Podcast
Questions and Answers
Which type of cardiac hypertrophy is characterized by proportional increases in both chamber size and wall thickness, resulting in improved cardiac output and endurance?
Which type of cardiac hypertrophy is characterized by proportional increases in both chamber size and wall thickness, resulting in improved cardiac output and endurance?
- Physiologic eccentric hypertrophy (correct)
- Physiologic concentric hypertrophy
- Pathologic concentric hypertrophy
- Pathologic eccentric hypertrophy
In which condition does the heart chamber size decrease while the wall thickness excessively increases disproportionately, leading to reduced relaxation and filling, and ultimately heart failure?
In which condition does the heart chamber size decrease while the wall thickness excessively increases disproportionately, leading to reduced relaxation and filling, and ultimately heart failure?
- Pathologic eccentric hypertrophy
- Physiologic concentric hypertrophy
- Physiologic eccentric hypertrophy
- Pathologic concentric hypertrophy (correct)
Which form of cardiac remodeling is primarily caused by strength training?
Which form of cardiac remodeling is primarily caused by strength training?
- Physiologic concentric hypertrophy (correct)
- Pathologic concentric hypertrophy
- Pathologic eccentric hypertrophy
- Physiologic eccentric hypertrophy
Which of these conditions related to cardiac hypertrophy is potentially reversible with detraining?
Which of these conditions related to cardiac hypertrophy is potentially reversible with detraining?
A patient presents with a significantly dilated heart and reduced contractility. Which type of hypertrophy is most likely?
A patient presents with a significantly dilated heart and reduced contractility. Which type of hypertrophy is most likely?
Which of the following best describes the health impact associated with physiologic cardiac hypertrophy?
Which of the following best describes the health impact associated with physiologic cardiac hypertrophy?
Which type of cardiac hypertrophy is most associated with an increased risk of sudden cardiac death?
Which type of cardiac hypertrophy is most associated with an increased risk of sudden cardiac death?
What is a key difference in chamber size between physiologic eccentric hypertrophy and pathologic eccentric hypertrophy?
What is a key difference in chamber size between physiologic eccentric hypertrophy and pathologic eccentric hypertrophy?
A patient presents with pressure overload. Which type of hypertrophy would you expect?
A patient presents with pressure overload. Which type of hypertrophy would you expect?
How does wall thickness typically change in pathologic eccentric hypertrophy compared to physiologic eccentric hypertrophy?
How does wall thickness typically change in pathologic eccentric hypertrophy compared to physiologic eccentric hypertrophy?
What is the primary functional difference between heart changes due to endurance exercise versus volume overload?
What is the primary functional difference between heart changes due to endurance exercise versus volume overload?
Which of the following is a characteristic feature of the chamber size in physiologic concentric hypertrophy?
Which of the following is a characteristic feature of the chamber size in physiologic concentric hypertrophy?
Which form of cardiac hypertrophy is associated with reduced relaxation and filling, ultimately leading to potential heart failure?
Which form of cardiac hypertrophy is associated with reduced relaxation and filling, ultimately leading to potential heart failure?
Which cause is most directly associated with pathologic eccentric hypertrophy?
Which cause is most directly associated with pathologic eccentric hypertrophy?
In which condition related to cardiac hypertrophy is the chance of reversibility the lowest?
In which condition related to cardiac hypertrophy is the chance of reversibility the lowest?
What is the effect on the heart's contractility in pathologic eccentric hypertrophy?
What is the effect on the heart's contractility in pathologic eccentric hypertrophy?
A patient develops cardiac hypertrophy as a result of long-term, untreated hypertension. Which type of hypertrophy is most likely developing?
A patient develops cardiac hypertrophy as a result of long-term, untreated hypertension. Which type of hypertrophy is most likely developing?
How does the function of the cardiac muscle differ in physiologic concentric hypertrophy compared to physiologic eccentric hypertrophy?
How does the function of the cardiac muscle differ in physiologic concentric hypertrophy compared to physiologic eccentric hypertrophy?
