2,614
Views
1
CrossRef citations to date
0
Altmetric
Arctic Military Conference in Cold Weather Medicine

A systematic review of HRV during diving in very cold water

ORCID Icon & ORCID Icon
Article: 2203369 | Received 01 Jan 2023, Accepted 12 Apr 2023, Published online: 20 Apr 2023

References

  • Wuorimaa T, Lundell RV. Vapaasukeltamisen fysiologiaa – Mitä hengitystä pidättäessä kehos-sa tapahtuu ja miten syvyyden tuoma paine vaikuttaa elimistöön? Duodecim. 2022;138(8):661–12.
  • Löllgen H, von Nieding G, Koppenhagen K, et al. Hemodynamic response to graded water immersion. Klin Wochenschr. 1981 Jun 15;59(12):623–628. PMID: 7253537. DOI:10.1007/BF02593853
  • Srámek P, Simecková M, Janský L, et al. Human physiological responses to immersion into water of different temperatures. Eur J Appl Physiol. 2000 Mar;81(5):436–442. PMID: 10751106. DOI:10.1007/s004210050065
  • Lemaître F, Buchheit M, Joulia F, et al. Static apnea effect on heart rate and its variability in elite breath-hold divers. Aviat Space Environ Med. 2008 Feb;79(2):99–104. PMID: 18309906. DOI:10.3357/asem.2142.2008
  • Panneton WM. The mammalian diving response: an enigmatic reflex to preserve life? Physiology. 2013 Sep;28(5):284–297. PMID: 23997188; PMCID: PMC3768097. DOI:10.1152/physiol.00020.2013
  • Lindholm P, Lundgren CE. The physiology and pathophysiology of human breath-hold diving. J Appl Physiol (1985). 2009 Jan;106(1):284–292. Epub 2008 Oct 30. PMID: 18974367. DOI:10.1152/japplphysiol.90991.2008
  • Lundgren CEG, Ferrigno M (eds). “Physiology of Breath-hold Diving. 31st Undersea and Hyperbaric Medical Society Workshop” (1985). UHMS Publication Number 72(WS-BH)4-15-87. Undersea and Hyperbaric Medical Society. Retrieved 20090416. Retrieved 20090416.
  • Taboni A, Vinetti G, Fontolliet T, et al. Baroreflex responses during dry resting and exercise apnoeas in air and pure oxygen. Eur J Appl Physiol. 2020 Nov 5;121(2):539–547. Epub ahead of print. PMID: 33151437. DOI:10.1007/s00421-020-04544-w
  • Lund V, Laine J, Laitio T, et al. Instantaneous beat-to-beat variability reflects vagal tone during hyperbaric hyperoxia. Undersea Hyperb Med. 2003;30(1):29–36. PMID: 12841606.
  • Hakumäki MO. Seventy years of the Bainbridge reflex. Acta Physiol Scand. 1987 Jun;130(2):177–185. PMID: 3300168. DOI:10.1111/j.1748-1716.1987.tb08126.x
  • Schagatay E, Haughey H, Reimers J. Speed of spleen volume changes evoked by serial apneas. Eur J Appl Physiol. 2005 Jan;93(4):447–452. Epub 2004 Oct 21. PMID: 15503125. DOI:10.1007/s00421-004-1224-0
  • Xia L, Leiter JC, Bartlett D Jr. Laryngeal reflex apnea in neonates: effects of CO2 and the complex influence of hypoxia. Respir Physiol Neurobiol. 2013 Mar 1;186(1):109–113. Epub 2013 Jan 22. PMID: 23348024; PMCID: PMC3604991. DOI:10.1016/j.resp.2013.01.004
  • Pathak S, Slovarp L, Clary MS, et al. Laryngeal Chemoreflex in Health and Disease: a Review. Chem Senses. 2020 Dec 5;45(9):823–831. PMID: 33247587; PMCID: PMC7718607. DOI:10.1093/chemse/bjaa069
  • Bridgman SA. Thermal status of Antarctic divers. Aviat Space Environ Med. 1990 Sep;61(9):795–801. PMID: 2241743.
