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Major functions:
Blood delivering O2 & nutrients & picking up waste products, returns through the
great veins – superior vena cava & inferior vena cava to the right atrium (RA).
The (RA) chamber receives all the body’s deoxygenated blood.
From the (RA), blood passes through the tricuspid valve into the right ventricle
(RV).
The (RV) chamber pumps the blood through the pulmonary semilunar valve into
pulmonary artery, which carries the blood to the lungs.
Thus, the right side of the heart is known as the pulmonary side, sending the blood
that has circulated throughout the body into the lungs for reoxygenation.
After receiving a fresh supply of O2, the blood exits the lungs through the
pulmonary veins, which carry it back to the heart & into the left atrium (LA).
The (LA) chamber receives all the freshly oxygenated blood.
From (LA), blood passes through the bicuspid (mitral) valve into the left ventricle
(LV).
Blood leaves the left ventricle by passing through the aortic semilunar valve into
the aorta, which sends it out to all body parts & systems.
The left side of the heart is known as the systemic side – receives the oxygenated
blood from the lungs then sends it out to supply all body tissues.
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11. Cardiovascular Control During Exercise
* The atria receive blood into the heart; the ventricles eject blood from the heart.
Left ventricle must produce more power than other chambers because has to pump
blood to all parts of the body; therefore its myocardium is thicker, due to
hypertrophy.
Cardiac muscle has the unique ability to generate its own electrical signal, called
autoconduction, which allows it contract rhythmically without neural stimulation.
The intrinsic heart rate (HR) averages 70 -80- beats per minute (contractions).
HR can drop below this rate in endurance-trained people.
The impulse for heart contraction is initiated in the sinoatrial (SA) node, a group
of specialized cardiac muscle fibers located in the posterior wall of the right
atrium.
This tissue (SA node) generates the impulse at about 60 -80 beats per minutes.
SA node is known as the heart’s pacemaker, & the beating rate is establishes is
called the sinus rhythm.
The electrical impulse generated by the SA node spreads through both atria &
reaches the atrioventricular (AV) node, located in the right atrial wall near the
center of the heart.
As the impulse spreads through the atria, both atria are signaled to contract
immediately & simultaneously.
AV node conducts the impulse from the atria into the ventricles.
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11. Cardiovascular Control During Exercise
The impulse is delayed by about 0.13s as it passes through the AV node, then it
enters the AV bundle.
The delay allows the atria to fully contract before the ventricle, maximizing
ventricular filling.
AV bundle travels along the ventricular septum & then sends right & left bundle
branches into 2 ventricles.
These branches send the impulse toward the apex of the heart, then outward.
These terminal branches of the AV bundles are the Purkinje fibers (Pf).
Pf transmit the impulse through the ventricles 6 times faster than the rest of the
cardiac conduction system.
* SA node is the heart’s pacemaker, establishing the pulse and coordinate activity
throughout the heart.
The heart initiates its own electrical impulse (intrinsic control), their timing & effects
can be altered through 3 extrinsic system:
Acts on the heart through the vagus nerve (cranial nerve X).
Parasympathetic stimulation = vagal tone
Vagus nerves has a depressant effect, it slows impulse conduction & thus
decrease the HR.
Maximal vagal stimulation can lower the HR to 20 -30 beats per minute.
Vagus nerve also decreases the force of cardiac contraction.
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11. Cardiovascular Control During Exercise
* Heart rate and contraction strength of the heart can be altered by the autonomic
nervous system or the endocrine system.
Cardiac Arrhythmias
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11. Cardiovascular Control During Exercise
The P wave represents atrial depolarization & occurs when the electrical impulse
travels from the SA node through the atria to the AV node.
The QRS complex represents ventricular depolarization & occurs as the impulse
spreads from the AV bundle to the Purkinje fibers & through the ventricles.
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11. Cardiovascular Control During Exercise
Cardiac Cycle
• SV = EDV - SDV
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11. Cardiovascular Control During Exercise
• The proportion of blood pumped out of the left ventricle at each beat.
