Cardiovascular System & Response to Exercise Flashcards

1
Q

Cardiac Regulation

A

SA node - pacemaker, located in R atrium
- intrinsic rate ~72 bpm (60-100 norm)

Can be controlled by AV node under certain circumsances w/ a slower pace than SA node control

-can be influenced by environment (high altitude means less O2 causing an Increased HR)

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2
Q

ECG

A

electrocardiogram - measure ELECTRICAL activity of the heart (NOT actual contraction)

P wave - atrial depolarization (about to squeeze)
QRS complex - ventricular depolarization
T wave - ventricular repolarization

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3
Q

Major Cardiac Functions (5)

A
  1. Deliver O2 & nutrients
  2. Maintain homeostasis, balance of pH, etc
  3. Removal of metabolic waste
  4. Transport hormones
  5. Prevention (if healthy)
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4
Q

VO2 max

  • what is it
  • aging?
  • response to exercise
A

maximal oxygen consumption during exercise; how well heart, lungs, vessels work together to support exercise
#1 measure of CV fitness
- decreases as you age

Equation = VO2 max = Q x a-v O2 difference

Response to Exercise:

  • submaximal VO2 decreases because the heart is working more efficiently at lower intensities post training
  • maximal VO2 increases
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5
Q

A-V O2 difference

  • what is it
  • normal vs. exercise levels
  • response to exercise
A

the difference in the amount of oxygen in the arterial system and the venous system (A Minus V)
(aka how much O2 our muscles extract)

Normal = 5 mL/O2/100mL/dl
Exercise = 15
WHY - b/c you are extracting more O2 during exercise (ie. arterial (20) minus venous (5) = 15)

Response to exercise:
- increase due to increased capillarization of muscles and mitochondrial density allowing you to extract more O2

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6
Q

Cardiac output

  • what is it
  • what happens during exercise
  • response to training
A

the amount of blood pumped out of the heart per unit time
(Q = SV x HR)

Resting = 5 L/min, Exercising = 20 L/min (increases LINEARLY w/ exercise)

  • up to 50% of maximal capacity, increase in Q is due to increase in SV
  • after 50% increase in Q primarily due to increase in HR

Response to training:

  • remains unchanged at submaximal intensities b/c of play between HR & SV (SV will increase, but HR will decrease)
  • Increased Q at maximal effort or w/ higher intensities b/c increased conditioning and SV
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7
Q

Principles that affect SV

A

Preload: increase in preload = increase SV = increase Q
-increased via venoconstriction or when in supine

Afterload:

Contractility: contractility influenced by the stretch of the heart; greater volume = greater stretch = increased contractility = increased SV

& HR

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8
Q

Stroke Volume

  • what is it
  • normal resting vs. maximal
  • response to training
A

end diastolic volume MINUS end systolic volume
(amount of blood in ventricle right before contraction & amount left over)
SV = EF/EDV
**impt factor when determining someone’s VO2 max

Normal = 70 mL/beat, Exercising 100-200mL/beat

increases CURVILINEARLY w/ exercise intensity, tapers off around 50% b/c HR takes over

Response to training:

  • SV increases during submax & maximal effort due to greater ability to pump blood
  • allows individual to work at a lower HR b/c more efficient
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9
Q

Frank Starling Method

A

explains why SV increases due to training

More blood in the ventricle causes a greater stretch and contracts w/ increased force

greater stretch = greater contractility = increased SV

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10
Q

Ejection Fraction

  • what is it
  • avg of healthy adult
  • response to exercise
A

proportion of blood pumped out of the left ventricle per beat
EJ = SV/EDV

average = 60% in healthy adults; meaning 60% of total amount of blood in ventricle is being pumped out

Response to exercise”
- increases

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11
Q

Heart Rate

  • normal
  • aging
  • response to exercise
A

60-100 bpm

resting HR remains the same or slighly increases as you age due to decreased PNS control

Response to exercise:
- resting HR decreases b/c maximizes SV
(sedentary ppl can decrease by 1bpm/week)
- HR recovery time decreases
- Overtraining indicated by flucuations of 10 bpm

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12
Q

Anaerobic Threshold

  • what is it
  • above vs. below AT
  • response to exercise
A

rise in Co2 disproportionate to rise in O2 indicating energy can no longer be solely supplied by aerobic metabolism

  • -> yields build up of lactic acid
  • -> usually around 1.0 RER where you will hit your AT

At or BELOW AT you can sustain exercise intensity comfortable

ABOVE AT you can no longer sustain prolonged workload

Response to Exercise:
- AT can increase via interval training; more efficient at clearing metabolic waste

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13
Q

Respiratory Exchange Ratio

  • what is it
  • what does it indicate
A

ratio of VCO2/VO2 in venous blood

Determines what energy source our body is utilizing; a high VCO2 usually indicates high intensity exercise

  1. 7 = fat (more O2 in venous blood than CO2)
  2. 85 = carbs & fats 50/50
  3. 9 - 1.0 = carbs, glycolysis & lactic acid build up

RER > 1.0 indicates anaerobic metabolism
RER > 1.09 indicates MAX effort
- the earlier you reach max (aka hit the AT) the less fit you are

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14
Q

Blood Volume

- response to exercise

A

blood volume will INCREASE w/ endurance training

  • plasma INC, RBC INC, but hematocrit DEC b/c greater increase in plasma

highly coorelated w/ increases in SV & VO2 max

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15
Q

Autonomic Nervous System Control of Heart

A

Parasympathetic - responsible for housekeeping

  • Vagus Nerve
  • fibers into atria
  • in control during rest & light to mod exercise

Sympathetic - responds to stimuli, maintains homeostasis

  • catelcholamines control (epinephrine, norepinephrine)
  • increase HR, increase blood flow
  • in control during higher intensity (>75% of MHR) & maximal effort (doubles contractility)
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16
Q

Cardiac Cycle

A

events that occur between two consecutive heart beats (systole to systole)

Diastole (relaxation) P wave to QRS

  • inlet valves open, outlet closed
  • ventricular filling w/ “atrial kick”

–> inlet valves close (S1 sound), increasing pressure in ventricle, ready to contract

Systole (contraction) QRS to T wave

  • isovolumentric contraction (ventricular pressure > atrial pressure)
  • inlet valves closed, outlet valves open
  • ejection phase
  • SV = end diastolic minus end systolic volume
17
Q

Cardiac Output in Children during Exercise

A

increases 3-4x during exercise mainly due to increased HR (low SV so must compensate w/ HR)

boys have slightly lower HR & higher SV

18
Q

HR in Children during Exercise

A

Submaximal HR declines w/ age
- an 8yr old and 18 yr old could be performing the same task but 8 yo has HR 30-40x higher due to lower SV

MHR ranges from 195 - 210 (MHR calc not accurate)

Girls have higher HR by 10-20 beats
Boys have faster post-exercise decline

Acclimatized vs. non can cause variations of 15-20bpm

19
Q

Blood Pressure in Children during Exercise

A

Systolic BP will increase proportionally to intensity; DBP should only flucuate 6-10
- SBP > 220 is of concern

A smaller child will have a LOWER BP

Boys have a higher peak SBP than girls due to greater SV

African Americans tend to have higher