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Exam 2
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2 major adjustments to blood flow during exercise
increased cardiac output and redistribution of cardiac output
hypertension is a BP above _______ mmHg
140/90
contraction of the heart depends on
electrical stimulation of myocardium
graded exercise test to see how electrical activity of heart responds
stress test
total volume of blood pumped by the heart per minute
cardiac output
cardiac output equation
CO = HR x SV
cardiac output depends on what 2 things
training state and stroke volume
3 factors that increase stroke volume
sympathetic nerves, contraction strength, EDV
factor that decrease stroke volume
MAP
heart rate is increased by
sympathetic nerves
heart rate is decreased by
parasympathetic nerves
heart rate _________ at the onset of exercise
increases
the volume of blood in the ventricles at the end of diastole (“preload”)
end-diastolic volume (EDV)
pressure in the heart must pump against to eject blood (“afterload”)
mean arterial pressure (MAP)
strength of ventricular contraction is enhanced by (2)
circulating epinephrine and norepinephrine, direct sympathetic stimulation of heart
low resting heart rate is due to
parasympathetic tone
Frank-starling mechanism
greater EDV = more forceful contraction
the Frank-starling law is due to
lengthening of cardiac fibers (increased cross-bridges)
end-diastolic volume is dependent on
venous return
venous return is increased by (3)
venoconstriction, skeletal muscle pump, respiratory pump
blood flow is ______________ to the pressure difference between two ends of the system
directly proportional
blood flow is _____________ to resistance
inversely proportional
blood flow equation
blood flow = right arterial (^) pressure / resistance
pressure is ___________ to the difference between MAP and right arterial pressure (^)
proportional
resistance equation
resistance = (length x viscosity) / radius^4
O2 demand by muscles is _________ at rest
lower
increased O2 delivery is accomplished by (2) during exercise
increased cardiac output, redistribution of blood flow
during exercise, heart rate increases _________
linearly
adult HR calculation
HR = 220 - age
child HR calculation
HR = 208 - (0.7 x age)
stroke volume increases, then
plateaus at ~40% VO2 max (no plateau in highly trained)
skeletal muscle vasodilation has autoregulation, which
increases blood flow to meet metabolic demands of tissues
changes in HR and BP depend on (3)
type/intensity/duration of ex, environmental condition, emotional influence
systolic BP ________ with exercise intensity
increases
how hard the heart has to work, increases linearly with exercise
double product
double product equation
double product = HR x systolic BP
recovery of HR and BP between bouts of exercise depend on (3)
fitness level, temp and humidity, duration/ intensity
cardiac output is _________ during prolonged exercise
maintained
there is a gradual __________ in SV during prolonged exercise due to (2)
decrease, dehydration and decreased plasma volume
there is a gradual __________ in HR during prolonged exercise due to (1)
increase, cardiovascular drift
pulmonary respiration
exchange of O2 and CO2 in lungs
cellular respiration
O2 utilization and CO2 production in lungs
2 purposes of the respiratory system during exercise
gas exchange and regulation of acid-base balance
major muscle of inspiration
diaphragm
asthma results in a
bronchospasm = narrowing of airways
exercise-induced asthma is a
bronchospasm during/immediately after exercise
increased airway resistance due to constant narrowing and decreased expiratory flow
chronic obstructive lung disease (COPD)
amount of air moved in/out of lungs per minute (V) =
V = tidal volume (Vt) x breathing frequency (f)
volume of air that reaches respiratory zone
alveolar ventilation (Va)
volume of air remaining in conducting airways
dead-space ventilation (Vd)
total pressure of gas that each gas would exert independently
Dalton’s law
the rate of diffusion is proportional to the tissue area, the diffusion of the coefficient of the gas and the difference in partial pressure of gas on the two sides of the tissue, and inversely proportional to the thickness
Fick’s law
when standing, most of the blood flow is
to the base of the lung
during exercise, more blood flow is
to the apex of the lung
____% of O2 is transported bound to hemoglobin (Hb)
99%
the amount of O2 transported per unit volume of blood is dependent on
Hb concentration
3 ways CO2 is transported in the blood
dissolved in plasma (10%), bound to Hb (20%), bicarbonate (70%)
increased ventilation results in (3)
CO2 exhalation, increases pH, decreases PCO2
decreased ventilation results in (3)
buildup of CO2, decreased pH, increased PCO2
training ________ ventilatory response to exercise
reduces
is the pulmonary system a limitation during low-moderate exercise intensity?
no
is maximal exercise a limitation during low-moderate exercise intensity?
yes
the difference between O2 content of arterial and mixed-venous blood
aVO2 difference
aVO2 ________ as exercise increases
increases
________ drives how much O2 is extracted or dropped off
affinity
at different places of the body, PO2 is different
O2-Hb dissociation curve
affinity of O2 and Hb is _______ at a lower PO2
lower
VO2 max =
HR max x SV max x (aVO2) max
improvements in VO2 max (3)
~50% increase in SV and aVO2 max, short duration training increases SV, long duration training increases aVO2
marker of mitochondrial oxidative capacity
citrate synthase (CS)
mitochondrial adaptations effects of exercise intensity
55%, 65%, or 75% VO2 max increases CS in 2a fibers
mitochondrial adaptations effects of exercise duration
no difference in 2a, increased CS activity in 2x fibers w/ high-long
endurance training improves
muscle antioxidant capacity
endurance training reduces
O2 deficit
muscle mitochondria _______ within ___ week(s)
double, 5
loss of ___% muscle mitochondrial gain within ___ week(s)
50%, 1
muscle mitochondrial regain requires ____ week(s) of retraining
3-4
training ________ is most important in improving VO2 max
intensity
what measures pulmonary volume?
spirometer
factors that increase VO2 max (2)
increased cardiac output and aVO2 difference
Bohr effect
rightward shift in curve = more acidic blood (O2-Hb)
cardiac output at rest
4 L/min
cardiac output during exercise
20-25 L/min