• Expressed as a percentage, average 60% at rest. Thus 60% of the blood in the
ventricle is ejected & 40% remains.
• Average adult body contains 5 L of blood, so this means all our blood is pumped
through our heart about once every minute.
Composed of a series of vessels that transport blood from the heart to the tissue
and back.
Arteries are typically the largest, most muscular, & most elastic vessels, & carry
blood away from the heart to the arterioles.
From the arterioles, blood enters the capillaries, the narrowest vessels.
All exchange between the blood and the tissues occurs at the capillaries.
Blood leaves the capillaries to begin the return trip to the heart in the venules, &
the venules form larger vessels – the veins - that complete the circuit.
*Heart has also own vascular system – coronary arteries & veins
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11. Cardiovascular Control During Exercise
• Blood returns to the heart through the veins, assisted by breathing, the muscle
pump, and valves within the vessels.
Distribution of Blood
• Varies depending on the needs of specific tissue & of the whole body.
• At rest – Most metabolically active tissue receive the greatest blood supply:
27% to liver; 22% to kidneys & only 15% to skeletal muscles.
• During exercise – blood is redirected to the needed areas. Heavy endurance
exercise, skeletal muscles receive up to 80% or more of the available blood.
• After meal – digestive system receives more blood.
• During heat stress – the skin’s blood supply increases as the body attempts to
maintain normal temperature.
*Blood is redistributed throughout the body based on the tissues’ needs. The most
active tissues receive the most blood. (The more active the muscle is, the more
blood goes to it.)
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11. Cardiovascular Control During Exercise
• Redistribution of Venous Blood – At rest 64% blood in the veins, but during
exercise SNS causes vasoconstriction of these veins, therefore more blood flow to
areas in need.
Blood Pressure
• The pressure exerted by the blood on the vessel walls, & the term usually refers to
the arterial blood pressure.
• Expressed by 2 numbers: the systolic pressure & the diastolic pressure.
BP = Systolic BP
Diastolic BP
*Systolic blood pressure is the highest pressure within the vascular system.
Diastolic blood pressure is the lowest pressure. Mean arterial pressure is the
average pressure on the vessel walls
Hypertension
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11. Cardiovascular Control During Exercise
3. The Blood
• Blood & lymph are substances that transport materials to & from body tissues.
• Fluid from plasma enters the tissues, becoming interstitial fluid. Most interstitial
fluid returns to the capillaries, but some enters the lymphatic system as lymph,
eventually returning to the blood.
• Blood volume = 5-6 L in males & 4-5 L in females.
Blood Composition
• Plasma – 55% (90% water, 7% plasma proteins & 3% others)
• Formed elements - 45% (> 99% RBC & < 1% WBC & platelets)
RBC (Erythrocytes)
• % RBC volume in the blood is hematocrit (normal = 40-45%)
• O2 is primarily transported bound to the hemoglobin in RBC.
• RBC contains hemoglobin: Protein (globin) & Pigment (heme) that contains iron that
binds O2.
• Each RBC contains approximately 250 million hemoglobin
molecules, each able to binds 4 O2 molecules, so each RBC can bind up to a billion
molecules of O2.
• Average 15 g Hb per 100 ml of whole blood.
Blood Viscosity
• Viscosity refers to the thickness or stickiness of the blood.
• The more viscous, the more resistant it is to flow.
• Viscosity of blood is about twice than water.
• Increase viscosity of blood = Increase resistance of blood flow
• Increase hematocrit = Increase resistance of blood flow
• CV system’s normal adaptations to training – Increase hematocrit & normal or
slightly increase RBC.
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11. Cardiovascular Control During Exercise
SUMMARY
1. The atria receive blood into the heart; the ventricles eject blood from the heart.
2. Left ventricle must produce more power than other chambers because has to pump
blood to all parts of the body; therefore its myocardium is thicker, due to hypertrophy.
4. SA node is the heart’s pacemaker, establishing the pulse and coordinate activity
throughout the heart.
