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Breath-holding as model for the evaluation of EEG signal during respiratory distress

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SPRINGER
DOI: 10.1007/s00421-023-05379-x

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Apnea; Cerebral cortex; Diving; Dyspnea; Electroencephalography; Immersion

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This study investigates the relationship between cortical activity and the regulation of bulbar respiratory centers during respiratory challenges. The results suggest that a protocol of successive apneas triggers an increase in maximum apnea time, making it a potential model for studying cortical activity during respiratory distress.
PurposeResearch describes the existence of a relationship between cortical activity and the regulation of bulbar respiratory centers through the evaluation of the electroencephalographic (EEG) signal during respiratory challenges. For example, we found evidences of a reduction in the frequency of the EEG (alpha band) in both divers and non-divers during apnea tests. For instance, this reduction was more prominent in divers due to the greater physiological disturbance resulting from longer apnea time. However, little is known about EEG adaptations during tests of maximal apnea, a test that voluntarily stops breathing and induces dyspnea.ResultsThrough this mini-review, we verified that a protocol of successive apneas triggers a significant increase in the maximum apnea time and we hypothesized that successive maximal apnea test could be a powerful model for the study of cortical activity during respiratory distress.ConclusionDyspnea is a multifactorial symptom and we believe that performing a successive maximal apnea protocol is possible to understand some factors that determine the sensation of dyspnea through the EEG signal, especially in people not trained in apnea.

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