Podcast
Questions and Answers
What are the two general mechanisms that cause the plateau in the action potential in cardiac muscle?
What are the two general mechanisms that cause the plateau in the action potential in cardiac muscle?
- Increased permeability for potassium ions
- Additional activation of L-type calcium channels (slow calcium channels) (correct)
- Rapid increase in opening of fast sodium channels (correct)
- Decreased permeability for potassium ions
Explain how slow calcium channels cause the action potential in cardiac muscle to be different than that of skeletal muscle.
Explain how slow calcium channels cause the action potential in cardiac muscle to be different than that of skeletal muscle.
Slow calcium channels in cardiac muscle prolong the depolarization phase, leading to a longer action potential duration compared to skeletal muscle. This extended depolarization allows for a more sustained contraction needed for efficient blood pumping.
Compare the relative velocity of signal conduction in cardiac muscle fibers to Purkinje fibers.
Compare the relative velocity of signal conduction in cardiac muscle fibers to Purkinje fibers.
Purkinje fiber conduction is much faster than cardiac muscle fiber conduction, ensuring rapid electrical signal transmission throughout the heart.
The absolute refractory period in cardiac muscle is when the heart cannot be stimulated to contract at all.
The absolute refractory period in cardiac muscle is when the heart cannot be stimulated to contract at all.
The relative refractory period is when the heart can be stimulated to contract by a strong signal.
The relative refractory period is when the heart can be stimulated to contract by a strong signal.
Why is the extracellular calcium concentration of greater relevance for cardiac muscle contraction compared to skeletal muscle contraction?
Why is the extracellular calcium concentration of greater relevance for cardiac muscle contraction compared to skeletal muscle contraction?
What is the relationship between heart rate, the duration of the action potential, duration of the cardiac cycle, and the relative durations of systole and diastole?
What is the relationship between heart rate, the duration of the action potential, duration of the cardiac cycle, and the relative durations of systole and diastole?
Explain how ventricular volume, atrial pressure, aortic pressure, and left ventricular pressure change over the course of the cardiac cycle, and relate this to the electrocardiogram (ECG) and phonocardiogram.
Explain how ventricular volume, atrial pressure, aortic pressure, and left ventricular pressure change over the course of the cardiac cycle, and relate this to the electrocardiogram (ECG) and phonocardiogram.
Describe the role of atrial contraction in the cardiac cycle, including its relative contribution to ventricular filling.
Describe the role of atrial contraction in the cardiac cycle, including its relative contribution to ventricular filling.
What is the "period of rapid filling of the ventricles" and what mechanisms contribute to it?
What is the "period of rapid filling of the ventricles" and what mechanisms contribute to it?
Why does isovolumetric contraction occur before ventricular ejection?
Why does isovolumetric contraction occur before ventricular ejection?
Differentiate between the "period of rapid ejection" and the "period of slow ejection" during ventricular systole.
Differentiate between the "period of rapid ejection" and the "period of slow ejection" during ventricular systole.
Explain what the ejection fraction is, including how it is calculated, and state the normal value for ejection fraction at rest in healthy individuals.
Explain what the ejection fraction is, including how it is calculated, and state the normal value for ejection fraction at rest in healthy individuals.
Compare the pressures between the right and left ventricles during systole.
Compare the pressures between the right and left ventricles during systole.
Preload refers to the degree of tension in the heart muscle when it begins to contract.
Preload refers to the degree of tension in the heart muscle when it begins to contract.
Afterload is the resistance the heart must overcome to eject blood into the aorta.
Afterload is the resistance the heart must overcome to eject blood into the aorta.
Briefly describe the two key factors underlying the Frank-Starling mechanism.
Briefly describe the two key factors underlying the Frank-Starling mechanism.
Trace the pathway of electrical conduction from the SA node through the epicardial surface of the heart.
Trace the pathway of electrical conduction from the SA node through the epicardial surface of the heart.
Compare the intrinsic rhythmical rates of the SA node, AV node, and Purkinje fibers. Explain the concept of ectopic beats and escape beats.
Compare the intrinsic rhythmical rates of the SA node, AV node, and Purkinje fibers. Explain the concept of ectopic beats and escape beats.
Intrinsic heart rate represents the heart rate when the heart is not influenced by the autonomic nervous system.
Intrinsic heart rate represents the heart rate when the heart is not influenced by the autonomic nervous system.
