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1 Lab 4: The Human Cardiovascular System: Measuring the Effects of Activity on Cardiovascular Properties and Function Jana Wong Group Members: Bryan Lairmore, Jessica Chang, Amanda Perez-Stires TA: Nicholas Klug; Section 9 November 7, 2013

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Page 1: Lab 4: The Human Cardiovascular System: Measuring · PDF file1 Lab 4: The Human Cardiovascular System: Measuring the Effects of Activity on Cardiovascular Properties and Function Jana

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Lab 4: The Human Cardiovascular System: Measuring the

Effects of Activity on Cardiovascular Properties and Function

Jana Wong

Group Members: Bryan Lairmore, Jessica Chang, Amanda Perez-Stires

TA: Nicholas Klug; Section 9

November 7, 2013

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INTRODUCTION

The cardiovascular system is a crucial part of the human body function, creating a never ending

cycle of nutrient transport to keep every cell alive. The cardiovascular system uses blood to transport

nutrients into tissues and waste out of tissues throughout the body via blood vessels. Blood vessels are

broken up into different types – arteries, arterioles, capillaries, venules, and veins. Through systemic

circulation, oxygen rich blood is carried from the heart, through the arteries which branch into arterioles,

then to capillaries, where nutrient and gas exchange can occur. After the exchange occurs, capillaries

then branch into venules and then to veins to allow blood to be carried back to the heart and go through

the pulmonary circulation to become oxygen rich once again. The heart utilizes the systemic and

pulmonary circulation to create a pressure system to pump blood through the body successfully

(Sherwood, 2010, p. 303). By measuring blood pressure, the pressure system that the heart creates can

be monitored for changes and abnormalities.

There are many circumstances in life that can cause changes in heart activity, ultimately altering

the pressure gradient that is created by the heart and its components. Many times, these changes in

cardiovascular properties are related to changes in the autonomic nervous system, particularly the

sympathetic and parasympathetic responses. Past studies have shown research linking the human

cardiovascular system with responses to changes in posture, physical activity, and temperature. In

postural changes, studies have shown that sympathetic activity is initiated in vertical postures

(Watanabe, Reece, & Polus, 2007) Other studies have shown that an increase in physical activity causes

an increase in skeletal muscle metabolic demand, stimulating sympathetic activity to increase heart

activity to meet the increased needs. Temperature can also be a factor in a survival response, activating

parasympathetic input causing a decrease in heart rate when receptors in the face sense cold water in

order to conserve oxygen (Jay, Christensen, & White, 2006, p. 199) Studies like these have shown that

various triggers can cause a change in cardiovascular behavior.

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In this experiment, changes in cardiovascular responses will be observed in different situations.

In posture change, it is expected that blood pressure and heart activity decreases when going from a

supine to upright position due to gravitational effects. Vasodilation in response to metabolites will be

observed and it is expected that when the arm is cuffed, the arm will lose its color and temperature, but

will return to normal once the cuff is removed. The different properties of the venous system will be

observed through occlusion of a vein to observe venous valves, inflation of a cuff on the bicep to

observe an increase in forearm circumference due to venous distensibility, and gravity effects on venous

return and congestion. The effects of exercise on cardiovascular properties will also be observed and it is

expected that increase in intensity of exercise will cause an increase in blood pressure, heart rate, etc.

Lastly, the dive reflex will be observed by having a student hold his/her breath in cold water and it is

expected that heart rate will decrease in this situation.

MATERIALS AND METHODS

Detailed procedures for each part of the experiment can be found in the second edition NPB 101L

Physiology Lab Manual compiled by Erwin Bautista and Julia Korber. There are six parts of this lab,

each with its own objective to be observed. In the first part of the lab, students practiced measuring

blood pressure on each other using a stethoscope and sphygmomanometer. This was done by inflating

the cuff to 180 mmHg and slowly releasing the pressure, listening for the first beat, correlating to the

systolic pressure, and the last beat, correlating to the diastolic pressure. This was done three times per

person, taking the average of the trials. This part of the lab has been omitted from this report. In the next

part, the subject was put in a supine position and tilted by one person instead of two as stated in the lab

manual, blood pressure was taking by two people but only the values from the left arm were used in data

analysis due to measurement errors. Biopac software was used to measure heart activity; from this, heart

rate was determined using an average of ten beats. In part three of the lab, the subject’s arm was cuffed,

he clenched his fist repeatedly with his arm above his head, and the cuff was inflated. After this, the cuff

