2016-11-15 Seminar questions respiratory physiology (15/11-16) • During the Olympic games in Mexico City (2,240 m above sea level) in 1968, the world record holder at 10,000 m collapsed with 500 m left of the race and finished in 6th place. What happens to the body at high altitude and how does the body adapt? • How are ventilation and perfusion (blood flow) matched in the lung? • Hyperventilation: – Why can a person faint when hyperventilating? – Why is it bad to hyperventilate before swimming under water? Environmental Conditions at Altitude • Sea level (<500 m): no effects • Low altitude (500-2,000 m) – No effects on well-being – Performance may be , restored by acclimation • Moderate altitude (2,000-3,000 m) – Effects on well-being in unacclimated people – Performance and aerobic capacity – Performance may or may not be restored by acclimation • High altitude (3,000-5,500 m) – Acute mountain sickness – Performance , not restored by acclimation • Extreme high altitude (>5,500 m) – Severe hypoxic effects – Highest settlements: 5,200 to 5,800 m 1 2016-11-15 Environmental Conditions at Altitude (continued) • High altitude (3,000-5,500 m) – Acute mountain sickness – Performance , not restored by acclimation • Extreme high altitude (>5,500 m) – Severe hypoxic effects – Highest settlements: 5,200 to 5,800 m • For our purposes, altitude = >1,500 m – Few (if any) physiological effects <1,500 m (continued) Environmental Conditions at Altitude • Pb at sea level exerted by a 24 mi tall air column – Sea level Pb: 760 mmHg – Mt. Everest Pb: 250 mmHg • Pb varies, air composition does not – – – – 20.93% O2, 0.03% CO2, 79.04% N2 PO2 always = 20.93% of Pb 159 mmHg at sea level, 52 mmHg on Mt. Everest Air PO2 affects PO2 in lungs, blood, tissues 2 2016-11-15 3 2016-11-15 Hypoxic Vasoconstriction Rhoades and Pflanzer. Human physiology. 4th ed. Pacific Grove, Thomson, 2003 4 2016-11-15 5
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