiac preload and changes the neuroendocrine settings of blood volume regulation. The resulting marked diuresis may lead to significant haemodynamic changes after the end of a prolonged water immersion. Ten volunteers underwent 6 h of complete thermoneutral water immersion. Changes in cardiovascular status were assessed 1 h and 16 h after water immersion. Haemodynamic changes were assessed by Doppler echocardiography. Arterial wall distensibility was estimated by pulse wave velocity analysis. One hour after water immersion, mean weight loss was 1.78 kg and urine volume amounted to 1.5 litres. Echocardiographic measurements evidenced a significant decrease in dimensions of the left cardiac chambers and inferior vena cava. The decreased cardiac preload was paralleled by a lower stroke volume and cardiac output. A peripheral vasoconstriction associated with a relative decrease in the lower limb blood flow was evidenced by an increase in carotid-pedal pulse wave velocity and by a decrease in ankle brachial index. Sixteen hours after water immersion, cardiac preload and cardiac output remained below baseline values and peripheral vascular tone was still higher than at baseline. Marked haemodynamic changes had not returned to baseline 16 h after water immersion. There is a need to design fluid-replacement protocols to improve this recovery.
AB - Thermoneutral water immersion increases cardiac preload and changes the neuroendocrine settings of blood volume regulation. The resulting marked diuresis may lead to significant haemodynamic changes after the end of a prolonged water immersion. Ten volunteers underwent 6 h of complete thermoneutral water immersion. Changes in cardiovascular status were assessed 1 h and 16 h after water immersion. Haemodynamic changes were assessed by Doppler echocardiography. Arterial wall distensibility was estimated by pulse wave velocity analysis. One hour after water immersion, mean weight loss was 1.78 kg and urine volume amounted to 1.5 litres. Echocardiographic measurements evidenced a significant decrease in dimensions of the left cardiac chambers and inferior vena cava. The decreased cardiac preload was paralleled by a lower stroke volume and cardiac output. A peripheral vasoconstriction associated with a relative decrease in the lower limb blood flow was evidenced by an increase in carotid-pedal pulse wave velocity and by a decrease in ankle brachial index. Sixteen hours after water immersion, cardiac preload and cardiac output remained below baseline values and peripheral vascular tone was still higher than at baseline. Marked haemodynamic changes had not returned to baseline 16 h after water immersion. There is a need to design fluid-replacement protocols to improve this recovery.
KW - Cardiac function
KW - Cardiovascular control
KW - Diving
KW - Doppler echocardiography
UR - http://www.scopus.com/inward/record.url?scp=67650254281&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=67650254281&partnerID=8YFLogxK
U2 - 10.1080/02640410902717001
DO - 10.1080/02640410902717001
M3 - Article
C2 - 19296363
AN - SCOPUS:67650254281
VL - 27
SP - 641
EP - 649
JO - Journal of Sports Sciences
JF - Journal of Sports Sciences
SN - 0264-0414
IS - 6
ER -