The sympathetic nervous system slows down the heart rate while the parasympathetic nervous system speeds it up.
The sympathetic nervous system slows down the heart rate while the parasympathetic nervous system speeds it up.
What are the neurotransmitters released by the sympathetic and parasympathetic nerves to the heart?
What are the neurotransmitters released by the sympathetic and parasympathetic nerves to the heart?
Identify why the sympathetic nervous system is able to increase contractile force of cardiac muscle.
Identify why the sympathetic nervous system is able to increase contractile force of cardiac muscle.
Tachycardia is a faster than normal heart rate at rest, while bradycardia is a slower than normal heart rate at rest.
Tachycardia is a faster than normal heart rate at rest, while bradycardia is a slower than normal heart rate at rest.
Tachycardia during exercise is not considered abnormal.
Tachycardia during exercise is not considered abnormal.
What is the difference between skeletal muscle and cardiac muscle?
What is the difference between skeletal muscle and cardiac muscle?
What are the two main mechanisms that cause the plateau in the action potential in cardiac muscle?
What are the two main mechanisms that cause the plateau in the action potential in cardiac muscle?
What is the role of papillary muscles and chordae tendinae in the heart?
What is the role of papillary muscles and chordae tendinae in the heart?
Semilunar valves are designed to handle faster blood velocity compared to AV valves?
Semilunar valves are designed to handle faster blood velocity compared to AV valves?
Which of the following is NOT a factor that influences the stroke volume of the heart?
Which of the following is NOT a factor that influences the stroke volume of the heart?
What is the difference between absolute and relative refractory periods in cardiac muscle?
What is the difference between absolute and relative refractory periods in cardiac muscle?
Which of the following is NOT a factor that can cause a high pulse pressure?
Which of the following is NOT a factor that can cause a high pulse pressure?
Compliance of the arterial tree is directly related to the level of vasoconstriction?
Compliance of the arterial tree is directly related to the level of vasoconstriction?
Why is mean arterial pressure not simply the average of systolic and diastolic pressure at rest?
Why is mean arterial pressure not simply the average of systolic and diastolic pressure at rest?
What is the role of the heart's right atrium in regulating blood flow?
What is the role of the heart's right atrium in regulating blood flow?
Explain why the sympathetic nervous system is able to increase the contractile force of cardiac muscle?
Explain why the sympathetic nervous system is able to increase the contractile force of cardiac muscle?
Which of the following describes the intrinsic beat rate of the Purkinje fibers?
Which of the following describes the intrinsic beat rate of the Purkinje fibers?
What are the two neurotransmitters released by the sympathetic and parasympathetic nervous systems to the heart?
What are the two neurotransmitters released by the sympathetic and parasympathetic nervous systems to the heart?
Match the following terms with their cardiovascular definitions?
Match the following terms with their cardiovascular definitions?
Explain the concept of total peripheral resistance (TPR) in the cardiovascular system.
Explain the concept of total peripheral resistance (TPR) in the cardiovascular system.
Which of the following is NOT a factor that contributes to increased total peripheral resistance?
Which of the following is NOT a factor that contributes to increased total peripheral resistance?
What is the difference between preload and afterload in the cardiovascular system?
What is the difference between preload and afterload in the cardiovascular system?
The circulatory system is a closed system with no beginning or end.
The circulatory system is a closed system with no beginning or end.
Which of the following is NOT a function of the heart?
Which of the following is NOT a function of the heart?
What is the name of the valve located between the right atrium and the right ventricle?
What is the name of the valve located between the right atrium and the right ventricle?
What is the name of the valve located between the left atrium and the left ventricle?
What is the name of the valve located between the left atrium and the left ventricle?
What are the two main types of valves found in the heart?
What are the two main types of valves found in the heart?
The heart is a single organ, which means it only acts as one unit during each heartbeat.
The heart is a single organ, which means it only acts as one unit during each heartbeat.
The specialized junctions between cardiac muscle cells are called ______ .
The specialized junctions between cardiac muscle cells are called ______ .
The contraction of the papillary muscles and chordae tendinae helps prevent backflow of blood from the ventricles into the atria.
The contraction of the papillary muscles and chordae tendinae helps prevent backflow of blood from the ventricles into the atria.
What is the primary function of the semilunar valves?
What is the primary function of the semilunar valves?
