The heart's response to exercise

Heart rate, stroke volume, cardiac output, estimated maximal heart rate and cardiac drift.

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  • 5 topics
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  1. Concepts
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  4. Scenarios
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  • Cardiac output: what is it?

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    Blood pumped per minute: heart rate × stroke volume.

    About 5 L/min at rest, 20 to 25 at maximal effort.

  • In a hot marathon at a steady pace, heart rate climbs 15 beats. Why?

    • Dehydration and heat lower stroke volume
    • Heat raises the blood volume the heart must pump
    • Stroke volume rises and drives the heart faster
    • VO2max rises with temperature
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    Dehydration and heat lower stroke volume

    That is cardiac drift: the heart beats faster to keep the same output.

  • Stroke volume: what is it?

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    The volume ejected by a ventricle each beat.

    It plateaus at around 40 to 60 % of VO2max in untrained people.

  • Why does endurance training raise maximal cardiac output?

    • Maximal heart rate rises markedly with training
    • Stroke volume rises while maximal heart rate stays stable
    • The heart beats faster at rest and keeps a reserve
    • The arteries tighten and push the blood harder
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    Stroke volume rises while maximal heart rate stays stable

    It is the volume per beat that improves.