W4-L5: Exercise and blood pressure Flashcards
What happens to blood flow during exercise
During exercise, local arterioles of active muscles dilate, while vessels to tissues that can temporarily compromise their blood supply constrict
What Two factors contribute to reduced blood flow to non-active tissues?
- Increased sympathetic nervous system outflow
- Local chemicals that directly stimulate vasoconstriction or enhance effects of other vasoconstrictors
Factors Within Active Muscle
slide 56
What do The opening of dormant capillaries in exercise cause?
The opening of dormant capillaries in exercise:
- Increases total muscle blood flow
- Delivers a large blood volume with only a minimal increase in blood flow velocity
- Increases effective surface for gas and nutrient exchange
Vasodilation occurs from local factors related to tissue metabolism that act directly on smooth muscle bands of small arterioles and precapillary sphincters
What casues this?
- Examples include decreased tissue oxygen and local increases in blood flow, temperature, carbon dioxide, acidity, adenosine, mg and k+ ions, and nitric oxide production by endothelial cells lining the blood vessels
- Venous system may also increase local blood flow by “assessing” increases in the metabolic needs of active muscle and releasing vasodilatory factors
How does Nitric Oxide dilate blood vessels?
- Nitric oxide dilates blood vessels by activating guanylate cyclase in smooth muscle cells, increasing cGMP levels, and leading to smooth muscle relaxation and vessel dilation.
- Nitric oxide serves as a signal molecule that dilates blood vessels and decreases vascular resistance
- Stimuli from diverse signal chemicals and sheering stress and vessel stretch from increased blood flow through the vessel lumen provoke NO synthesis and released by vascular endothelium
- In CHD, vascular endothelium produces less NO
Integrative Response During Physical Activity
Integrative Response During Physical Activity
- Initiation: Neural command center initiates cardiovascular changes pre- and during movement.
- Heart Rate and Contractility: Increase due to feed-forward input, reducing parasympathetic activity.
- Blood Flow: Adjusts predictably with exercise intensity.
- Vessel Modulation: Dilates/constricts to optimize blood flow and maintain blood pressure.
- Local Metabolic Effects: Directly dilate vessels in active muscle, reducing peripheral resistance.
- Vasoconstriction: Occurs in inactive tissues to ensure adequate blood flow to both active muscles and inactive areas.
Why is a Heart transplant bad for exercise?
Getting a heart transplant negatively affects exercise ability because the transplanted heart lacks direct neural connections, resulting in a slower and less efficient response to exercise demands, including slower heart rate adjustments and reduced peak exercise capacity.
Exercise HR before/ after transplant
Resistance to blood flow is primarily influenced by three factors: blood viscosity, vessel length, and vessel radius.
Viscosity and length of the vessel directly affect resistance—higher viscosity and longer vessel length increase resistance.
Radius of the vessel has a profound effect due to the inverse relationship, where even a small decrease in radius results in a substantial increase in resistance, and an increase in radius significantly reduces resistance.