Fan cooling after cardiovascular drift does not reverse decrements in maximal oxygen uptake during heat stress

Cardiovascular (CV) drift, the progressive increase in heart rate (HR) and decrease in stroke volume (SV) during constant rate, moderate intensity exercise, is related to reduced maximal oxygen uptake (V̇O(2max)) during heat stress. Once it has already occurred, it is unknown whether the detrimental effects of CV drift on V̇O(2max) can be reversed. This study tested the hypothesis that fan cooling after CV drift has occurred attenuates decrements in V̇O(2max) associated with CV drift. Eight men completed a control graded exercise test (GXT) in 22°C to measure V̇O(2max). Then on separate, counterbalanced occasions, they completed one 15-min (15MIN) and two 45-min bouts (45NF and 45FAN) of cycling in 35°C, 40% RH at 60% V̇O(2max), each immediately followed by a GXT to measure V̇O(2max). For one of the 45-min trials (45FAN), fan airflow (4.5 m/s) was directed at participants beginning ~5 min before the GXT and continuing throughout the remainder of exercise. The purpose of the separate 15- and 45-min trials was to measure V̇O(2max) during the same time interval that CV drift occurred. HR increased (13.8% and 11.4%) and SV decreased (14.4% and 14.1%) for 45NF and 45FAN, respectively; trials were not different (all P > 0.05). Despite a decrease in mean skin temperature of ~1°C with fan use, V̇O(2max) decreased similarly between conditions (17% vs. 15% for 45NF and 45FAN, P = 0.54). Fan cooling after CV drift was insufficient to reverse the negative consequences of CV drift on V̇O(2max) after prolonged exercise in a hot environment. Abbreviations: 15MIN: 15-min trial; 45FAN: 45-min, fan trial; 45NF: 45-min, no fan trial; ANOVA: Analysis of variance; CV: Cardiovascular; GXT: Graded exercise test; HR: Heart rate; SV: Stroke volume; T̅(b): Mean body temperature; T(re): Rectal temperature; T̅(sk): Mean skin temperature; V̇O(2max): Maximal oxygen uptake