Elevated End-Tidal CO2 in Trained Underwater Swimmers

Abstract
A comparison of the response of trained and untrained swimmers to the exercise involved in underwater swimming revealed that end-tidal CO2 levels were elevated in the trained swimmers. The breathing pattern in the trained swimmers (slow deep breaths with long postinspiratory pauses) might have accentuated the large cyclic variation in alveolar CO2 accompanying the respiratory cycle during exercise thus resulting in an elevated end-tidal CO2 without an elevated average alveolar or arterial CO2 tension. It was also suggested that an increase in the average alveolar CO2 tension might have been partially the result of a significantly lower oxygen ventilation equivalent in the trained swimmers as compared to the nontrained subjects. Submitted on August 20, 1956