  • Davis FM, Baddeley AD, Hancock TR. Diver performance: the effect of cold. Undersea Biomed Res. 1975 Sep;2(3):195–213. PMID: 15622739.
  • Gerth WA. On diver thermal status and susceptibility to decompression sickness. Diving Hyperb Med. 2015 Sep;45(3):208. PMID: 26415073.
  • Pendergast DR, Senf CJ, Fletcher MC, et al. Effects of ambient temperature on nitrogen uptake and elimination in humans. Undersea Hyperb Med. 2015 Jan-Feb;42(1):85–94. PMID: 26094308.
  • Lundell RV, Tuominen L, Ojanen T, et al. Diving Responses in Experienced Rebreather Divers: short-Term Heart Rate Variability in Cold Water Diving. Front Physiol. 2021 Apr 7;12:649319. PMID: 33897457; PMCID: PMC8058382. DOI:10.3389/fphys.2021.649319
  • Chouchou F, Pichot V, Garet M, et al. Dominance in cardiac parasympathetic activity during real recreational SCUBA diving. Eur J Appl Physiol. 2009 Jun;106(3):345–352. Epub 2009 Mar 11. PMID: 19277697. DOI:10.1007/s00421-009-1010-0
  • Shattock MJ, Tipton MJ. Autonomic conflict’: a different way to die during cold water immersion? J Physiol. 2012 Jul 15;590(14):3219–3230. Epub 2012 Apr 30. PMID: 22547634; PMCID: PMC3459038. DOI:10.1113/jphysiol.2012.229864
  • Buchholz B, Kelly J, Bernatene EA, et al. Antagonistic and Synergistic Activation of Cardiovascular Vagal and Sympathetic Motor Outflows in Trigeminal Reflexes. Front Neurol. 2017 Feb 21;8:52. PMID: 28270794; PMCID: PMC5318455. DOI:10.3389/fneur.2017.00052
  • Kane SM, Davis J. Cardiac Arrest and Death Attributable to the “Diving Response” Triggered During Incision and Debridement of an Abscess of the Forehead. J Craniofac Surg. 2018 Jul;29(5):e507–509. PMID: 29608477. DOI:10.1097/SCS.0000000000004555
  • McCraty R, Shaffer F. Heart Rate Variability: new Perspectives on Physiological Mechanisms, Assessment of Self-regulatory Capacity, and Health risk. Glob Adv Health Med. 2015 Jan;4(1):46–61. PMID: 25694852; PMCID: PMC4311559. DOI:10.7453/gahmj.2014.073
  • Goldberger AL. Is the normal heartbeat chaotic or homeostatic? News Physiol Sci. 1991 Apr;6(2):87–91. PMID: 11537649. DOI:10.1152/physiologyonline.1991.6.2.87
  • Karemaker JM. Counterpoint: respiratory sinus arrhythmia is due to the baroreflex mechanism. J Appl Physiol (1985). 2009 May;106(5):1742–1743. discussion 1744 PMID: 19414625. DOI:10.1152/japplphysiol.91107.2008a
  • Gevirtz RN, Lehrer PM, Schwartz MS, Andrasik F (editors.) Cardiorespiratory biofeedbackBiofeedback: A Practitioner’s Guide 4th. New York:The Guilford Press. 2016, pp. 196–213.
