Acute cardio-respiratory changes induced by hyperpnoea using a respiratory muscle trainer.

The aim of this study was to examine the cardio-respiratory effects of voluntary hyperpnoea using a respiratory muscle trainer (RMT) with three different sized rebreathing bags. In particular, the effects of hyperpnoea on inspired and end-tidal gas concentrations were determined. Seven adult males completed three 30 min bouts of hyperpnoea using optimal, oversized and undersized rebreathing bags. Inspired (F(I)) and expired end-tidal (F(ET)) O2 and CO2 concentrations, arterial O2 saturation (S(AO2)) and heart rate were measured during hyperpnoea. Before and after a bout of hyperpnoea, pulmonary function and blood pressure (BP) were assessed. Data were analysed using a two-way repeated-measures ANOVA, with p < 0.05 considered significant. Three subjects experienced discomfort during hyperpnoea and stopped after 20 min. During hyperpnoea, the F(ETCO2) was maintained at 4.6 +/- 0.7% irrespective of bag size. The increase in F(ICO2) over time reached 0.5 +/- 0.5% at 20 min. The F(IO2) fell to 19.4 +/- 0.8% at 20 min, and S(AO2) decreased to 97%. Heart rate and systolic BP increased slightly, but independently of rebreathing bag volume. No changes in pulmonary function or diastolic BP were found. It is concluded that the RMT maintained a constant F(ETCO2) at the expense of a mild hypoxia. The acute effects of hyperpnoea on the cardio-respiratory system are generally mild, but not always tolerable for 30 min.