Volume of blood pumped out of the left ventricle per beat
Venous return- Volume of blood returning to the heart via veins. Increased venous return,
stroke volume increases. (More blood goes in, more blood goes out)
Elasticity of fibres: diastole phase- when the heart relaxes to fill with blood. More fibres stretch,
greater force of contraction.
Ejection Fraction- % of blood pumped out by the left ventricle per beat.
Starlings law: increased venous return, greater diastolic filling, cardiac
muscles stretched, force of contraction & Increased ejection fraction
4 chambers of the heart: Separated by septum,
Ventricles-thicker muscle. Atriums- Thinner muscle
Myogenic- Generates its own impulses
Blood vessels:
Vena cava- deoxygenated blood back to the right atrium
Pulmonary Artery- deoxygenated blood to the lungs
Pulmonary vein- oxygenated blood to left atrium
Aorta- oxygenated blood to the rest of the body
Valves:
Tricuspid valve- right atrium & right ventricle
Bicuspid valve- Left atrium & left. ventricle
Semi-lunar valve- right atrium & left ventricle, Pulmonary artery & aorta
Cardiac conduction system:
Sino atrial node(SA node)- Pacemaker
Electrical impulse-(Wave of excitation)
Atrioventricular node(AV node)- Delays for 0.1 secs before ventricular systole
Bundle of his- transmit implies via bundle branches to the ventricles
Purkinje fibres- Conduct impulses in the walls of ventricles
Factors affecting Rate:Means heart rate increase during exercise so working muscles get 02.
Chemoreceptors: Chemical changes,
Increase in C02- important for heart rate
Increase blood C02, Increase in heart rate.
Baroreceptors: Detects change in blood pressure
Increase blood pressure, decrease heart rate
Proprioceptors: detects changes in muscle movement
More movement, impulse to medusa oblongata,
sympathetic nervous system to increase heart.
Parasympathetic stimulates SAN, decreasing heart rate.
Hormonal control: Adrenaline- Stress hormone released by the
sympathetic nervous system to increase heart rate. Stimulates
SAN, increasing cardiac output- more blood pumped, more 02
Anticipatory rise
Cardiac output:
Volume of blood pumped out of the left ventricle per minute
Stroke volume X Heart rate
Max heart rate = 220- Age
Trained performer has a greater heart rate range
& resting heart rate is lower
Average resting heart rate = 72 bpm
Cardiac hypertrophy- Thickening of the muscular wall of the heart so its bigger & stronger-
Larger ventricular cavity. Aerobic training. Effects stroke volume, heart rate & cardiac output.
End diastolic volume of the ventricle increases.
Bradycardia- Resting heart rate decreases below 60 bpm. Resting heart rate will decrease, as
larger contractions mean more blood is forced out during a single contraction.
Impact of Sport on health:
Heart disease:
Coronary heart disease(CHD)- Coronary arteries become blocked or or start to narrow
because of a build up of fatty-acid deposits(Atheroma),Process= Atherosclerosis
Causes- High blood pressure, high cholesterol levels, smoking, lack of exercise.
Angina- chest pain that occurs when the blood supply through the coronary arteries is restricted.
Blood clot can form if a bit of atheroma breaks off in the coronary artery, causing
a blockage cutting off the blood supply to the heart, resulting in a heart attack.
Regular exercise keeps the heart healthy- Pump more blood around the
body as its stronger increasing stroke volume & also maintains flexibility
of blood vessels ensuring good blood flow and normal blood pressure.
2hrs 30mins per week of moderate exercise
High blood pressure:
Force exerted by the blood against the blood vessel wall
High blood pressure puts strain on arteries and heart
Risk of heart attack, heart failure, kidney disease, stroke or dementia
Exercise lowers both systolic and diastolic pressure by up to 5-10 mmHg-
reduces heart attack risk by up to 20%.
Cholesterol levels:
LDL(Low density lipoproteins)- Transport cholesterol in the blood to
the tissues.(BAD cholesterol- linked to increased risk of heart disease)
HDL (High density lipoproteins)- Transport excess cholesterol in the blood back to
the liver to be broken down. GOOD cholesterol- lower risk of getting heart disease
Exercise reduces bad LDL cholesterol and increase Good HDL cholesterol
Stroke:
When the blood supply is cut off to the brain damaging brain cells so they start to die.
