Cardiodynamic adjustments in skilled civil aircraft pilots while unexpected emergency conditions appeared during a simulated flight within a homemade Airbus A300 cockpit

To highlight which cardiodynamic adjustments take place in civil aircraft pilots when unexpected mechanical accidents occur while they are in flight, in 8 skilled pilots we detected the mean blood arterial pressure (MAP) and heart rate (HR) while a unexpected failing of one engine occurred when they were engaged in a simulated flight with a homemade Airbus A300 cockpit. Comparing these two cardiovascular variables in a simulated flight test, just as when the accident happened, together with the values assessed in a simulated control flight without accidents, by the non-parametric Wilcoxon test for paired data it has been found a significant increase of MAP's median (+ 20.3%, P = 0.008) without significant increase in HR one. However, in several tested pilots this sudden MAP increase tended to progressively recover baseline values while simulating the flight despite the event triggering this functional response was still present. We concluded that the cardiovascular apparatus of skilled aircraft civil pilots adapts in such a way of sudden respond to unexpected emergency conditions by adjusting mean arterial blood pressure for adequate blood flow to limb muscles, and this happens without a concomitant tachycardia response in order to maintain an optimal mechanical/metabolic efficiency of the heart.