What is the primary difference between the effects of detraining on physiologic eccentric hypertrophy and pathologic concentric hypertrophy?
What is the primary difference between the effects of detraining on physiologic eccentric hypertrophy and pathologic concentric hypertrophy?
Which of the following is MOST likely to lead to heart failure?
Which of the following is MOST likely to lead to heart failure?
How does exercise training affect VO2 max and resting heart rate?
How does exercise training affect VO2 max and resting heart rate?
What is the primary role of the sympathetic nervous system (SNS) during acute exercise?
What is the primary role of the sympathetic nervous system (SNS) during acute exercise?
What is the relationship between physical activity intensity and breathing rate?
What is the relationship between physical activity intensity and breathing rate?
How does exercise impact the incidence of cardiovascular events?
How does exercise impact the incidence of cardiovascular events?
What is one of the effects of beneficial exercise related to cardiovascular tissues?
What is one of the effects of beneficial exercise related to cardiovascular tissues?
What systemic effect does chronic exercise (overtraining) have on the body?
What systemic effect does chronic exercise (overtraining) have on the body?
Which factor is NOT typically considered when measuring an individual's physical activity levels?
Which factor is NOT typically considered when measuring an individual's physical activity levels?
How does exercise influence metabolic and systematic health?
How does exercise influence metabolic and systematic health?
Which of the following describes the impact of acute exercise on the body?
Which of the following describes the impact of acute exercise on the body?
How does exercise affect antioxidant capacity and ROS production in the myocardium?
How does exercise affect antioxidant capacity and ROS production in the myocardium?
Which of these is a direct outcome of moderate physical activity?
Which of these is a direct outcome of moderate physical activity?
What is the primary focus of adaptations in peripheral organs due to chronic exercise?
What is the primary focus of adaptations in peripheral organs due to chronic exercise?
What is the likely effect of exercise training on blood pressure?
What is the likely effect of exercise training on blood pressure?
How does exercise contribute to general metabolic wellness?
How does exercise contribute to general metabolic wellness?
What kind of stress does acute exercise induce on the body?
What kind of stress does acute exercise induce on the body?
How does regular exercise influence total muscle mass?
How does regular exercise influence total muscle mass?
What is the primary effect of exercise on musculoskeletal function?
What is the primary effect of exercise on musculoskeletal function?
How does exercise affect blood flow?
How does exercise affect blood flow?
Which process is enhanced because of exercise?
Which process is enhanced because of exercise?
Which factor indicates that vascular responsiveness is a benefit of exercise?
Which factor indicates that vascular responsiveness is a benefit of exercise?
What primarily determines the intrinsic rhythmicity of cardiac muscle cells?
What primarily determines the intrinsic rhythmicity of cardiac muscle cells?
If all external stimuli were removed, what would be the approximate heart rate range dictated by the sinoatrial (SA) node's intrinsic firing rate?
If all external stimuli were removed, what would be the approximate heart rate range dictated by the sinoatrial (SA) node's intrinsic firing rate?
Which of the following can rapidly alter heart rate by acting as extrinsic factors?
Which of the following can rapidly alter heart rate by acting as extrinsic factors?
What physiological response results from extrinsic control on heart rate due to exercise anticipation?
What physiological response results from extrinsic control on heart rate due to exercise anticipation?
During intense exercise, heart rate can increase substantially, but what is the approximate upper limit it can reach?
During intense exercise, heart rate can increase substantially, but what is the approximate upper limit it can reach?
According to the chart, what is the approximate maximum heart rate for a 40-year-old individual during very vigorous exercise?
According to the chart, what is the approximate maximum heart rate for a 40-year-old individual during very vigorous exercise?
Based on the provided information, which category of exercise intensity would be most suitable for maintaining a heart rate between 65% and 85% of one's maximum?
Based on the provided information, which category of exercise intensity would be most suitable for maintaining a heart rate between 65% and 85% of one's maximum?