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was ripped off and his arms were returned to the tabletop for observation. In part four of the experiment,

the subject did four separate studies. In the first, the subject held his arm above his head for one minute

and then returned his arms to the table for observations. In the next section, the subject held one arm

above his head and slowly lifted his other arm starting from his side and observers looked for a

protruding vein to collapse. In the next section, the subject’s arm was cuffed and inflated to protrude

veins further. A protruding vein was occluded and blood was pushed towards the heart and away from

the heart for observations. In the last section, the subject’s arm was cuffed, held over his head for two

minutes, and his forearm circumference was measured. After the measurement, the cuff was inflated to

20 mmHg and the procedures repeated; this was repeated for pressures of 30, 40, and 60 mmHg. In part

five of the lab, heart activity was recorded using the Biopac software while the subject pedaled on the

exercise bike at a constant rate and various workloads while two people measured blood pressure at

given times throughout the exercise. Heart rate was taking from the recorded heart activity from the

average of ten beats. P-T interval calculations have been excluded from this report. In the last part of the

lab, the subject first held her breath above a container of cold water for 30 seconds as a control trial and

then held her breath for as long as possible with her face in the container of cold water. Heart rate

activity during these trials was recorded with the Biopac software and heart rate was measured from an

average of three beats due to a heart rate being taken every five seconds (there were not ten beats

between every five seconds).

RESULTS

Part I: Measuring Blood Pressure – omitted from this report

Part II: Effects of Posture on Blood Pressure

In the next part, heart activity was recorded and blood pressure was measured from the left arm at

various times to see the effect of going from a supine position to an upright position had on blood

pressure and heart activity. Measurements were taken at the supine position, after the initial tilt, 30

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seconds after the tilt and 2 minutes after the tilt. From blood pressure measurements and heart rate

measured by the Biopac program, MAP, PP, stroke volume (SV), cardiac output (CO), and total

peripheral resistance (TPR) were calculated. In the course of the experiment, blood pressure dropped

significantly from the supine position to the tilt, and rose back to about the starting measurements 30

seconds and 2 minutes post-tilt. Accordingly, MAP, PP, HR, SV, and CO saw the same trend –

measurements dropped at the tilt and then increased post-tilt, as seen in Figures 1-5. Conversely, TPR

increased at the tilt and then decreased post-tilt, shown in Figure 6. The experiment resulted in

unexpected outcomes with the pulse pressure decreasing 2 minutes post-tilt, as seen in Figure 2, instead

of increasing. This caused for unexpected values 2 minutes post-tilt in stroke volume, cardiac output,

and total peripheral resistance as well, shown in Figures 4-6, because the pulse pressure is a component

in calculating those values.

60

65

70

75

80

85

90

0 100 200 300

Mea

n A

rter

ial

Pre

ssu

re (

mm

Hg

)

Time (seconds)

Figure 1: Changes in Mean Arterial Pressure

(MAP) are plotted against time when the

subject is supine, after the initial tilt, 30

seconds post-tilt, and 2 minutes post-tilt.

25

30

35

40

45

50

55

0 50 100 150 200 250 300

Pu

lse

Pre

ssu

re (

mm

Hg

)

Time (seconds)

Figure 2: Changes in pulse pressure (PP) are

plotted against time when the subject is supine,

after the initial tilt, 30 seconds post-tilt, and 2

minutes post-tilt.

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Part III: Vasodilation in Response to Metabolite

In this part of the experiment, one arm of the subject was cuffed with the sphygmomanometer, the

subject clenched his fist 15 times, the cuff was inflated to 150mmHg, and then ripped off. Observations

were made before, during, and after cuffing the arm, as seen in Table 1. The arm and hand appeared to

be a pale pink color with veins protruding with a blue/purple color before cuffing and inflating. After

being cuffed, the arm lost all its color and warmth as it turned white and cold while the hand turned

yellow and the veins disappeared. After removing the cuff, the arm immediately regained a pink color

and the veins became more visible than before, and gradually regained its normal temperature.

