Slow upward drift of VO2 during constant-load cycling in untrained subjects.

The oxygen uptake kinetics during constant-load exercise when sitting on a bicycle ergometer were determined in 7 untrained subjects by measuring breath-by-breath VO2 during continuous exercise to volitional exhaustion (mean endurance time = 1160 +/- 172 s) at a pedal frequency of 70 revolutions.min-1. The power output, averaging 189.5 W, was set at 82.5% of that eliciting the individual VO2max during a 5 min incremental exercise test. Throughout the exercise period, the VO2 kinetics could be appropriately described by a two-component exponential equation of the form: VO2(t) = Ya[1 - exp(-kat)] + Yb[1 - exp(-kbt)] where VO2 is net oxygen consumption and t the time from work onset. VO2 measured at the end of exercise was close to VO2max (98% VO2max) and the mean values of Ya, ka, Yb and kb amounted to 1195 ml O2.min-1, 0.034 s-1, 1562 ml O2.min-1, and 0.005 s-1 respectively. The initial rate of increase in VO2 predicted from the above equation is slower than that calculated, for the same work intensity, on the basis of the data obtained by Morton (1985) in trained subjects. For t greater than 480 s, however, the two models yield substantially equal results.

Physiological profile of world-class high-altitude climbers.

The functional characteristics of six world-class high-altitude mountaineers were assessed 2-12 mo after the last high-altitude climb. Each climber on one or several occasions had reached altitudes of 8,500 m or above without supplementary O2. Static and dynamic lung volumes and right and left echocardiographic measurements were found to be within normal limits of sedentary controls (SC). Muscle fiber distribution was 70% type I, 22% type IIa, and 7% type IIb. Mean muscle fiber cross-sectional area was significantly smaller than that of SC (-15%) and of long-distance runners (LDR, -51%). The number of capillaries per unit cross-sectional area was significantly greater than that of SC (+ 40%). Total mitochondrial volume was not significantly different from that of SC, but its subsarcolemmal component was equal to that of LDR. Average maximal O2 consumption was 60 +/- 6 ml X kg-1 X min-1, which is between the values of SC and LDR. Average maximal anaerobic power was 28 +/- 2.5 W X kg-1, which is equal to that of SC and 40% lower that that of competitive high jumpers. All subjects were characterized by resting hyperventilation both in normoxia and in moderate (inspired O2 partial pressure = 77 Torr) hypoxia resulting in higher oxyhemoglobin saturation levels in hypoxia. The ventilatory response to four tidal volumes of pure O2 was similar to that of SC. It is concluded that elite high-altitude climbers do not have physiological adaptations to high altitude that justify their unique performance.

Multiple complications after internal jugular vein catheterisation.

We report a case of a young female who developed multiple life threatening complications after a single internal jugular vein catheterisation. They consisted of pleural misplacement of the catheter, massive haemorrhage with cardiovascular collapse following catheter removal, and development of arteriovenous fistula, diagnosed 18 months later.

The energetics of endurance running.

Maximal O2 consumption (VO2max) and energy cost of running per unit distance (C) were determined on the treadmill in 36 male amateur runners (17 to 52 years) who had taken part in a marathon (42.195 km) or semi-marathon (21 km), their performance times varying from 1.49 to 226 and from 84 to 131 min, respectively. VO2max was significantly (2p less than 0.001) greater in the marathon runners (60.6 vs 52.1 ml . kg-1 . min-1) while C was the same in both groups (0.179 +/- 0.017, S.D., mlO2 . kg-1 . m-1 above resting), and independent of treadmill speed. It can be shown that the maximal theoretical speed in endurance running (vEND) is set by VO2max, its maximal sustainable fraction (F), and C, as described by: vEND = F . VO2max . C-1. Since F was estimated from the individual time of performance, vEND could be calculated. The average speed of performance (vMIG) and vEND (m . s-1) were found to be linearly correlated: vMIG = 1.12 + 0.64 vEND (r2 = 0.72; n = 36). The variability of vMIG explained by vEND, as measured by r2, is greater than that calculated from any one regression between vMIG and VO2max (r2 = 0.51), F . VO2max (r2 = 0.58), or VO2max . C-1 (r2 = 0.63). The mean ratio of observed (vMIG) to theoretical (vEND) speeds amounted to 0.947 +/- 0.076 and increased to 0.978 +/- 0.079 (+/- S.D.; n = 36) when the effects of air resistance were taken into account. It is concluded that vEND = F . VO2max . C-1 is a satisfactory quantitative description of the energetics of endurance running.