For a 60-year-old engaging in 'Light to Moderate Exercise', what range of their estimated maximum heart rate should they aim to maintain?
For a 60-year-old engaging in 'Light to Moderate Exercise', what range of their estimated maximum heart rate should they aim to maintain?
If a 30-year-old aims to achieve a heart rate within the 'Very Vigorous Exercise' range, what percentage of their maximum heart rate should they target?
If a 30-year-old aims to achieve a heart rate within the 'Very Vigorous Exercise' range, what percentage of their maximum heart rate should they target?
What is the primary role of extrinsic factors, such as nerves and blood chemicals, in regulating heart rate?
What is the primary role of extrinsic factors, such as nerves and blood chemicals, in regulating heart rate?
What happens to the heart rate when the cardiac muscles act without any external stimuli?
What happens to the heart rate when the cardiac muscles act without any external stimuli?
Which of the following controls can result in an accelerated heart rate due to exercise anticipation?
Which of the following controls can result in an accelerated heart rate due to exercise anticipation?
What is the typical upper limit of heart rate during exercise, as mentioned in the text?
What is the typical upper limit of heart rate during exercise, as mentioned in the text?
According to the chart's guidelines, what intensity level corresponds to a heart rate zone of 85% to the maximum?
According to the chart's guidelines, what intensity level corresponds to a heart rate zone of 85% to the maximum?
For a 50-year-old aiming to exercise at 'Moderate-Vigorous' intensity, approximately what percentage range of their maximum heart rate should they maintain?
For a 50-year-old aiming to exercise at 'Moderate-Vigorous' intensity, approximately what percentage range of their maximum heart rate should they maintain?
How do nerves that supply the myocardium influence heart rate?
How do nerves that supply the myocardium influence heart rate?
Which scenario best describes the role of intrinsic rhythmicity in cardiac muscle?
Which scenario best describes the role of intrinsic rhythmicity in cardiac muscle?
How does the anticipation of exercises specifically affect heart rate controls?
How does the anticipation of exercises specifically affect heart rate controls?
Why is the ability of nerves and chemicals to rapidly alter heart rate important?
Why is the ability of nerves and chemicals to rapidly alter heart rate important?
What occurs when the heart rate reaches its maximum around 200 bpm during intense exercise?
What occurs when the heart rate reaches its maximum around 200 bpm during intense exercise?
What immediate physiological response occurs to accommodate increased energy expenditure during exercise?
What immediate physiological response occurs to accommodate increased energy expenditure during exercise?
How do the cardiovascular and pulmonary systems work together to support increased oxygen and blood flow during exercise?
How do the cardiovascular and pulmonary systems work together to support increased oxygen and blood flow during exercise?
What is the significance of 'maximum HR body can handle during physical activity' (HRmax)?
What is the significance of 'maximum HR body can handle during physical activity' (HRmax)?
What does the 'maximum stroke volume' (SVmax) represent?
What does the 'maximum stroke volume' (SVmax) represent?
Cardiac output is the product of which two variables?
Cardiac output is the product of which two variables?
What cardiovascular adaptation primarily leads to blood flow redistribution after training?
What cardiovascular adaptation primarily leads to blood flow redistribution after training?
How does stroke volume typically change as a result of cardiovascular training?
How does stroke volume typically change as a result of cardiovascular training?
What typically happens to resting heart rate in individuals who undergo cardiovascular training?
What typically happens to resting heart rate in individuals who undergo cardiovascular training?
How is the ratio of VO2 (oxygen consumption) to heart rate affected by exercise training?
How is the ratio of VO2 (oxygen consumption) to heart rate affected by exercise training?
What changes in blood pressure are typically observed after cardiovascular training?
What changes in blood pressure are typically observed after cardiovascular training?
How does the ejection fraction typically change as a result of regular exercise?
How does the ejection fraction typically change as a result of regular exercise?
In an elite athlete compared to an untrained individual, how would the cardiac output differ at the same heart rate?
In an elite athlete compared to an untrained individual, how would the cardiac output differ at the same heart rate?