60

65

70

75

80

85

0 100 200 300

Hea

rt R

ate

(B

PM

)

Time (seconds)

Figure 3: Changes in heart rate (HR) are

plotted against time when the subject is supine,

after the initial tilt, 30 seconds post-tilt, and 2

minutes post-tilt.

30

35

40

45

50

55

60

65

70

0 50 100 150 200 250 300

Str

ok

e V

olu

me

(mL

)

Time (seconds)

Figure 4: Changes in stroke volume (SV) are

plotted against time when the subject is supine,

after the initial tilt, 30 seconds post-tilt, and 2

minutes post-tilt.

2

2.5

3

3.5

4

4.5

5

5.5

6

0 100 200 300

Ca

rdia

c O

utp

ut

(L/m

in)

Time (seconds)

Figure 5: Changes in cardiac output (CO) are

plotted against time when the subject is supine,

after the initial tilt, 30 seconds post-tilt, and 2

minutes post-tilt.

12

17

22

27

0 100 200 300To

tal

Per

iph

era

l R

esis

tan

ce

(mm

Hg

/L/m

in)

Time (seconds)

Figure 6: Changes in total peripheral resistance

(TPR) are plotted against time when the subject

is supine, after the initial tilt, 30 seconds post-

tilt, and 2 minutes post-tilt.

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Table 1: Observations of the cuffed arm and control arm before cuffing, after inflation to 150mmHg,

and after removal of the cuff

Before Treatment (size

& contour of veins,

skin color,

temperature)

Cuffed and Inflated to

150mmHg (size &

contour of veins, skin

color, temperature)

After removing the

cuff (size & contour

of veins, skin color,

temperature)

Left Arm

and hand

(Control)

Skin is pale pink, cool-

warm to the touch (not

hot, not cold), hand is

pink in color. Veins

protrude from arm,

visibly blue/purple in

color.

No changes, arm not

cuffed (n/a)

No changes, arm not

cuffed (n/a)

Right Arm

and hand

Skin is pale pink, cool-

warm to the touch (not

hot, not cold), hand is

pink in color. Veins

protrude from arm,

visibly blue/purple in

color.

Entire arm turns white,

hand is yellow, veins

disappear, skin is

colder to the touch

Immediately after

removing the cuff, the

arm is flushed with

red/pink color, veins

come back and

become more visible

than in the left arm.

20 seconds after,

temperature is back to

normal.

Part IV: The Venous System

Next, the effects of gravity and venous congestion were observed by having the subject hold one arm up

straight above his head for one minute as displayed in Table 2. During the process, the arm loses color

and becomes white and the veins are less prominent and visible. After the arm is returned to the tabletop

level, it regains its pale pink color and the veins become more prominent compared to before the raise.

Table 2: Observations of the control arm and the arm being raised for 1 minute during the raise and after

returning to a normal position on the tabletop to see the effects of gravity and venous congestion.

During raise After – return both arms to

tabletop, palms side up

Left arm (at

side)

Skin is pale pink in color, veins

protruding and visible.

No changes

Right arm

(raised)

Skin becomes white in color,

veins not as visible.

Arm and hand regain color, veins

more prominent than before raise

In the next part, the effects of venous return are observed by having the subject hold one arm over his

head and slowly lifting the other arm up as seen in Table 3. While the arm is raised, the observed

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protruding vein disappears once it reaches the level of the heart. There were 5cm between the heart and

the point where the vein in the subject’s arm disappeared, equating to a pressure of 3.68mmHg.

Table 3: Observations of the veins in one arm being raised slowly while the other arm stays raised

above the head to see the effects of venous return.

