healthy train adapt Flashcards

1
Q

What is concentric hypertrophy of the heart?

A

Increased LV muscle mass

Myocytes added in parallel

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2
Q

What is eccentric hypertrophy of the heart?

A

increased LV chamber volume

sarcomeres added in series

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3
Q

What adaptations occurs after aerobic training which result in an increased SV?

A

increased contractile function
increased LV chamber volume
increased LV muscle mass
increased plasma volume

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4
Q

what is La Place’s Law?

A

Tension= (pressure X radius)/ wall thickness

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5
Q

Why is La Place’s law important?

A

because radius and thickness are proportional therefore tension remains the same= o2 demand doesn’t increase

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6
Q

What 2 factors are responsible for adaptations in the heart?

A

Mechanical and hormonal factors

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7
Q

What are the 4 hormonal factors that cause heart adaptations in healthy individuals?

A

Epinephrine
Renin- angiotensin- aldosterone
GH/GF
Thyroid

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8
Q

What type of heart hypertrophy does endurance exercise cause?

A

Eccentric

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9
Q

Define angiogenesis

A

increase in the number of capillaries

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10
Q

Why do healthy patients see an increase in heart contractility after aerobic training?

A

increased Ca2+ binding
increased Na/Ca2+ exchanger pumps
increased CA2+ stored in sarcoplasmic reticulum
increased Ca2+ sensitivity by ATPase expression

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11
Q

Why is an increased parasympathetic tone an important adaptation for cardiac patients?

A

slows HR therefore filling time increases

It also increases HR variability

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12
Q

How much does SV increase after aerobic training in cardiac patients?

A

0-18%

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13
Q

What are the heart adaptations to aerobic training in cardiac patients?

A
increased SV
Increased parasympathetic tone
decreased bloody viscosity
increased coronary collaterals
improved blood flow through existing vessels
regression of stenosis
decreased endothelial dysfunction
decreased myocyte length
decreased resting HR
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14
Q

How much does Vo2peak increase by in cardiac patients?

A

10-50%

mean =20%

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15
Q

What is RPP?

A

Rate Pressure Product

RPP= SBP x HR

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16
Q

Predicting max Hr for healthy male equation

A

208 - (0.7 X age)

17
Q

B block patient HR max equation

A

203- (1.49 X age)

18
Q

% HRR for MI

A

50-70%

19
Q

Progressive overload for cardiac patients= how much, every how many weeks??

A

10% every 2 weeks

20
Q

size of strength gain in cardiac patient?

A

20-30%

21
Q

what does digoxin do?

A

slow signal through AV node

22
Q

Affects of diuretics on HR, BP, ischaemia and exercise capacity

A

Decrease blood pressure

no effects on anything else

23
Q

Affects of ACE inhibitors

A

decrease blood pressure

24
Q

Affects of nitrate medication

A

increase HR, decrease bp, decrease ischaemia and increase exercise capacity

25
Q

When should MI patients start rehab?

A

2-4 weeks later