  • Shaffer F, McCraty R, Zerr CL. A healthy heart is not a metronome: an integrative review of the heart’s anatomy and heart rate variability. Front Psychol. 2014 Sep 30;5:1040. PMID: 25324790; PMCID: PMC4179748. DOI:10.3389/fpsyg.2014.01040
  • Shaffer F, Ginsberg JP. An Overview of Heart Rate Variability Metrics and Norms. Front Public Health. 2017 Sep 28;5:258. PMID: 29034226; PMCID: PMC5624990. DOI:10.3389/fpubh.2017.00258
  • Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLOS Med. 2009 Jul 21;6(7):e1000097. Epub 2009 Jul 21. PMID: 19621072; PMCID: PMC2707599. DOI:10.1371/journal.pmed.1000097
  • Ackermann SP, Raab M, Backschat S, et al. The diving response and cardiac vagal activity: a systematic review and meta-analysis. Psychophysiology. 2023 Oct 11;60(3):e14183. Epub ahead of print. PMID: 36219506. DOI:10.1111/psyp.14183
  • Pelzer M, Hafner D, Arnold G, et al. Minimale Intervall-Länge zur sicheren Erfassung der Kurzzeit-Herzfrequenzvariabilität [Minimal interval length for safe determination of brief heart rate variability]. Z Kardiol. 1995 Dec;84(12):986–994. German. PMID: 8578795.
  • Schipke JD, Pelzer M. Effect of immersion, submersion, and scuba diving on heart rate variability. Br J Sports Med. 2001 Jun;35(3):174–180. PMID: 11375876; PMCID: PMC1724326. DOI:10.1136/bjsm.35.3.174
  • Flouris AD, Scott JM. Heart rate variability responses to a psychologically challenging scuba dive. J Sports Med Phys Fitness. 2009 Dec;49(4):382–386. PMID: 20087297.
  • Berry NT, Wideman L, Rhea CK, et al. Effects of prolonged and repeated immersions on heart rate variability and complexity in military divers. Undersea Hyperb Med. 2017 Nov-Dec;44(6):589–600. PMID: 29281196. DOI:10.22462/11.12.2017.10
  • Noh Y, Posada-Quintero HF, Bai Y, et al. Effect of Shallow and Deep SCUBA Dives on Heart Rate Variability. Front Physiol. 2018 Feb 27;9:110. PMID: 29535634; PMCID: PMC5835073. DOI:10.3389/fphys.2018.00110
  • Zenske A, Koch A, Kähler W, et al. Assessment of a dive incident using heart rate variability. Diving Hyperb Med. 2020 Jun 30;50(2):157–163. PMID: 32557418; PMCID: PMC7481106. DOI:10.28920/dhm50.2.157-163
  • Lundell RV, Räisänen-Sokolowski AK, Wuorimaa TK, et al. Diving in the Arctic: cold Water Immersion’s Effects on Heart Rate Variability in Navy Divers. Front Physiol. 2020 Jan 31;10:1600. PMID: 32082177; PMCID: PMC7005786. DOI:10.3389/fphys.2019.01600
  • Dugrenot E, Balestra C, Gouin E, et al. Physiological effects of mixed-gas deep sea dives using a closed-circuit rebreather: a field pilot study. Eur J Appl Physiol. 2021 Dec;121(12):3323–3331. Epub 2021 Aug 25. PMID: 34435274. DOI:10.1007/s00421-021-04798-y
  • Lafère P, Lambrechts K, Germonpré P, et al. Heart Rate Variability During a Standard Dive: a Role for Inspired Oxygen Pressure? Front Physiol. 2021 Jul 26;12:635132. PMID: 34381372; PMCID: PMC8350129. DOI:10.3389/fphys.2021.635132
  • Schaller C, Fümm A, Bachmann S, et al. Heart rate profiles and heart rate variability during scuba diving. Swiss Med Wkly. 2021 Oct 21;151(4142):w30039. PMID: 34694102. DOI:10.4414/smw.2021.w30039
  • Byrne DE, Bowser-Riley F, Kidd C. The effect of raised hydrostatic pressure on heart rate variability during breath holding in man. Exp Physiol. 1995 Sep;80(5):881–884. PMID: 8546877. DOI:10.1113/expphysiol.1995.sp003896
  • Lund V, Kentala E, Scheinin H, et al. Hyperbaric oxygen increases parasympathetic activity in professional divers. Acta Physiol Scand. 2000 Sep;170(1):39–44. PMID: 10971221. DOI:10.1046/j.1365-201x.2000.00761.x
  • Kurita A, Nagayoshi H, Okamoto Y, et al. Effects of severe hyperbaric pressure on autonomic nerve functions. Mil Med. 2002 Nov;167(11):934–938. PMID: 12448622. DOI:10.1093/milmed/167.11.934
  • Hirayanagi K, Nakabayashi K, Okonogi K, et al. Autonomic nervous activity and stress hormones induced by hyperbaric saturation diving. Undersea Hyperb Med. 2003;30(1):47–55. PMID: 12841608.