Next, the role of one-way valves in veins was observed by pushing the blood in a vein toward and away

from the heart, as seen in Table 4. When the blood was pushed toward the heart, it was seen that the vein

collapses and does not regain its contour until it is no longer occluded. When the blood is pushed away

from the heart, the vein swells and bubbles up at different locations, indicating the locations of one-way

valves in the blood that prevent backflow.

Table 4: Observations of a vein while blood is being pushed toward the heart and away from the heart to

see the role of the valves in veins.

Push the blood from the

occlusion toward heart

Push the blood away from

heart toward the occlusion

Occluded vein on the

cuffed arm

The vein collapses The vein swells and bubbles

up, showing where the one-

way valves are

In the next part, observations of venous distention

are observed by taking the circumference of the

forearm at various cuff pressures. The general

observed trend was an increase in forearm

circumference with an increase of cuff pressure,

as seen in Figure 7. There were discrepancies in

Observation as slowly

raising the arm up

Distance between where

the vein collapse to the

heart

Right arm raised slowly As the arm is raised, the

vein seems to protrude a

little bit, and then

disappears once it reaches a

level near the heart

5cm between arm and heart

when vein collapsed,

equates to 3.68mmHg.

26.4

26.6

26.8

27

27.2

27.4

0 20 40 60

Cir

cu

mfe

ren

ce (

cm)

Cuff Pressure (mmHg) Figure 7: The effects of cuff pressure on

forearm circumference are plotted at 0, 20, 30,

40, and 60 mmHg.

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this trend seen at 20 mmHg and 60 mmHg as circumference decreased instead of the expected increase.

Part V: Cardiovascular Responses to Exercise

In the third part, heart activity and blood pressure was measured at various intensities of exercise. Blood

pressure measurements and heart rate measured by the Biopac program were then used to calculate

MAP, PP, SV, CO, and TPR. In the course of the experiment, a general trend of increased blood

pressure and heart rate as exercise intensity increased was observed. This then caused a trend of

increasing MAP, PP, SV, and CO with increasing workload, seen in Figures 8-12. This also caused TPR

to decrease as intensity increased, displayed in Figure 13. There were some unexpected results in the

experiment as the pulse pressure at workload 0.5 kPa decreased from workload 0 kPa instead of the

expected increase, shown in Figure 9 as the pulse pressure dipped at a workload of about 30 watts. This

caused similar unexpected results in stroke volume, shown also as the dip in stroke volume at a

workload of about 30 watts in Figure 11, because the pulse pressure was used to calculate the stroke

volume.

80

85

90

95

100

105

110

-20 0 20 40 60 80 100 120 140

Mea

n A

rter

ial

Prs

sure

(m

mH

g)

Workload (Watts)

Figure 8: The effect of exercise on mean

arterial pressure (MAP) at different workloads.

REST

30

40

50

60

70

80

-20 0 20 40 60 80 100 120 140

Pu

lse

Pre

ssu

re (

mm

Hg

)

Workload (Watts)

Figure 9: The effect of exercise on pulse

pressure (PP) at different workloads.

REST

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Part VI: The Diving Reflex

In the last part, heart activity was measured as Amanda held her breath right above a container of ice

cold water (used as a control) and then as she held her breath again with her face in the water. Heart rate

was measured by the Biopac program and used to see the phenomenon of the dive reflex. It can be seen

in Figure 14 that heart rate decreased from a maximum at 97 BPM to minimum at 72 BPM while the

subject held her breath above water. Similarly, heart rate decreased while the subject held her breath

with her face in cold water, but it dropped more significantly, a maximum of 114 BPM and a minimum

of 51 BPM, as seen in Figure 15.

8090

100110120130140150160170

-20 0 20 40 60 80 100 120 140

Hea

rt R

ate

(B

PM

)

Workload (Watts)

Figure 10: The effect of exercise on heart rate

(HR) at different workloads.

REST

50

60

70

80

90

100

-20 0 20 40 60 80 100 120 140

Str

ok

e V

olu

me

(mL

)

Workload (Watts)

Figure 11: The effect of exercise on stroke

volume (SV) at different workloads.

