title: Hypobaric hypoxia: dual sympathetic control in the light of RR and QT spectra.
abstract: ECGs of 21 candidate-pilots and 19 pilots were recorded during: 1) exposure to 5500 m hypobaric hypoxia (HH) while sitting, in the sequence: 1a) initial 7 min of adaptation (A); 1b) later 7 min of recovery (R) after short but intense tread-mill effort; and 2) final 7 min baseline (B), while sitting and requested to relax, at "0 m altitude" in the hypobaric room. RR and QT short-term variability were studied using spectral powers within Traube-Hering-Mayer (THM: 0.05-0.15 Hz) and respiratory (RESP: 0.2-0.4 Hz) bands. Mean RR proved highest capability to aggregate individual response-profiles: 15 pilots and 9 candidates entered the main (normal) cluster, featured by a comparison "triangle" set as expected: A > R < B > A. QT-THM power closely followed: 10 subjects (ss) in very normal cluster, defined as: A < R > B < A, while secondary clusters in candidates and pilots were interpreted by not-successful relaxation and exaggerated start-effects, respectively. Subjects with QT-THM normal clusters (A < R > B < A has group averages, p < = 0.05), also showed a quasi-normal "triangle" for mean RR, (A = R < B > A). During adaptation to hypoxia, pilots' QT-THM was higher than candidates' one (p < 0.02, Wilcoxon test). Study supports the emerging capability of QT-THM spectral power to index ventricular sympathetic control. Exposure to hypobaric hypoxia proved to be in these subjects a psycho-physiologic rather than a purely physiologic test.
authors.affiliation: Institute of Hygiene and Public Health, Bucharest, Romania.
authors.forename: R
authors.initials: R
authors.lastname: Negoescu
authors.forename: V
authors.initials: V
authors.lastname: Filcescu
authors.forename: F
authors.initials: F
authors.lastname: Boantă
authors.forename: S
authors.initials: S
authors.lastname: Dincă-Panaitescu
authors.forename: C
authors.initials: C
authors.lastname: Popovici
mesh_terms: D000222:Adaptation, Physiological; D000328:Adult; D000337:Aerospace Medicine; D004562:Electrocardiography / Q000706:statistics & numerical data; D005080:Exercise Test; D006801:Humans; D000860:Hypoxia / Q000503:physiopathology*; D012383:Romania; D012815:Signal Processing, Computer-Assisted; D013564:Sympathetic Nervous System / Q000503:physiopathology*; D013599:Systole