How does being in a trained state affect stroke volume compared to being untrained at very high heart rates (e.g., 180-200 bpm)?
How does being in a trained state affect stroke volume compared to being untrained at very high heart rates (e.g., 180-200 bpm)?
What is the likely relationship between treadmill speed and heart rate during a graded exercise test?
What is the likely relationship between treadmill speed and heart rate during a graded exercise test?
How does cardiovascular training affect the maximum stroke volume (SVmax) that can be achieved during exercise?
How does cardiovascular training affect the maximum stroke volume (SVmax) that can be achieved during exercise?
How does interval training or high-intensity exercise impact the maximum heart rate (HRmax) compared to endurance training?
How does interval training or high-intensity exercise impact the maximum heart rate (HRmax) compared to endurance training?
Elite athletes often exhibit significant differences in cardiac function compared to untrained individuals. How does stroke volume typically differ between these groups at rest?
Elite athletes often exhibit significant differences in cardiac function compared to untrained individuals. How does stroke volume typically differ between these groups at rest?
In the formula Cardiac Output = Stroke Volume x Heart Rate
, how will an increase in stroke volume affect heart rate if cardiac output remains constant?
In the formula Cardiac Output = Stroke Volume x Heart Rate
, how will an increase in stroke volume affect heart rate if cardiac output remains constant?
Following a period of consistent cardiovascular training, how does the relationship between heart rate and treadmill speed during exercise change?
Following a period of consistent cardiovascular training, how does the relationship between heart rate and treadmill speed during exercise change?
What is the most accurate interpretation of the statement 'CVS ensures its transportation' in the context of exercise physiology?
What is the most accurate interpretation of the statement 'CVS ensures its transportation' in the context of exercise physiology?
What is the immediate effect of vasoconstriction and vasodilation on blood flow redistribution?
What is the immediate effect of vasoconstriction and vasodilation on blood flow redistribution?
What changes occur in vascular resistance in active versus inactive tissues during exercise?
What changes occur in vascular resistance in active versus inactive tissues during exercise?
How does exercise affect the atria venous oxygen difference and venous oxygen concentration?
How does exercise affect the atria venous oxygen difference and venous oxygen concentration?
What is the effect of reduced plasma volume on red blood cell concentration and oxygen-carrying capacity?
What is the effect of reduced plasma volume on red blood cell concentration and oxygen-carrying capacity?
How does a larger stroke volume in a trained individual affect their resting heart rate?
How does a larger stroke volume in a trained individual affect their resting heart rate?
What is the primary cause of decreased blood pH during maximal exercise?
What is the primary cause of decreased blood pH during maximal exercise?
How does a larger stroke volume contribute to maximum cardiac output in a trained individual?
How does a larger stroke volume contribute to maximum cardiac output in a trained individual?
What mechanisms regulate blood redistribution?
What mechanisms regulate blood redistribution?
How is blood flow distribution altered during exercise compared to rest?
How is blood flow distribution altered during exercise compared to rest?
What is hemoconcentration and how is it related to exercise?
What is hemoconcentration and how is it related to exercise?
During maximal exercise, how does cardiac output differ between trained and untrained individuals?
During maximal exercise, how does cardiac output differ between trained and untrained individuals?
How does blood flow to the heart change during exercise, and why is this important?
How does blood flow to the heart change during exercise, and why is this important?
What is the primary effect of blood flow redistribution and blood pressure during exercise?
What is the primary effect of blood flow redistribution and blood pressure during exercise?
How does exercise-induced hemoconcentration directly influence oxygen delivery to tissues?
How does exercise-induced hemoconcentration directly influence oxygen delivery to tissues?
During exercise, what is the consequence of reduced blood flow to the kidneys?
During exercise, what is the consequence of reduced blood flow to the kidneys?
At rest, what percentage of cardiac output is distributed to the muscles?
At rest, what percentage of cardiac output is distributed to the muscles?
What is the difference in blood volume distribution to the skin between rest and maximal exercise, and what is its significance?
