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Book

Physiology, Diving Reflex

In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan.
.
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Book

Physiology, Diving Reflex

Devon Godek et al.
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Excerpt

The diving reflex, commonly referred to as the mammalian dive reflex, diving bradycardia, and the diving response, is a protective, multifaceted physiologic reaction that occurs in mammals, including humans, in response to water submersion. Aspects of the dive reflex were first described in 1786 by Edmund Goodwyn; however, it would take until an 1870 publication by Paul Bert for the physiologic adaptations to be recognized. The dive reflex is believed to aid in conserving mammal oxygen stores by initiating several specific physiologic changes during aquatic immersion. When a human holds their breath and submerges in water, the face and nose become wet, which in turn causes bradycardia, apnea, and increased peripheral vascular resistance; these three main physiologic changes are collectively referred to as the diving reflex. The cause of increased peripheral resistance is thought to redistribute blood to the vital organs while limiting oxygen consumption by nonessential muscle groups. In addition to vascular resistance, bradycardia is initiated to decrease the work of the heart and further limit unnecessary oxygen consumption. The dive reflex is an innate multi-system physiologic response in all vertebrates that preserves oxygen stores during water immersion.

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Conflict of interest statement

Disclosure: Devon Godek declares no relevant financial relationships with ineligible companies.

Disclosure: Andrew Freeman declares no relevant financial relationships with ineligible companies.

References

    1. Smith G, Morgans A, Taylor DM, Cameron P. Use of the human dive reflex for the management of supraventricular tachycardia: a review of the literature. Emerg Med J. 2012 Aug;29(8):611-6. - PubMed
    1. Marabotti C, Belardinelli A, L'Abbate A, Scalzini A, Chiesa F, Cialoni D, Passera M, Bedini R. Cardiac function during breath-hold diving in humans: an echocardiographic study. Undersea Hyperb Med. 2008 Mar-Apr;35(2):83-90. - PubMed
    1. McCulloch PF, Lahrman KA, DelPrete B, DiNovo KM. Innervation of the Nose and Nasal Region of the Rat: Implications for Initiating the Mammalian Diving Response. Front Neuroanat. 2018;12:85. - PMC - PubMed
    1. Heusser K, Dzamonja G, Tank J, Palada I, Valic Z, Bakovic D, Obad A, Ivancev V, Breskovic T, Diedrich A, Joyner MJ, Luft FC, Jordan J, Dujic Z. Cardiovascular regulation during apnea in elite divers. Hypertension. 2009 Apr;53(4):719-24. - PubMed
    1. Goksör E, Rosengren L, Wennergren G. Bradycardic response during submersion in infant swimming. Acta Paediatr. 2002;91(3):307-12. - PubMed

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