*EXAM1- CV Assessments Flashcards

1
Q

VO2 max

A

rate of oxygen uptake during maximal aerobic exercise

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2
Q

VO2 max is the criterion measure for ____

A

CR fitness

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3
Q

Fick equation

A

VO2 = Q x a-VO2 difference

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4
Q

Q in Fick equation

A

cardiac output
-Q = HR x SV

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5
Q

what is the central component of VO2 max

A

cardiac output

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6
Q

what does better cardiac output mean

A

we can better pump blood to periphery

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7
Q

main thing that changes SV with training

A

plasma volume
-quick adaptation, within weeks

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8
Q

a-VO2 difference

A

difference in oxygen levels of the arteries + veins
-capillaries are found between arteries/veins + are where oxygen extractions occurs

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9
Q

what is the peripheral component of VO2 max

A

a-VO2 difference

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10
Q

a better a-VO2 difference means

A

we can better extract oxygen from environment

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11
Q

what are some things that can increase a-VO2 difference

A

-# mitochondria
-# capillaries
-# aerobic enzymes
-capillary usage
-myoglobin
-etc.

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12
Q

adaptations that increase cardiac output (which increases VO2 max)

A

increased:
-SNS activity
-norepinephrine
-Ca2+
-contractility
-plasma volume
-LV hypertrophy
-EDV (preload)
-SV
-muscle pump (contracting muscle)
-repsiratory pump (deeper breathing)
-venoconstriction (SNS)

decreased:
-constriction to active areas
-afterload

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13
Q

adaptations that increase a-VO2 difference (which increases VO2 max)

A

increased:
-SNS activity
-arterioles to inactive areas
-muscle blood flow
-autoregulation (vasodilation)
-capillary #
-capillary recruitment
-mitochondria
-oxidative enzymes
-myoglobin

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14
Q

how to convert from relative to absolute VO2

A

multiply x BW/1000

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15
Q

units for absolute VO2

A

L/min
-or mL/min

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16
Q

absolute VO2

A

-directly related to body size
-used to express energy expenditure in non-weight-bearing exercises

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17
Q

what is absolute VO2 good for

A

bioenergetics
-we find out how many calories a person is burning, indirect calorimetry

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18
Q

smaller/larger person will have a higher absolute VO2

A

larger

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19
Q

units for relative VO2

A

mL/kg/min

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20
Q

relative VO2 can be influenced by what

A

-changes in CV system
-changes in BW

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21
Q

relative VO2

A

-compared across individuals
-used to express energy expenditure in weight-bearing exercises

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22
Q

smaller/larger person would have a higher relative VO2

A

smaller

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23
Q

when evaluating CR fitness, we use relative/absolute VO2

24
Q

the older an individual gets…lower/higher VO2

25
what must we do before we start testing
estimate maximal HR
26
HR max equation
220 - age
27
what is the only thing that chronically affects maximal HR
age
28
exam question- if someone has bad balanace, which mode should they use
cycle ergometry
29
when would we use arm ergometry
lower limb disability patients
30
a-VO2 difference graph
plateau around 40-60% max effort
31
SV graph
plateau around 40-60% max effort
32
MAP graph
linear increase entire time
33
DBP graph
stays the same
34
SBP graph
linear increase
35
when would a submaximal test be terminated
if it reaches 85% client's HR max -because no longer submax
36
assumptions for submaximal testing
-linear relationship between HR + VO2 between 110-150 bpm -HR from 2 workloads can be plotted against VO2 + used to extrapolate HR max; HR max is then used to estimate VO2 max -HR max is similar for individuals of similar age -steady state HR can be achieved in 3-4 min at the same workload -equal mechanical efficiency for everyone at a given workload; same caloric expenditure + same absolute oxygen requirements
37
what plateaus at 40-60%
SV -after that, only HR will affect VO2
38
general procedures for submaximal testing
-obtain resting HR + BP immediately before exercise in the exercising posture -client should be familiarized with equipment being used -2-3 min warm up -HR should be monitored for each stage of exercise + should be at steady state -steady state = within 5 bpm -BP should be measured once per stage -RPE should be monitored -appropriate cool down should be initiated -all physiological measurements should be continued for 5 min after test stops
39
maximal testing
goes to volitional fatigue
40
max or submax tests are more accurate
max
41
if VO2 max isn't reached...
we hit a peak
42
PRIMARY criteria for determining if individual hit a VO2 max
plateau in VO2 with an increased intensity <150 mL/min
43
if primary criteria for determining if individual hit a VO2 max isn't reached...
2 of the criteria below must be reached to be considered a max -post-exercise blood lactate > 8 mmol/L -RER > 1.15 -reach max HR (220-age) +/- 10bpm -RPE > 17
44
RER
respiratory exchange ratio
45
RER is ratio of what
CO2 produced/O2 consumed
46
what does RER tell us
indication of substrate use -aka what macronutrient we are using
47
nomogram
indirect estimate of VO2 max
48
regression equations
indirect estimate of VO2 max
49
graded test
fitness test that uses multiple stages of increasing intensity to measure or estimate CR fitness
50
single stage protocol
client exercises at 1 intensity + then the CR fitness is estimated from their performance
51
can single stage protocol be for a max test
NO- only submax
52
majority of metaolic carts used for VO2 analysis are open/closed-circuit spirometry
open -including the Parvo-medic cart used in lab
53
**be able to do graphing method for FRQ
54
graphing method gives us
relative VO2
55