What is the difference in blood volume distribution to the skin between rest and maximal exercise, and what is its significance?
Given the redistribution of blood flow during exercise, how does the relative percentage of blood directed to the brain change?
Given the redistribution of blood flow during exercise, how does the relative percentage of blood directed to the brain change?
What effect does lactate accumulation during intense exercise have on the Hb dissociation curve and what does it imply?
What effect does lactate accumulation during intense exercise have on the Hb dissociation curve and what does it imply?
How does the sympathetic nervous system's influence on blood vessels facilitate increased blood supply to skeletal muscles during exercise?
How does the sympathetic nervous system's influence on blood vessels facilitate increased blood supply to skeletal muscles during exercise?
Flashcards
Physiologic Eccentric Hypertrophy
Physiologic Eccentric Hypertrophy
Heart enlargement due to endurance exercise. Characterized by increased ventricular dilation and proportionally increased wall thickness.
Physiologic Concentric Hypertrophy
Physiologic Concentric Hypertrophy
Heart enlargement due to strength training, where the chamber size remains the same or slightly increases, and the wall thickness increases moderately.
Pathologic Eccentric Hypertrophy
Pathologic Eccentric Hypertrophy
Heart enlargement due to volume overload, leading to significant increases in chamber size (dilated heart) and slight increase or normal wall thickness. Can progress to heart failure and arrhythmias.
Pathologic Concentric Hypertrophy
Pathologic Concentric Hypertrophy
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Function of Physiologic Eccentric Hypertrophy
Function of Physiologic Eccentric Hypertrophy
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Function of Physiologic Concentric Hypertrophy
Function of Physiologic Concentric Hypertrophy
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Reversibility
Reversibility
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Health impact of Pathologic Hypertrophy
Health impact of Pathologic Hypertrophy
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Acute Exercise
Acute Exercise
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Chronic Exercise (Overtraining)
Chronic Exercise (Overtraining)
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VO2 max
VO2 max
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Exercise Benefits
Exercise Benefits
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Exercise
Exercise
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Exercise + Homeostasis
Exercise + Homeostasis
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Exercise and Cardiac Health
Exercise and Cardiac Health
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Oxygen Utilization
Oxygen Utilization
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Physical activity
Physical activity
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Acute Exercise Effects
Acute Exercise Effects
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Intrinsic Rhythmicity
Intrinsic Rhythmicity
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Resting Heart Rate Range
Resting Heart Rate Range
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Extrinsic Factors and Heart Rate
Extrinsic Factors and Heart Rate
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Exercise Anticipation & HR
Exercise Anticipation & HR
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Maximum Exercise Heart Rate
Maximum Exercise Heart Rate
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Target Heart Rate Zone
Target Heart Rate Zone
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Light to Moderate Exercise Intensity
Light to Moderate Exercise Intensity
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Moderate to Vigorous Exercise
Moderate to Vigorous Exercise
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Very Vigorous Exercise
Very Vigorous Exercise
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Exercise & Blood Flow
Exercise & Blood Flow
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Cardiopulmonary Integration
Cardiopulmonary Integration
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Maximum Heart Rate (HRmax)
Maximum Heart Rate (HRmax)
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Max Stroke Volume (SVmax)
Max Stroke Volume (SVmax)
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Cardiac Output
Cardiac Output
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Pulmonary System in Exercise
Pulmonary System in Exercise
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Cardiovascular System (CVS)
Cardiovascular System (CVS)
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Cardiovascular Changes After Training
Cardiovascular Changes After Training
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Cardiac output determinants
Cardiac output determinants
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Exercise effect on Blood pressure
Exercise effect on Blood pressure
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Training Status Influence
Training Status Influence
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VOâ‚‚/HR Ratio
VOâ‚‚/HR Ratio
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Ejection Fraction Increase
Ejection Fraction Increase
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Blood Flow Redistribution
Blood Flow Redistribution
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Redistribution Mechanisms
Redistribution Mechanisms
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Regulation of Blood Flow
Regulation of Blood Flow
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Vascular Resistance Changes
Vascular Resistance Changes
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Oxygen Changes During Exercise
Oxygen Changes During Exercise
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Plasma Volume Reduction
Plasma Volume Reduction
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Hemoconcentration
Hemoconcentration
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Blood pH Decrease
Blood pH Decrease
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Stroke Volume and Heart Rate
Stroke Volume and Heart Rate
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Stroke Volume Effect
Stroke Volume Effect
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Resting Blood Flow
Resting Blood Flow
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Study Notes
- Increased energy expenditure requires rapid readjustments in blood flow, which is a sympathetic response.
