Cardiovascular and ventilatory responses to electrically induced cycling with complete epidural anaesthesia in humans

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Abstract
Cardiovascular and ventilatory responses to electrically induced dynamic exercise were investigated in eight healthy young males with afferent neural influence from the legs blocked by epidural anaesthesia (25 ml 2% lidocaine) at L3‐L4. This caused cutaneous sensory anaesthesia below T8‐T9 and complete paralysis of the legs. Cycling was performed for 22.7 ± 2.7 min (mean, SE) (fatigue) and oxygen uptake (Vo2) increased to 1.90 ± 0.13 1 min‐1. Compared with voluntary exercise at the same Vo2, increases in heart rate (HR) (135 ± 7 vs. 130 ± 9 beats min‐1) and cardiac output (16.9 ± 1.1 vs. 17.3 ± 0.9 1 min‐1) were similar, and ventilation (54 ± 5 vs. 45 ± 4 1 min‐1) was higher (P < 0.05). In contrast, the rise in mean arterial blood pressure during voluntary exercise (93 ± 4 (rest) to 119 ± 4 mmHg (exercise)) was not manifest during electrically induced exercise with epidural anaesthesia [93 ± 3 (rest) to 95 ± 5 mmHg (exercise)]. As there is ample evidence for similar cardiovascular and ventilatory responses to electrically induced and voluntary exercise (Strange et al. 1993), the present results support the fact that the neural input from working muscle is crucial for the normal blood pressure response to exercise. Other haemodynamic and/or humoral mechanisms must operate in a decisive manner in the control of HR, CO and VE during dynamic exercise with large muscle groups.