Evidence map›Paper›PMID 24498340›Full record

Trial reportPloS one2014

Dynamic cerebral autoregulation is acutely impaired during maximal apnoea in trained divers.

Troy J Cross, Justin J Kavanagh, Toni Breskovic, Bruce D Johnson, Zeljko Dujic

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Trends in competitive freediving accidents.Diving and hyperbaric medicine · 2024
    Article
  4. Hypoxemia increases blood-brain barrier permeability during extreme apnea in humans.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022
    Article
  5. Article
  6. Impaired dynamic cerebral autoregulation in trained breath-hold divers.Journal of applied physiology (Bethesda, Md. : 1985) · 2019
    Article
  7. Article
  8. Article
  9. Cardiovascular magnetic resonance assessment of acute cardiovascular effects of voluntary apnoea in elite divers.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2018
    Article
  10. Article
  11. Article
  12. Regulation of brain blood flow and oxygen delivery in elite breath-hold divers.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Troy J CrossGriffith Health Institute and Heart Foundation Research Centre, Griffith University, Gold Coast Campus, Queensland, Australia ; Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, United States of America.
Justin J KavanaghGriffith Health Institute and Heart Foundation Research Centre, Griffith University, Gold Coast Campus, Queensland, Australia.
Toni BreskovicDepartment of Physiology, University of Split School of Medicine, Split, Croatia.
Bruce D JohnsonDivision of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, United States of America.
Zeljko DujicDepartment of Physiology, University of Split School of Medicine, Split, Croatia.
National Heart Foundation of Australia · AUUniversity of Split · HRWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo examine whether dynamic cerebral autoregulation is acutely impaired during maximal voluntary apnoea in trained divers.

methodsMean arterial pressure (MAP), cerebral blood flow-velocity (CBFV) and end-tidal partial pressures of O2 and CO2 (PETO2 and PETCO2) were measured in eleven trained, male apnoea divers (28 ± 2 yr; 182 ± 2 cm, 76 ± 7 kg) during maximal "dry" breath holding. Dynamic cerebral autoregulation was assessed by determining the strength of phase synchronisation between MAP and CBFV during maximal apnoea.

resultsThe strength of phase synchronisation between MAP and CBFV increased from rest until the end of maximal voluntary apnoea (P<0.05), suggesting that dynamic cerebral autoregulation had weakened by the apnoea breakpoint. The magnitude of impairment in dynamic cerebral autoregulation was strongly, and positively related to the rise in PETCO2 observed during maximal breath holding (R (2) = 0.67, P<0.05). Interestingly, the impairment in dynamic cerebral autoregulation was not related to the fall in PETO2 induced by apnoea (R (2) = 0.01, P = 0.75).

conclusionsThis study is the first to report that dynamic cerebral autoregulation is acutely impaired in trained divers performing maximal voluntary apnoea. Furthermore, our data suggest that the impaired autoregulatory response is related to the change in PETCO2, but not PETO2, during maximal apnoea in trained divers.

Indexed as

AdultApneaBlood Flow VelocityBlood PressureCarbon DioxideCerebrovascular CirculationDivingElectrocardiographyHeart RateHomeostasisHumansMaleOxygenPartial PressureRespiratory Function TestsUltrasonography, Doppler, TranscranialCarbon DioxideOxygen

Identifiers

PMID24498340
PMCPMC3911978
OpenAlexW1994604816

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.