REST

4

6

8

10

12

14

16

-20 0 20 40 60 80 100 120 140

Ca

rdia

c O

utp

ut

(L/m

in)

Workload (Watts)

Figure 12: The effect of exercise on cardiac

output (CO) at different workloads.

REST 6

8

10

12

14

16

18

20

-20 0 20 40 60 80 100 120 140To

tal

Per

iph

era

l R

esis

tan

ce

(mm

Hg

/L/m

in)

Workload (Watts)

Figure 13: The effect of exercise on total

peripheral resistance (TPR) at different

workloads.

REST

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DISCUSSION

Part I: Measuring Blood Pressure has been excluded from this report.

Part II: Effects of Posture on Blood Pressure

In this part of the experiment, the effect on blood pressure due to postural changes were studied

as the subject was put in a supine position and then tilted into an upright position. Blood pressure

changes were seen as the subject was tilted upright, blood pressure went from 112/70 mmHg at a supine

position to 90/60 mmHg after the tilt. This significant decrease in blood pressure was seen due to gravity

acting on arterial flow and venous return. Because gravity acts against venous return, blood pools in the

lower body and decreases the amount of blood being pumped back to the heart. This in turn, causes a

decrease in the amount of blood that is pumped out of the heart and into the body, causing a decrease in

mean arterial pressure, as seen in Figure 1. Mean arterial pressure factors in the systolic and diastolic

pressure of the system, controlled and regulated by baroreceptors.

Heart activity was measured through an ECG using Biopac software. In an ECG, the P-wave

corresponds to atrial depolarization, the QRS wave complex corresponds to the ventricular

depolarization and the T-wave corresponds to the ventricular repolarization. These waves were seen in

the produced ECG from this experiment. Similar to blood pressure, heart rate decreased from 79.6 BPM

while supine to 67 BPM after the initial tilt, seen in Figure 3. This was due to the decrease in venous

60

70

80

90

100

110

0 10 20 30

Hea

rt R

ate

(B

PM

)

Time (seconds)

Figure 14: Heart rate of subject holding her

breath with face right above water.

50

60

70

80

90

100

110

120

0 20 40 60

Hea

rt R

ate

(B

PM

)

Time (seconds)

Figure 15: Heart rate of subject holding her

breath with face in ice cold water.

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return, as more time is needed to fill the ventricle before it can pump the blood out again. As shown in

Figure 4, stroke volume decreased from 65.1 mL to 37.5 mL after the tilt because of the decreased

venous return, causing the heart to be filled less than before the tilt, thus causing the heart to eject less

blood out per pump. This embodies the Frank-Starling Law, which states that increased filling of the

ventricle causes increased output (stroke volume). Thus, the opposite is also true; decreased filling of the

ventricle causes decreased output. Cardiac output also decreased from 5.2 L/min to 2.5 L/min after the

tilt, displayed in Figure 5. This, again, was due to the decrease in venous return, causing the heart to fill

at a slower rate and pump less blood each cycle. Since cardiac output is a product of stroke volume and

heart rate, the decreased heart rate and stroke volume caused this decrease in cardiac output. Because the

above factors all decreased, the total peripheral resistance increased post-tilt since it factors in mean

arterial pressure and cardiac output. Total peripheral resistance increased because of the need for

increased flow to tissues that resulted in increased venous return.

Blood pressure, mean arterial pressure, pulse pressure, heart rate, stroke volume, cardiac output,

and total peripheral resistance all return to normal values by 2 minutes post-tilt because of the

stabilization of heart activity. This occurs because of the baroreceptor reflex. The stretch-sensitive

baroreceptors sense the decrease in mean arterial pressure after the initial tilt and acts to increase heart

rate and venous return (Lanfranchi & Somers, 2002). This is done by the increase in sympathetic

activity, releasing epinephrine that will increase contractility of the heart causing an increase in stroke

volume and heart rate. The increase in sympathetic activity also causes vasoconstriction, which acts as a

mechanism to increase resistance to allow venous return to increase and help heart function return to

normal.

