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Open Access e-Journal Cardiometry - No.15 November 2019

We have decided to dedicate this issue to discussing sports medicine topics, namely, to defining what is the healthy heart performance. We are glad to present some fresh papers considering these problems of physiology in sports from the standpoint of cardiometry: the material is an integral part of a new book, which will be published within the nearest future.

We have decided to dedicate this issue to discussing sports medicine topics, namely, to defining what is the healthy heart performance. We are glad to present some fresh papers considering these problems of physiology in sports from the standpoint of cardiometry: the material is an integral part of a new book, which will be published within the nearest future.

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Speeding up the post-loading recovery

This process is favored both by the above mentioned

processes and the specific role of mitochondria

during recovery. An increased rate of flow of substrates

in the Krebs cycle and, in particular, especially favorable

conditions for the oxidation of succinate, stimulate

not only the oxidative phosphorylation, but triggers a

powerful energy-dependent reverse transfer of restorative

equivalents in respiratory chain and the supply of

hydrogen from mithochondria to the cytosol. These

restorative equivalents are required to provide all types

of synthesis and the removal of an excess of ammonia,

which is a by-product upon intensified performance

by the brain, the heart, the skeletal muscles and other

organs and tissues. Moreover, it is just the succinate

activation of the mitochondrial energetics that stimulates

the removal of the post-loading excess of calcium

ions and increases the capacity of mithochondria and

reticula to accumulate calcium. The removal of excessive

intracellular calcium is an absolutely necessary

phenomenon for maximizing the completeness of the

proper myocardial relaxation in diastole, eliminating

the contractures of skeletal muscles at after-load rest

and restoring the depot of energy substrates in cells.

Lowering the threshold of regulatory signal

sensing

It is an essential element of the succinate action,

since it promotes increasing the sensitivity, accuracy

and coordination, when processing information signals

of the feed-forward and feed-back of the central

nervous and neuroendocrine systems as well as the periphery.

Repeatedly recorded are the increases in accuracy

and coordination of the motor reactions to visual

and auditory signals after taking the succinate-containing

substances. An improvement in the functions

of the hypothalamus-hypophysis regulation of endocrine

tissues: the thymus, the adrenal cortex, the reproductive

glands, the chromaffin tissue responsible

for noradrenaline and adrenaline release, has been

shown. As a result, realized is an anti-stress effect,

normalizing the hormonal status, and even an anti-aging

effect on the organism as a whole. Economization

and acceleration of the release of acetylcholine quanta,

when transmitting signals in intermediate synapses of

the nervous system, have been demonstrated.

The most important consequence of improving the

sensitivity and accuracy of the regulatory systems is a

reduction in energy expenditures and an increase in

the energy efficiency. Let us make just one example. In

order to maintain the stable loading on the cardiovascular

system upon receiving succinate-containing biologically

active additive (BAA), neither an increase in

heart rate (HR) nor a significant rise in arterial pressure

(AP) are required. Moreover, at rest or during a

fixed or even a limit exercise, observed is a heart rate

decrease and prevention of a sharp rise in AP, when

taking a single dose of the substances or when taking

them systematically.

An integral effect of increasing the accuracy of the

regulation and the economization of the energy consumption

is displayed by the fact that avoided or excluded

is the exhausting mobilization of the available energy

resources and that the post-loading recovery at different

level is accelerated: from the central nervous system

and the neuroendocrine apparatus up to the functional

activity and repairing of the actuating organs.

Normalization of concert action and

maintenance of activity of GABAergic and

glutamatergic systems

It is the orchestra conductor of the organism performers

represented by the nervous system and the human

body as a whole. It is provided by a smart combination of

the specific action of low succinate concentrations and

the ammonia ions. Depending on the initial concerted

activity of the systems, the excitation & activation effects

or sedative up to somnolent effects may predominate

after receiving BAA. In most cases, at the level of the organism,

the effect of BAA is characterized as a soft sympathotonic

action of the succinate-containing substance,

similar to small doses of adrenalin. Finally, the magnitude

and the target of the effect are predetermined by the

actual organism state: the degree of preparedness and

conditioning, the intensity and type of a load submitted,

the level of fatigue, as well as the function-, constitutionand

gene-related features of an individual.

Conclusions required for practical use of the material

contained herein:

1. Succinate is the only Krebs cycle substrate which is

capable of oxidizing under hypoxia and thus maintaining

the aerobic production of ATP in mitochondria

under reduced partial pressure of oxygen in tissues.

2. Removal of excessive intracellular calcium is an absolutely

mandatory requirement for maximizing the completeness

of the proper myocardial relaxation in diastole,

eliminating the contractures of skeletal muscles at post-load

rest and restoring the depot of energy substrates in cells.

Issue 15. November 2019 | Cardiometry | 31

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