AS PE CARDIOVASCULAR SYSTEM HEART RATE STROKE VOLUME CARDIAC OUTPUT LEARNING OBJECTIVES 1. Can I explain what happens to the CV system at rest? 2. Can I explain what happens to the CV system during exercise? BLP LEARNING HABITS Listening and Questioning STARTER – EXAM QUESTIONS d) Describe how the conduction system of the heart controls the cardiac cycle. (3 marks) c) Endurance (aerobic) performance is dependent upon the heart supplying blood to the muscles. Describe the flow of blood through the heart during the cardiac cycle (Diastole and Systole Phases). (4 marks) RESTING VOLUMES AND DEFINITIONS – HEART RATE This is the number of times the Heart ventricles beats in One minute. The average resting HR is 72 beats per minute (bpm). The maximum HR is calculated by subtracting your age from 220. Low resting HR may indicate a high level of aerobic/endurance fitness. Highly trained athletes can have a resting HR as low as 28 bpm A resting HR below 60 bpm is termed bradycardia (or slow HR), due to increase in Stroke Volume due to an increase size of the heart muscle (called hypertrophy) RESTING VOLUMES AND DEFINITIONS – STROKE VOLUME This is the volume of blood ejected from the ventricles every beat This is the difference in volume of blood in the ventricles before and after the ventricles contract The following terms are used to measure SV: – – – End-diastolic volume (EDV) – volume of blood in ventricles at the end of relaxation phase (before contraction) End-systolic volume (ESV) – volume of blood in ventricles at the end of contraction phase (after contraction) Resting EDV is about 130ml; resting ESV is about 60ml. Therefore, resting SV is about 70ml RESTING VOLUMES AND DEFINITIONS – CARDIAC OUTPUT This is the volume of blood ejected by the heart ventricles in one minute (can also be called Q) The resting value is about 5 litres per minute Q = (L/min) SV (ml per beat) x HR (beats per min) RESPONSE TO EXERCISE – STROKE VOLUME As an athlete starts running, their SV increases linearly as their running speed/intensity increases (only up to 40-60% of max running speed). SV will then reach a plateau SV is determined by the heart’s ability to fill and empty each beat. Ability of heart to fill is dependent on: – – Venous return – SV increases due to an increase in blood returning to the heart The ventricles are able to stretch further Ability of heart to empty is dependent on: – – Greater EDV provides a greater stretch on the heart walls A greater stretch increases the force of ventricular systole (contraction of ventricles) RESPONSE TO EXERCISE – STROKE VOLUME These increase ventricular contractility (capacity of the ventricles to contract) which almost completely empties the blood from the ventricles During exercise EDV = 130ml; ESV = 10ml; therefore SV = 120ml RESPONSE TO EXERCISE – HEART RATE HR will change before, during and after exercise depending on the exercise being taken HR will increase above resting values before exercise takes place. This is called the anticipatory rise which is the early release of adrenaline which stimulates the SA node to increase HR HR increases as exercise intensity increases but slows down just before maximal HR values RESPONSE TO EXERCISE – HEART RATE HR decreases as exercise intensity decreases HR reaches a plateau during sub-maximal work, which represents the optimal steady state HR for meeting the demand for oxygen at that specific intensity of work HR decreases rapidly after exercise stops due to a decrease in demand for oxygen by the working muscles A more gradual decrease in HR towards resting levels, but still elevated to allow the body to recover – this is oxygen debt (additional oxygen consumption during recovery, above that usually required when at rest) RESPONSE TO EXERCISE – CARDIAC OUTPUT Increases directly in line with exercise intensity from resting values of 5 L/min to maximal values of 20-40 L/min in highly trained endurance athletes Q primarily increases to supply the increase in demand for oxygen from our working muscles When exercise intensity exceeds 40-60% of an athlete’s maximal exercise intensity, SV begins to plateau. Any further increase in Q is a result of an increase in HR RESPONSE TO EXERCISE – CARDIAC OUTPUT Here is a summary of HR, SV and Q values related to exercise intensity: EXERCISE INTENSITY Value Resting Sub-Max Max HR 70-72 Up to 100 130 220 minus your age SV Q 60 - 80ml 80 - 100ml 80 - 110ml untrained 160 - 200ml trained 5 L/min Up to 10 L/min 100 - 120 untrained 160 - 200 trained 20 - 40 L/min PLENARY 1. How do you think HR, SV and Q will change with exercise?