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Relationship between cardiac output and oxygen uptake at the onset of exercise
Authors:Takayoshi Yoshida  Koji Yamamoto and Masao Udo
Abstract:The purpose of the present study was to assess the relationship between the rapidity of increased gas exchange (i.e. oxygen uptake 
$$\dot VO_2 $$
) and increased cardiac output ( 
$$\dot Q_c $$
) during the transient phase following the onset of exercise. Five healthy male subjects performed multiple rest-exercise or light exercise (25 W)-exercise transitions on an electrically braked ergometer at exercise intensities of 50, 75, or 100 W for 6 min, respectively. Each transition was performed at least eight times for each load in random order. The 
$$\dot VO_2 $$
was obtained by a breath-by-breath method, and 
$$\dot Q_c $$
was measured by an impedance method during normal breathing, using an ensemble average. On transitions from rest to exercise, 
$$\dot VO_2 $$
rapidly increased during phase I with time constants of 6.8–7.3 s. The 
$$\dot Q_c $$
also showed a similar rapid increment with time constants of 6.0–6.8 s with an apparent increase in stroke volume (SV). In this phase I, 
$$\dot VO_2 $$
increased to about 29.7%–34.1% of the steady-state value and 
$$\dot Q_c $$
increased to about 58.3%–87.0%. Thereafter, some 20 s after the onset of exercise a mono-exponential increase to steady-state occurred both in 
$$\dot VO_2 $$
and 
$$\dot Q_c $$
with time constants of 26.7–32.3 and 23.7–34.4 s, respectively. The insignificant difference between 
$$\dot Q_c $$
and 
$$\dot VO_2 $$
time constants in phase I and the abrupt increase in both 
$$\dot Q_c $$
and SV at the onset of exercise from rest provided further evidence for a ldquocardiodynamicrdquo contribution to 
$$\dot VO_2 $$
following the onset of exercise from rest.
Keywords:Phase I  Cardiac output  Oxygen uptake kinetics
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