Which of the following is NOT a factor that contributes to the opening and closing of heart valves?
Which of the following is NOT a factor that contributes to the opening and closing of heart valves?
Which of the following is TRUE regarding blood flow distribution at rest?
Which of the following is TRUE regarding blood flow distribution at rest?
What is the primary function of the circulatory system?
What is the primary function of the circulatory system?
The heart rate is the same as the number of heartbeats per minute.
The heart rate is the same as the number of heartbeats per minute.
Flashcards
Blood flow path (heart)
Blood flow path (heart)
The journey of a blood drop from vena cava to aorta, including chambers and valves.
Cardiac muscle histology
Cardiac muscle histology
Cardiac muscle is striated, like skeletal muscle, but has intercalated discs and a branching, syncytial arrangement.
Intercalated discs
Intercalated discs
Structures that connect cardiac muscle cells, facilitating rapid ion diffusion and electrical conduction.
Papillary muscles & chordae tendinae
Papillary muscles & chordae tendinae
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Semilunar vs. AV valves
Semilunar vs. AV valves
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Blood flow distribution (rest)
Blood flow distribution (rest)
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Brain blood flow
Brain blood flow
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Coronary blood flow increase
Coronary blood flow increase
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Kidney blood flow
Kidney blood flow
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Cardiac action potential plateau
Cardiac action potential plateau
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Purkinje fiber conduction
Purkinje fiber conduction
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Absolute refractory period
Absolute refractory period
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Relative refractory period
Relative refractory period
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Extracellular calcium in cardiac muscle
Extracellular calcium in cardiac muscle
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Heart rate and cardiac cycle duration
Heart rate and cardiac cycle duration
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Ejection fraction
Ejection fraction
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Right vs. left ventricle pressure
Right vs. left ventricle pressure
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preload
preload
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afterload
afterload
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Frank-Starling mechanism
Frank-Starling mechanism
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Pacemaker cells
Pacemaker cells
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Intrinsic heart rate
Intrinsic heart rate
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Tachycardia
Tachycardia
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Bradycardia
Bradycardia
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Intracellular fluid
Intracellular fluid
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Extracellular fluid
Extracellular fluid
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Plasma
Plasma
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Albumin
Albumin
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Interstitial fluid
Interstitial fluid
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Tissue gel
Tissue gel
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Proteoglycans
Proteoglycans
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Edema
Edema
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Filtration
Filtration
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Reabsorption
Reabsorption
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Starling forces
Starling forces
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Capillary hydrostatic pressure
Capillary hydrostatic pressure
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Interstitial fluid pressure
Interstitial fluid pressure
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Plasma colloid osmotic pressure
Plasma colloid osmotic pressure
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Lymphatic vessels
Lymphatic vessels
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Lymphatic pumping
Lymphatic pumping
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Distensibility
Distensibility
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Arterial distensibility
Arterial distensibility
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Venous distensibility
Venous distensibility
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Venous blood reservoir
Venous blood reservoir
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Pulse pressure
Pulse pressure
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Bounding pulse
Bounding pulse
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Thready pulse
Thready pulse
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Stroke volume
Stroke volume
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Arterial compliance
Arterial compliance
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Mean arterial pressure (MAP)
Mean arterial pressure (MAP)
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Right atrial pressure
Right atrial pressure
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Reflex arc
Reflex arc
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Override a reflex
Override a reflex
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Baroreceptor
Baroreceptor
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Short-term blood pressure control
Short-term blood pressure control
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Low-pressure receptors
Low-pressure receptors
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Vasomotor center
Vasomotor center
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Vasomotor tone
Vasomotor tone
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Epinephrine & Norepinephrine effects on blood vessels
Epinephrine & Norepinephrine effects on blood vessels
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Sympathetic activation effect on blood pressure
Sympathetic activation effect on blood pressure
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Parasympathetic inhibition effect on blood pressure
Parasympathetic inhibition effect on blood pressure
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Baroreceptor reflex
Baroreceptor reflex
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Baroreceptor reflex during postural changes
Baroreceptor reflex during postural changes
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Blood pressure gradient and blood flow
Blood pressure gradient and blood flow
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Venous return
Venous return
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Study Notes
Cardiovascular System (Week 4)
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Cardiac Anatomy and Function: Blood flows from the vena cava through the heart and into the aorta. This includes the right atrium, tricuspid valve, right ventricle, pulmonary valve (semilunar), pulmonary artery, lungs, pulmonary vein, left atrium, mitral valve, left ventricle, and aortic valve (semilunar).