5. Heart rate and contraction strength of the heart can be altered by the autonomic
nervous system or the endocrine system.
8. Blood returns to the heart through the veins, assisted by breathing, the muscle
pump, and valves within the vessels.
9. Blood is redistributed throughout the body based on the tissues’ needs. The most
active tissues receive the most blood.
12. Blood & lymph are substances that transport materials to and from body tissues.
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11. Cardiovascular Control During Exercise
Resting HR
• Averages 60-80 bpm.
• In middle-aged, unconditioned, sedentary individuals, RHR can exceed 100 bpm.
• High conditioned, endurance-trained athletes, RHR in the range of 28-40 bpm.
• RHR affected by environmental factors: RHR increases with extreme
temperature and altitude.
HR During Exercise
• As exercise intensity increases, HR increases. The heart ejects blood more often,
thus speeding up circulation.
• HR increases directly as increase in exercise intensity, until a point of exhaustion.
As this point is approached, HR begins to level off. This indicates the maximum
value is reached.
Steady State HR
• HR increase during submaximal exercise until reaches a plateau. This plateau is the
steady state HR, & it is the optimal HR for meeting the circulatory demands at that
specific rate of work.
• Lower rate of steady state HR shows a more efficient heart.
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11. Cardiovascular Control During Exercise
2. Stroke Volume
• SV increases with the increase rates of work, so the amount of blood ejected
with each contraction increases.
• SV is determined by:
1. Volume of venous blood returned to the heart
2. Ventricular distensibility,(the capacity to enlarge the ventricle)
3. Ventricular contractility
4. Aortic or pulmonary artery pressure (the pressure against which the
ventricles must contract)
4. Blood flow
• The metabolic rate of the muscle tissues rises during exercise. As a result,
metabolic waste products begin to accumulate.
• Increased metabolism causes an increase in acidity, CO2 & temperature in the
muscle tissue. These changes trigger vasodilation through autoregulation (effect of
SNS), increasing blood flow through the local capillaries.
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11. Cardiovascular Control During Exercise
6. Blood
• The changes that occur in the blood during exercise demonstrate that the blood is
carrying out its necessary tasks. The major changes are:
1. The arterial-venous oxygen difference (a-vO2 diff) increases. This happens
because the venous O2 concentration decreases during exercise, reflecting
increased extraction of O2 from the blood for use by the active tissues.
2. Plasma volume decreases during exercise. The fluid (water) is pushed out of
the capillaries by increases in hydrostatic pressure as BP increase & is drawn
into the muscle by the increased osmotic pressure that results from waste
accumulation. However, with prolonged exercise or exercise in hot environment,
increasingly more plasma fluid is lost through sweating in an attempt to maintain
body temperature, placing the person at risk of dehydration.
3. Hemoconcentration occurs as plasma fluid is lost. Although the actual
number of RBC might not increase, the net effect of this process is to increase
the number of RBC per unit of blood, which increases oxygen –carrying capacity.
4. Blood pH can change significantly during exercise, becoming more acidic as it
move from the slightly alkaline resting value of 7.4 down to 7.0 or lower. The
muscle pH decreases even further. The decrease in pH primarily results from
increased blood lactate accumulation during increased exercise intensity.
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11. Cardiovascular Control During Exercise
SUMMARY
1. As exercise intensity increases, Heart rate increases. The heart ejects blood
more often, thus speeding up circulation.
2. Stroke volume also increases with the increase rates of work, so the amount of
blood ejected with each contraction increases.
3. Increases in HR & SV increase cardiac output (Q). Thus more blood is forced out
of the heart during exercise than when at rest, and circulation speed up.
4. During exercise, cardiac output increases primarily to match the need for increased
O2 supply to the working muscles.
5. During exercise, the muscles receive up to 80%- 85% of the cardiac output.
10. When plasma volume reduces, hemoconcentration occurs as plasma fluid is reduced
and increasing the concentration of the substances that remain in the blood.
11. Blood pH can change significantly during exercise, becoming more acidic due to
increases in blood lactate.
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