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Significance of the Level of Hypocapnia for Electroencephalographic Changes During Prolonged Hyperventilation in Humans. P. 24–32
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Section: Physiology
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UDC
612.1:612.821
Authors
Denis B. Demin*, Liliya V. Poskotinova*
*Federal Center for Integrated Arctic Research, Russian Academy of Sciences (Arkhangelsk, Russian Federation)
Corresponding author: Denis Demin, address: prosp. Lomonosova 249, Arkhangelsk, 163000, Russian Federation;
e-mail: denisdemin@mail.ru
Abstract
The paper studied the changes in electroencephalographic parameters during prolonged voluntary
hyperventilation in 30 healthy men aged 18–20 years. Continuous monitoring of blood gases (carbon
dioxide and oxygen) and oxygen saturation was performed using the Radiometer Medical TCM40
transcutaneous monitoring system. Electroencephalograms (EEG) were recorded unipolarly
in 16 standard leads during each stage of the study using EEGA-21/26 Encephalan-131-03 EEG
analyser; the subjects were in a state of quiet wakefulness with their eyes closed. Having recorded
the initial values of the parameters under study, we performed cyclic hyperventilation, during
which the external respiration rate increased on the average by a factor of 4 to 5: at the first stage, until the transcutaneous carbon dioxide tension reached 25 mm Hg, and then, after rest and recovery,
at the second stage of hyperventilation, until it reached 15 mm Hg. We show that the detected EEG
changes during prolonged hyperventilation directly depend on the level of transcutaneous carbon
dioxide tension. Hypocapnia with carbon dioxide level of 15 mm Hg caused a more pronounced
increase in both intracortical and deep limbic-reticular activity of the brain, manifested in an increase
in all types of EEG activity; moreover, in more than 70 % of cases we saw generalized paroxysmal
activity. The initial EEG pattern after the end of hyperventilation was restored long before the recovery
of carbon dioxide tension specific to each subject. The parameters of oxygen saturation continued
to decrease even after the test, which can be a factor of delayed hypoxia in response to prolonged
hyperventilation.
Keywords
hyperventilation, cyclic respiration, electroencephalogram, hypocapnia, hypoxia
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