lecture 105 cardiovascular response to exercise

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  • 7/27/2019 Lecture 105 Cardiovascular response to exercise

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    Regulation of Heart Rate

    The Autonomic Nervous System in Cardiovascular Control

    The SA node controls HR, therefore stimuli that influence HR act through

    the SA node

    PNS-Parasympathetic Nervous System

    PNS carried in Vagus nerve fibers to SA node and AV node

    Postganglionic PNS fibers use neurotransmitter ACh (acetylcholine)

    SNSaccelerates

    HR, PNSdecelerates

    HR via influences on theSA node firing rate (and also conduction velocity in the heart)

    Changes in PNS activity can therefore cause HR to

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    Regulation of Heart Rate

    The Autonomic Nervous System in Cardiovascular Control

    SNS carried in Cardiac accelerator nerves to SA and AVnodes

    NE working through Beta adrenergic receptors increasesthe rate of spontaneous depolarization of SA node cells (increases

    HR)

    SNS

    alsoinnervates the cardiac myocytes to affect the strength of the

    Postganglionic SNS fibers use neurotransmitter NE (norepinephrine

    SNS-Sympathetic Nervous System

    Changes in SNS activity can therefore cause HR to

    or

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    Regulation of Heart Rate

    The Autonomic Nervous System in Cardiovascular Control

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    Regulation of Heart Rate

    Factors increasing or decreasing the SA node firing rate and the conductionvelocity within the heart

    Increasing Decreasing

    Sympathetic stimulation Parasympathetic stimulation

    Circulating catecholamines (epinephrine,Norepinephrine)

    Ischemia/hypoxia

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    Regulation of Heart Rate

    The Autonomic Nervous System in Cardiovascular Control

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    Regulation of Heart Rate

    Progressive

    PNS to heart in proportion to exercise intensity

    (especially from rest to exercise intensity associated with ~10bpm HR)

    These responses during exercise are critical to support the

    C.O. and redistribution of C.O.

    so that skeletal muscle blood flow can be enhanced and muscle can receive2

    During recovery from exercise

    VO2= HR * SV * (CaO2

    CvO2)

    VO2

    = CO * (CaO2 CvO2)

    Why does HR have to

    during dynamic exercise?

    How does HR

    during exercise?

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    Figure 9.25 from Powers and Howley. Changes in cardiac output, stroke volume and

    heart rate during the transition rest to

    Transitions from Rest to Exercise and Recovery

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    Regulation of Heart Rate

    HR response to exercise

    Workload (indexed to VO2)

    rest

    Intensity of exercise and training/disease status effects

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    Three questions about HR that relate to

    Workload (indexed to VO2)

    rest

    Is HR

    maxdifferent across groups?

    Is resting HR different across groups?

    Intensity of exercise and training/disease status effects

    Is HR at a given submaximal workloaddifferent across groups?