- Integration of cardiovascular and pulmonary systems allows for increased demand for oxygen and blood flow during exercise.
- The pulmonary system ensures the uptake of more oxygen.
- The cardiovascular system ensures the transportation of oxygen.
- Heart rate increases with exercise intensity.
- HRmax is the maximum heart rate the body can handle during physical activity.
- Stroke volume is the maximum volume of blood ejected from the ventricles in each contraction or beat.
- Cardiac output (L) is the amount of blood pumped in 1 minute.
- Cardiovascular changes occur after training, including blood flow redistribution.
- Cardiac output is influenced by stroke volume (EDV + ESV) and heart rate.
- The ratio of VOâ‚‚ (oxygen consumption) to heart rate decreases.
- Blood pressure is altered (BPS, BPD, MAP) which training, and ejection fraction increases.
- Training status affects cardiac output and stroke volume.
- Untrained, trained, and elite individuals exhibit different cardiac output and stroke volume responses to heart rate changes.
- Two mechanisms control blood redistribution: vasoconstriction and vasodilation.
- Blood is redistributed to essential areas of the body, decreasing flow to others.
- Inactive organs/tissues experience increased vascular resistance.
- Muscle tissue experiences decreased vascular resistance.
- Regulation occurs via mechanoreceptors and the Autonomic Nervous System (ANS).
- The atria venous oxygen difference increases as venous Oâ‚‚ concentration decreases during exercise.
- This is due to the body extracting Oâ‚‚ from the blood.
- Plasma volume decreases as water is drawn from blood plasma and lost as sweat.
- Decreased plasma volume leads to increased concentration of red blood cells per unit of blood.
- Increases Oâ‚‚ carrying capacity, known as hemoconcentration.
- A larger stroke volume in trained individuals results in a lower resting heart rate.
- Blood pH decreases due to increased blood lactate accumulation, causing a shift in Oâ‚‚.
- The cardiac output and blood flow distribution at rest and during exercise differ significantly.
- At rest, cardiac output is 5000 mL, while during exercise, it increases to 25,000 mL.
Blood Flow Distribution at Rest
- Muscle receives 20% (1000 mL).
- Liver receives 27% (1350 mL).
- Kidneys receive 22% (1100 mL).
- Brain receives 14% (700 mL).
- Skin receives 6% (300 mL).
- Heart receives 4% (200 mL).
- Other organs receive 7% (350 mL).
Blood Flow Distribution During Exercise
- Muscle receives 84% (21,000 mL).
- Liver receives 2% (500 mL).
- Kidneys receive 1% (250 mL).
- Brain receives 4% (1000 mL).
- Skin receives 2% (600 mL).
- Heart receives 4% (900 mL).
- Other organs receive 3% (750 mL).
Cardiac Output at Rest for Untrained Individuals
- Averages 5 L/min.
- This equals 70 beats/min x 71 mL.
Cardiac Output at Rest for Trained Individuals
- Averages 5 L/min.
- This equals 50 beats/min x 100 mL.
Cardiac Output During Maximal Exercise for Untrained Individuals
- Averages 22 L/min.
- This equals 195 beats/min x 113 mL.
Cardiac Output During Maximal Exercise for Trained Individuals
- Averages 35 L/min.
- This equals 195 beats/min x 179 mL.
- Larger stroke volume in trained individuals results in greater maximum cardiac output.
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