  • Barbosa E, García-Manso JM, Martín-González JM, et al. Effect of hyperbaric pressure during scuba diving on autonomic modulation of the cardiac response: application of the continuous wavelet transform to the analysis of heart rate variability. Mil Med. 2010 Jan;175(1):61–64. PMID: 20108844. DOI:10.7205/MILMED-D-02-0808
  • Schirato SR, El-Dash I, El-Dash V, et al. Heart rate variability changes as an indicator of decompression-related physiological stress. Undersea Hyperb Med. 2018 Mar-Apr;45(2):173–182. PMID: 29734569. DOI:10.22462/03.04.2018.4
  • Perez-Martinez C, Pelaez-Coca MD, Hernando A, et al. Multivariable relationships between autonomic nervous system related indices in hyperbaric environments. Annu Int Conf IEEE Eng Med Biol Soc. 2019 Jul; 2019:6789–6793. doi: 10.1109/EMBC.2019.8856374. PMID: 31947399.
  • Kiviniemi AM, Breskovic T, Uglesic L, et al. Heart rate variability during static and dynamic breath-hold dives in elite divers. Auton Neurosci. 2012 Aug 16;169(2):95–101. Epub 2012 Jun 8. PMID: 22682754. DOI:10.1016/j.autneu.2012.05.004
  • Costalat G, Pichon A, Joulia F, et al. Modeling the diving bradycardia: toward an “oxygen-conserving breaking point”? Eur J Appl Physiol. 2015 Jul;115(7):1475–1484. Epub 2015 Feb 18. PMID: 25691132. DOI:10.1007/s00421-015-3129-5
  • Florian JP, Simmons EE, Chon KH, et al. Cardiovascular and autonomic responses to physiological stressors before and after six hours of water immersion. J Appl Physiol (1985). 2013 Nov 1;115(9):1275–1289. Epub 2013 Aug 15. PMID: 23950166. DOI:10.1152/japplphysiol.00466.2013
  • Solana-Tramunt M, Morales J, Buscà B, et al. Heart-Rate Variability in Elite Synchronized Swimmers. Int J Sports Physiol Perform. 2019 Apr 1;14(4):464–471. Epub 2019 Feb 22. PMID: 30300066. DOI:10.1123/ijspp.2018-0538
  • Zenske A, Kähler W, Koch A, et al. Does oxygen-enriched air better than normal air improve sympathovagal balance in recreational divers?An open-water study. Res Sports Med. 2020 Jul-Sep;28(3):397–412. Epub 2019 Nov 24. PMID: 31762338. DOI:10.1080/15438627.2019.1694930
  • Bruzzi RS, Moraes MM, Martins YAT, et al. Heart rate variability, thyroid hormone concentration, and neuropsychological responses in Brazilian navy divers: a case report of diving in Antarctic freezing waters. An Acad Bras Cienc. 2022 May 30;94(suppl 1):e20210501. PMID: 35648992. DOI:10.1590/0001-3765202120210501
  • Boussuges A, Molenat F, Grandfond A, et al. Cardiovascular changes induced by cold water immersion during hyperbaric hyperoxic exposure. Clin Physiol Funct Imaging. 2007 Sep;27(5):268–274. PMID: 17697022. DOI:10.1111/j.1475-097X.2007.00747.x
  • Youssef M, Ghassemi A, Carvajal Gonczi CM, et al. Low Baseline Sympathetic Tone Correlates to a Greater Blood Pressure Change in the Cold Pressor Test. Aerosp Med Hum Perform. 2018 Jun 1;89(6):503–509. PMID: 29789083. DOI:10.3357/AMHP.4943.2018