A study done on heart rate variability of related to posture changes on an individual basis

confirms these results. In the study, the sympathovagal balance is studied in the supine and upright

positions and it is clearly concluded that in an upright position, baroreceptor restriction on sympathetic

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activity is removed, allowing an increase in sympathetic activity (Malliani et al., 1997). As mentioned

above, the baroreceptors act in relation to arterial pressure. When a low arterial pressure is sensed,

baroreceptors allow the increase in sympathetic activity, which, as mentioned before, is the mechanism

behind increasing venous return and heart rate, thus increasing blood pressure, pulse pressure, stroke

volume, and cardiac output while decreasing total peripheral resistance.

Part III: Vasodilation in Response to Metabolites

In the next part of the experiment, vasodilation was observed in response to metabolites by

cuffing the forearm and observing changes of the occluded area once the cuff was removed. As seen in

Table 1, when the cuff was inflated after clenching the fist repeatedly, the arm lost all of its color, turned

white, dropped in temperature and the veins were not visible as they were before inflation. When the

arm is raised, gravity works with venous flow and allows the blood to be easily returned to the heart

while working against arterial flow, inhibiting blood flow to the forearm and hand, but since the arm

was cuffed to a pressure higher than arterial and venous pressure, the veins collapsed and circulation

was stopped in that area, causing a pale color and decrease in temperature. As the cuff was ripped off,

the blood was allowed to circulate normally again, causing the skin to flush pink. Vasodilation was

observed because local metabolites were built up from the occlusion and an increased blood flow is

necessary to restore the chemical balance and the normal flow of metabolites (Sherwood, 2010, p. 357).

This phenomenon is known as reactive hyperemia, which is induced by myogenic relaxation and

unbalanced metabolites, both of which occur during occlusion of an area that stops blood flow

temporarily.

Part IV: The Venous System

Next, the venous system was observed in four different parts. First, gravity and its effects on

venous congestion were observed by having the subject hold one arm over his head for one minute and

then quickly returning his arm to the tabletop for observation. As seen in Table 2, during the arm raise,

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the subject’s arm became pale and the veins were no longer visible and protruding. Once his arm was

returned to the tabletop, the color returned to his arm and the vein protruded once again. This was due to

the effect of gravity on blood flow; when the arm was raised, gravity worked with venous return and

against arterial flow. The effect against arterial flow caused venous congestion, which is a decrease of

local blood flow, in this case to the arm and hand (Okazaki et al., 2005). This caused the veins to

protrude less, almost taking on a collapsed look. Once the arm is no longer raised, the blood flow was

able to return to equilibrium, allowing the arm to regain color and the veins to regain normal dilation

and blood flow through them.

In the next study, observations were made of a vein collapsing by having the subject hold one

arm above his head and slowly lift the other arm up from his side. Once his arm reached an area near his

heart, the vein collapsed. This is due to the decreased effect of gravity once the arm is near horizontal

position, in line with the heart. Because gravitational effects are minimal on the arm in this position,

effective circulation is reestablished and blood can be pumped to the heart with ease, eliminating the

slight pooling of blood that causes vasodilation (Sherwood, 2010, p. 374). The vein collapse was

observed when the arm was 5 cm away from the heart, correlating to a pressure of 3.68 mmHg at that

point.

Next, the valves in veins were observed through occluding a protruding vein in the subject’s

forearm and pushing the blood towards and away from the heart. As seen in Table 3, when the blood in

the vein was pushed towards the heart, the vein collapsed since the blood freely flowed away from the

occlusion while it was inhibiting further blood flow through the vein. Conversely, when the blood in the

vein was pushed away from the heart, the vein protruded more and bubbled up at various spots. This was

due to the one-way valves in veins that prevent backflow. Veins contain one-way valves that serve

multiple functions; it helps in preventing deoxygenated blood from flowing back into tissues and mixing

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with oxygenated blood and it aids in offsetting the effects of gravity in blood flow. The points where

bubbles were seen after pushing the blood away from the heart were the locations of the valves.

