The mammalian diving reflex optimizes mammals' respiration to stay underwater
for a long time. It is exhibited strongly in aquatic mammals (seals, otters,
dolphins, etc.), but exists in a weaker version in other mammals, humans
included. Diving birds, such as penguins, have a similar diving reflex. Every
animal's diving reflex is triggered specifically by cold water contacting the
face -- water that is warmer than 21 ?C (70 ?F) won't cause the reflex, and
neither will submersion of body parts other than the face. Also, the reflex is
always exhibited more dramatically, and thus can grant longer survival, in young
people and animals.
Upon initiation of the reflex, three changes happen to
the body, in this order:
1. Bradycardia is the first response to submersion. Immediately upon
facial contact with cold water, the human heart rate slows down ten to
twenty-five percent. In the seal the changes are even more dramatic, going from
about 125 beats per minute to as low as 10 on an extended dive. Slowing the
heart rate lessens the need for bloodstream oxygen, leaving more to be used by
other organs.
2. Next, peripheral vasoconstriction sets in. When under
high pressure induced by deep diving, capillaries in the extremities start
closing off, stopping blood circulation to those areas. Note that
vasoconstriction usually applies to arterioles, but in this case is completely
an effect of the capillaries. Toes and fingers close off first, then hands and
feet, and ultimately arms and legs stop allowing blood circulation, leaving more
blood for use by the heart and brain. Human musculature accounts for only 12% of
the body's total oxygen storage, and our muscles tend to cramp up during this
phase. Aquatic mammals have as much as 25 to 30% of their oxygen storage in
muscle, and thus they can keep working long after capillary blood supply is
stopped.
3. Finally, and most interesting, is the blood shift that
occurs only during very deep dives. When this happens, organ and circulatory
walls allow plasma/water to pass freely throughout the thoracic cavity, so its
pressure stays constant and the organs aren't crushed. In this stage, the lungs'
alveoli fill up with blood plasma, which is reabsorbed when the animal leaves
the pressurized environment. This stage of the diving reflex does not occur in
humans.
Thus, both a conscious and an unconscious person can survive longer
without oxygen under water than in a comparable situation on dry land. Children
tend to survive longer than adults when deprived of oxygen underwater.
When
the face is submerged, receptors that are sensitive to water within the nasal
cavity and other areas of the face supplied by cranial nerve V (trigeminal)
relay the information to the brain and then innervate cranial nerve X, which is
part of the autonomic nervous system. This causes bradycardia and peripheral
vasoconstriction of blood vessels. Blood is removed from the limbs and all
organs but the heart and the brain, creating a heart-brain circuit and allowing
the mammal to conserve oxygen.
In humans, the mammalian diving reflex is not
induced when limbs are introduced to cold water. Mild bradycardia is caused by
the subject holding his breath without submerging the face within water. When
breathing with face submerged this causes a diving reflex which increases
proportionally to decreasing water temperature. However the greatest bradycardia
effect is induced when the subject is holding breath with face
submerged.
Bradycardia (Greek ß?, bradykardía, "heart slowness"), as applied to adult medicine, is defined as a resting heart rate of under 60 beats per minute, though it is seldom symptomatic until the rate drops below 50 beat/min. It may cause "heart attacks" in some patients or cardiac arrest. This occurs because someone with bradycardia may not be pumping enough oxygen to their own heart causing heart attack-like symptoms. It sometimes results in fainting, shortness of breath, and if severe enough, death. [1][2] Trained athletes or young healthy individuals may also have a slow resting heart rate (e.g. professional cyclist Miguel Indurain had a resting heart rate of 28 beats per minute). Resting bradycardia is often considered normal if the individual has no other symptoms such as fatigue, weakness, dizziness, lightheadedness, fainting, chest discomfort, palpitations or shortness of breath associated with it.The term relative bradycardia is used to explain a heart rate that, while not technically below 60 beats per minute, is considered too slow for the individual's current medical condition.