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Cardiac Muscle Histology: Cardiac and skeletal muscle are both striated with actin and myosin. However, cardiac muscle has intercalated discs, specialized connections that facilitate rapid electrical signal transmission between cells.
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Intercalated Discs: These structures allow for rapid communication and ion diffusion between cardiac muscle cells, essential for coordinated heart contractions.
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Papillary Muscles and Chordae Tendinae: Papillary muscles, attached to the atrioventricular (AV) valves via chordae tendinae, prevent the valves from bulging back into the atria during ventricular contraction, thus preventing regurgitation.
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Semilunar vs. AV Valves: AV valves are thinner than semilunar valves, which are stronger to withstand the higher velocity of blood flow. Semilunar valves function passively due to high pressure in arteries, avoiding the need for chordae tendinae for support.
Blood Flow Distribution at Rest
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Brain (15%): Absolute volume remains constant, but percentage decreases during exercise.
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Coronary Arteries (5%): Absolute volume increases proportionally to exercise as the heart's working demands more blood. Percentage remains at 5% during exercise.
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Kidneys (25%): Absolute volume remains constant at rest. Percentage remains at 25% during exercise.
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Other Organs (e.g. GI Tract, Skeletal Muscle, Skin): Distribution percentages change substantially when exercising.
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Resting vs. Exercise blood flow: Blood flow to exercising muscle increases dramatically.
Cardiac Muscle Contractility
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Plateau in Action Potential: Cardiac muscle action potentials exhibit a plateau phase due to L-type calcium channels activation, which slows repolarization to facilitate prolonged contraction and prevents tetanus. Skeletal muscle action potentials do not exhibit this plateau.
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Slow Calcium Channels: The prolonged plateau in cardiac muscle action potentials, unlike skeletal muscle, is primarily due to calcium channels, and this differs from skeletal muscles
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Conduction Velocity: Purkinje fibers have much faster conduction velocities compared to cardiac muscle fibers. This ensures rapid signal transmission throughout the heart for coordinated contractions.
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Refractory Periods: Cardiac muscle has both absolute and relative refractory periods. The absolute refractory period prevents the heart from being stimulated again while contracting, ensuring a single contraction per signal. Relative refractory period, in which the heart can potentially contract if the signal is strong enough, prevents tetanus.
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Extracellular Calcium Concentration: Calcium from the extracellular fluid is crucial for cardiac muscle contraction, unlike skeletal muscle where calcium is primarily from sarcoplasmic reticulum.
Cardiac Cycle
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Heart Rate, Action Potential & Cardiac Cycle: Increased heart rate = shorter action potential plateau, decreased time in systole, and increased ratio of systole to diastole.
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Atrial Systole: Ventricular filling occurs during atrial systole (contraction) due to increased pressure in the atria pushing blood into the ventricles.
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Ventricular Filling, Ejection & Isometric Contraction: Ventricular pressures gradually increase, opening AV valves, causing rapid filling of ventricles. Isometric contraction occurs before expulsion.
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Ventricular Pressure: The period of rapid ejection is the time when blood pressure in the ventricles is the greatest, causing the highest ejection volume.
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Preload and Afterload: Preload refers to the degree of filling, while afterload refers to the pressure the ventricles must overcome to contract and eject blood. Both preload and afterload influence ventricular volume and blood pressure throughout the cardiac cycle.
Cardiac Conduction System
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Sinoatrial Node (SA Node): The heart's natural pacemaker.
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Other pacemaker cells: Atrioventricular (AV) node and Purkinje fibers contribute to heart rate as well.
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Automaticity: The intrinsic ability of cardiac cells to spontaneously depolarize and generate action potentials without external stimulation.
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Sympathetic and Parasympathetic Nervous System: Sympathetic innervation increases heart rate, and parasympathetic innervation slows heart rate through the vagus nerve by releasing neurotransmitters.
Heart Rate Terminology
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Tachycardia: A heart rate faster than normal at rest
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Bradycardia: A heart rate slower than normal at rest
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Heart rate, exercise and pathology: Heart rate increases during exercise but is not generally considered a sign of underlying pathology.
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