Finally, the effect of cuff pressure on venous distension was observed by cuffing the subject’s

arm in various increments while the arm is raised above the head. As seen in Figure 7, the general trend

of this increase in cuff pressure was a slight increase in forearm circumference. This increase in forearm

circumference was due to the distension of the veins due to the slight inhibition of venous return from

the arm as a result of the inflated cuff. Because the pressure of the cuff stays lower than the arterial

pressure, blood can still be delivered to the arm, but the blood pools slightly in the forearm as the cuff

prevents normal blood flow back to the heart. Veins are able to hold the extra blood due to their

distensible nature, without a large increase in pressure. The data collected showed the general trend of

increased forearm circumference, but there were unexpected decreases in circumference. These

unexpected results are most likely due to measurement errors because the measurer did not keep the

exact same tension of the measuring tape and location of measurement on the forearm throughout the

study.

Part V: Cardiovascular Response to Exercise

In the next part of the lab, active hyperemia was observed as the subject was observed under

exercise at different workloads while being hooked up to the Biopac software to measure heart activity.

Active hyperemia causes vasodilation to increase blood flow due to an increased need for nutrients and

waste removal from metabolically active cells (Sherwood, 2010, p.354). During exercise, cells have an

increased need for oxygen and various other nutrients, causing an increase in blood uptake to meet these

needs. This then causes an initial drop in blood pressure, but as mentioned before, the baroreceptor

reflect senses the drop in arterial pressure and stimulates sympathetic activity and decreases

parasympathetic activity in anticipation of continued exercise. The increase in sympathetic activity

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causes an increase in vasoconstriction, heart rate and stroke volume, and thus an increase in cardiac

output. These factors then increase blood pressure to allow an increased arterial flow to target tissues.

As workload increased during exercise, the subject’s mean arterial pressure increased, as seen in

Figure 7. This was seen along with an increase in heart rate (Figure 9), stroke volume (Figure 10), and

cardiac output (Figure 11). All of these factors increased in order to account for the increased need for

blood supply to cells that were being worked. Total peripheral resistance decreased with an increase of

workload because as active hyperemia causes vasodilation, the peripheral resistance decreases in order

to allow an increase in blood flow. The exercise pressor reflex takes responsibility for these changes in

response to skeletal muscle contractions that increase arterial blood pressure (Mitchell, Kaufman, &

Iwamoto, 1983, 229).

Unexpected results did occur, however. During the increased workload of 0.5 kPa, or about 30

watts, there was a slight decrease in stroke volume. It is suspected that this was due to the subject’s body

feeling that the slight increase in workload was not significant to need an increase in blood supply to

target tissues.

Part VI: The Diving Reflex

In the last part of the lab, the dive reflex was observed by having the subject hold her breath with

her face in cold water. In the posture change and the exercise portions of the lab, activity stimulated an

increase in sympathetic activity which caused an increase in heart rate. Conversely, the dive reflex

shows an increase in parasympathetic activity as well as an increase in sympathetic activity when the

face is immersed in cold water. The dive reflex is a phenomenon activated by receptors in the face that

are sensitive to cold water. This occurs as a survival mechanism in which heart rate is decreased in order

to slow blood flow to conserve oxygen supply for as long as possible.

The comparison from the control trial of the subject holding her breath for 30 seconds above the

water and that of the trial holding her breath with her face immersed in the cold water shows this dive

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reflex. As shown in Figure 13, during the control trial, her heart rate decreases, but only from 97 BPM to

72 BPM at the lowest point. On the contrary, the subject’s heart rate decreased to a more extreme degree

when she held her breath in the cold water, from a high of 114 BPM to a low of 51 BPM. Also while she

was holding her breath in the cold water, it was observed from the ECG that there were times when it

seemed like there was a skipped beat altogether, as shown in Figure 16, a portion of the raw data from

the ECG. This was due to high amounts of parasympathetic input, activating a survival mechanism.

Figure 16: Raw data during breath holding with face immersion in cold water shows abnormal heart

activity caused by parasympathetic input.

In literature, this same dive reflex phenomenon has been studied and results are consistent with

the previously explained outcomes. A face immersion in cold water results in a slowed heart rate and a

slower depletion of oxygen supply (Jay, Christensen, & White, 2006, p. 203).

