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Cardiovascular Responses to Exercise. Increased Q. Increased HR and SV Enhanced delivery of O 2 and fuels to active muscle and removal of CO 2 and waste. Increased Skin blood flow. Remove heat. Decreased blood flow to the kidneys. Decreased urinary output and maintenance of blood volume.
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Increased Q • Increased HR and SV • Enhanced delivery of O2 and fuels to active muscle and removal of CO2 and waste
Increased Skin blood flow • Remove heat
Decreased blood flow to the kidneys • Decreased urinary output and maintenance of blood volume
Decreased visceral flow • Reduced GI activity
Increased muscle blood flow • Maximal flow is limited by need to maintain BP • Active muscles will vasoconstrict if BP is not maintained
CV regulation directed to maintain BP • Balance between maintaining BP and need for more blood to active tissue
Limits of CV Performance • VO2 max is best predictor of CV capacity • Biochemical factors are better predictor of endurance • Q is the best predictor of VO2 max • Q can increase by 20% from endurance training, accounts for most of improvement of VO2 max
CV changes with training • Improved ability to pump blood, increase SV (↑ EDV, small incr. L ventricular mass) • No change in ventricular volume • ↑ SV, ↓ HR = more efficient pressure-time relationship • May increase VO2 max by 20%, depending on initial fitness (endurance more) • Submax and resting HR are lower
SV increase no more than 20% (increased myocardial contractility) • Slight increase in (a-v)O2, right shift in dissociation curve • Resting and submax. BP and MAP are lower
Coronary blood flow decreases at rest and submax work • Increased SV and decreased HR = reduce myocardial oxygen consumption • No change in the vascularity of the heart • Skeletal muscle vasularity increases • (decreased blood flow during submax work)