Can lead to brain injury, disability and deat
Ischaemic stroke- most common, occur when a blood clot stops blood supply
Haemorrhagic stroke- occur when weakened blood vessel supplying the brain bursts
Exercise lowers blood pressure and helps maintain healthy weight- reduces risk of stroke by 27%
Cardiovascular drift:
Steady state- athlete is able to meet the oxygen demand with the oxygen supply
A progressive decrease in stroke volume snd arterial blood pressure, together with a progressive rise in heart rate.
Occurs during prolonged period of exercise, intensity stays the same, heart rate increase, stroke volume
decreases, because fluid lost as sweat, resulting in reduced plasma volume, reduced venous return,
cardiac output increases due to more energy needed to cool body/ sweat.
To minimise cardiovascular drift, maintain high fluid level before and during exercise
Vascular system:
Made up of blood vessels that carry blood through the body delivering
oxygen and nutrients to the body tissues and removes waste products
Pulmonary - Deoxygenated blood from the heart to lungs & oxygenated blood back to heart
Systemic- Oxygenated blood to body from heart & deoxygenated blood from the body to heart
Capillaries- one cell thick to allow for diffusion.
Blood pressure:
Important to increase blood flow during
exercise so the muscles receive oxygen
Force exerted by the blood against the blood vessel wall
Blood flow X resistance
Systolic pressure- Pressure in the arteries when the ventricles are contracting
Diastolic pressure- Pressure in the arteries when the ventricles are relaxing
Measured at the brachial artery (upper arm)- 120mmHg/80
Venous return:
The return of blood to the right side of the heart via the vena cava
During exercise venous return increases- more blood is
being pumped back to the heart, more blood has to be
pumped out, so the volume increases- starlings law
Pressure in large veins is low so hard to
return blood to the heart & large lumen
means little resistance to blood flow.
Skeletal muscle pump- When muscles contract and
relax they change shop. This means that the muscles
press on the nearby veins causing a pumping affect
Respiratory pump- When muscles contract and
relax during breathing pressure changes occur in
chest and stomach cavities. This compresses the
nearby veins and assist blood return to heart.
Pocket valves- valves ensure blood
travels in one direction. Once blood has
passed though they close to prevent the
blood from flowing backwards
Other factors: Gravity- helps return blood from
upper body. The suction pump action of the heart.
Thin layer of smooth muscle between walks of veins
Impact of blood pressure on venous return:
Impact of pressure gradient on venous return:
Transportation of oxygen:
During exercise, oxygen diffuses into the capillaries supplying the muscles, 3%dissolves
into plasma and 97% combines with haemoglobin to form oxyhemoglobin
When fully saturated, haemoglobin will carry 4 molecules of oxygen.
This occurs when the partial pressure of oxygen in the blood is high.
At the tissue oxygen is released due to the lower pressure- oxyhemoglobin dissociation.
In muscle, oxygen is stored by myoglobin. This has high affinity for oxygen and stores the
oxygen for the mitochondria (where aerobic respiration occurs) until its used by the muscles
Redistribution of blood:
Muscles need more oxygen and blood so its redirected from non-essential organs
Vascular shunt mechanism- redistribution of cardiac output
Don't eat less than an hour before exercise as blood flow is redirected
to muscles. Full gut would mean blood would go to stomach instead of
muscles which will affect performance was less oxygen available
Blood flow to brain and heart stays constant as both need oxygen for normal
function and energy. Blood also goes to skin as energy to cool body down
Important to: increase the supply of oxygen to working muscles, remove waste
products-lactic acid & C02, Ensure blood goes to skin to regulate body temperature,
Direct more blood to heart as it requires extra oxygen during exercise
Pre-capillary sphincters aid- tiny rings of muscle located at the opening of
capillaries- contract, restrict blood flow. Relax, blood flow is increased.
Control of blood flow:
Vasodilation- widening of the blood vessels to increase blood flow into the capilleries
Vasoconstriction- narrowing of the blood vessels to decrease blood flow to the capillaries
A-V02 Difference
The difference between the oxygen content of the arterial blood
arriving at the muscles and the venous blood leaving the muscles
At rest its low as not much 02 is required in muscles but during exercise its high as more oxygen is needed from the blood in muscles
This increases gaseous exchange at the alveoli as more 02 is taken in and more c02 is removed
Trained performers can extract a greater amount of oxygen from the blood