In the six different parts of this lab, various responses in cardiovascular function were observed. It was

seen that an upright position causes an initial decrease in blood pressure along with heart rate, stroke

volume, mean arterial pressure, and cardiac output because of the effects of gravity that causes blood to

pool at the feet. Next, vasodilation was observed due to the need for chemical balance in metabolites. In

the fourth part of the lab, various properties of the venous system was observed including gravity

causing venous congestion, venous return without gravitational effects, the role of venous valves, and

the distensible nature of veins. Moving to the fifth part of the lab, it was observed that exercise caused

an increase in sympathetic activity which promoted an increase in heart rate, blood pressure, arterial

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pressure, stroke volume, and cardiac output. Finally, the dive reflex was observed as facial immersion in

cold water caused a decrease in heart activity to conserve oxygen supply in a survival situation.

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REFERENCES:

Bautista E., & Korder, J. 2009. NPB 101L Systemic Physiology Lab Manual (2nd ed.). Department of

Neurobiology, Physiology and Behavior, University of California, Davis.

Jay, O., Christensen, J.P.H., & White, M.D. (2006). Human face-only immersion in cold water reduces

maximal apnoeic times and stimulates ventilation. Experimental Physiology, 92, 197-206. doi:

10.1113/expphysiol.2006.035261

Lanfranchi, P.A, & Somers, V.K. (2002). Arterial baroreflex function and cardiovascular variability:

interactions and implications. American Journal of Physiology – Regulatory, Integrative, and

Comparative Physiology, 283 (R815-R826). doi: 10.1152/ajpregu.00051.2002

Malliani, A., Pagani, M., furlan, R., Guzzetti, S., Lucini, D., Montano, N., Cerutti, S., & Mela, G.S.

(1997). Individual Recognition by Heart Rate Variability of Two Different Autonomic Profiles

Related to Postre. Circulation, 96, 4142-4145. doi: 10.1161/01.CIR.96.12.4143

Mitchell, J.H., Kaufman, M.P, & Iwamoto, G.A. (1983). The Exercise Pressor Reflex: Its

Cardiovascular Effects, Afferent Mechanisms, and Central Pathways. Annual Review of

Physiology, 45, 229-242. doi: 10.1146/annurev.ph.45.030183.001305

Okazaki, K., Fu, Q., Martini, E.R., Shook, R., Conner, C., Zhang, R., Crandall, C.G., & Levine, B.D.

(2005).Vasoconstriction during venous congestion: effects of venoarteriolar response, myogenic

reflexes, and hemodynamics of changing perfusion pressure. American Journal of Physiology –

Regulatory, Integrative, and Comparative Physiology, 289 (R1354-R1359). doi:

10.1152/ajpregu.00804.2004

Sherwood, L. Human Physiology: From Cells to Systems (7th ed.). California: Brooks/Cole, Cengage

Learning.

Watanabe, N., Reece, J., Polus, B.I. (2007). Effects of body position on autonomic regulation of

cardiovascular function in young, healthy adults. Chiropractice & Osteopathy, 15(19).

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APPENDICES:

Sample Calculations:

Given BP 112/60 at rest, supine

MAP = 1/3 (SP) + 2/3 (DP) = 1/3(112) + 2/3(60) = 77.3 mmHg

PP = SP – DP = 112 – 60 = 52 mmHg

HR = an average of HR taken from Biopac: (84+81+78+74+67+72+80+82+75+64)/10 = 75.7 BPM

SV = PP*Arterial Distensibility = 52 * 1.5 (at rest) = 78mL

CO = SV*HR = 78 * 75.7 = 5904.6 mL/min / 1000mL/L = 5.9046 L/min

TPR = MAP/CO = 77.3mmHg / 5.9046L/min = 13.097 mmHg/L/min

Raw Data:

Supine

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Tilt

30 seconds post-tilt

2 minutes post-tilt

Bike Resting

Exercise 0kPa

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Exercise 0.5 kPa

Exercise 1 kPa

Exercise 1.5 kPa

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Exercise 2 kPa

Control breath hold start

Control breath hold stop

Dive Reflex start

Dive Reflex during

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Dive Reflex stop