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Exercise Physiology Chapter 9 Part A
Huang-Circulatory Adaptations to Exercise
82
Physiology
Undergraduate 3
03/24/2014

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Term
T/F as exercise increases muscular demand for oxygen increases by 15-25 times.
Definition
true
Term
what are the two major adjustments of blood flow during exercise?
Definition
increase cardiac output
redistribution of blood flow
Term
in the redistribution of blood flow where does the blood move from?
Definition
from non-working muscle to working muscle tissue
Term
what are the purposes of cardiac output?
Definition
transport oxygen to tissues and removal of waste
transport of nutrients to tissues
regulation of body temperature
Term
blood enters to heart from the body through the
Definition
inferior and superior vena cava
Term
blood from the inferior and superior vena cava enters the
Definition
right atrium
Term
blood from the right atrium has to pass though what valve to go into the right ventricle?
Definition
tricuspid valve
Term
from the right ventricle where and how does the blood travel?
Definition
to the lungs via the pulmonary artery
Term
when the blood travels back to the heart in the pulmonary vein it goes where?
Definition
into the left atrium
Term
the valve between the left atrium and left ventricle is the
Definition
bicuspid valve
Term
the space separating the two ventricles is the
Definition
interventricular septum
Term
explain the circulation of blood through the heart
Definition
superior/inferior vena cava->
right atrium->
tricuspid valve->
right ventricle->
pulmonary artery->
pulmonary semilunar valve->
pulmonary artery->
lungs->
pulmonary vein->
left atrium->
bicuspid valve->
left ventricle->
aortic semilunar valve->
aorta->
body
Term
what are the two semilunar valves?
Definition
pulmonary
aortic
Term
where does the blood in the left atrium and ventricle come from?
Definition
the lungs
Term
what are the two AV valves?
Definition
bicuspid
tricuspid
Term
T/F the pulmonary artery is the only artery that carries deoxygenated blood
Definition
true
Term
T/F the pulmonary vein is the only vein that carries deoxygenated blood
Definition
false
only vein that carries oxygenated blood
Term
what are the vessels on the outside of the heart?
Definition
left and right coronary artery and vein
(depends on the side of the heart and color)
Term
what are the structures of the circulatory system?
Definition
heart
arteries
arterioles
capillaries
veins
venules
Term
what is the role of the heart?
Definition
create pressure to pump blood
Term
what is the role of the arteries and arterioles?
Definition
carry blood away from the heart
Term
what is the role of capillaries?
Definition
exchange of oxygen, carbon dioxide, and nutrients between tissues
Term
what is the role of veins and venules?
Definition
carry blood toward the heart
Term
what side of the heart is the systemic circuit?
Definition
the left side of the heart
Term
what does the systemic circuit do?
Definition
pumps oxygenated blood to the whole body via arteries
returns deoxygenated blood to the right heart via veins
Term
what side of the heart is the pulmonary circuit?
Definition
the right side of the heart
Term
what does the pulmonary circuit do?
Definition
pumps deoxygenated blood to the lungs via pulmonary arteries
pumps oxygenated blood to the lungs via pulmonary veins
Term
what are the three layers of the heart wall from inner to outer?
Definition
endocardium
myocardium
epicardium
Term
T/F blockage of the coronary artery or vein is ok.
Definition
false
blockage results in heart attack
Term
what is the benefit of exercise for someone with heart disease?
Definition
increase endurance
reduce LDL levels
increase cardiac output
increase VO2
Term
what is the importance of the myocardium?
Definition
receives blood supply via coronary arteries
Term
T/F there is a low demand for oxygen and nutrients in the myocardium.
Definition
false
high demand
Term
what is the myocardial infarction (MI)?
results?
prevention?
Definition
aka heart attack
blockage of the coronary blood flow
results in cardiac muscle damage
exercise training protects against heart damage during MI
Term
what is the role of the heart?
Definition
create pressure to pump blood
Term
how can regular exercise be cardioprotective?
Definition
reduce incidence of heart attacks
improves survival from heart attacks
Term
explain how exercise reduces the myocardial damage from heart attacks. (hint 2 ways)
Definition
1: improvements in heart's antioxidant capacity
2: improved function of ATP-sentitive potassium channels
Term
T/F high concentration of free radicals is ok for veins and arteries.
Definition
false
dangerous for veins and arteries
Term
where is Ca stored in cardiac muscle?
Definition
the sacroplasmic reticulum
extra cellular fluid
Term
is cardiac muscle striated?
Definition
yes
Term
does cardiac muscle have actin and myosin?
what about cross bridges?
Definition
yes
there is an increase in cross bridges
Term
what nutrient is required for contraction of cardiac muscle?
Definition
calcium
Term
T/F cardiac muscle and skeletal muscle use contract via the sliding filament theory
Definition
true
Term
how are heart muscle fibers connected?
Definition
intercalated discs
Term
explain what a functional syncytium is.
Definition
when all the muscle fibers contract at the same time
Term
T/F cardiac muscles are longer than skeletal muscles
Definition
fasle
cardiac muscles are shorter than skeletal muscles
Term
T/F there are two muscle fiber types in cardiac muscle
Definition
false
all fibers are similar to type one (slow) fibers in cardiac muscle
Term
T/F the type one fiber in skeletal muscle is the exact same in cardiac muscle.
Definition
false
although they are similar there is more mitochondria in cardiac muscle fibers
Term
are cardiac cells mono- or multi- nucleated?
Definition
mono
Term
what does the intercalated disc do?
Definition
help transmit electrical impulses
Term
what happens to the ventricles as the atria contract?
atria relax?
Definition
ventricles relax

ventricles contract
Term
do both the left and right sides of the heart work at the same time?
Definition
yes
left and right atria contract and relax at the same time
Term
explain the regeneration potential of cardiac muscle tissue
Definition
none
there are no satellite cells in cardiac muscle, which means it cannot be regenerated if damage occurs
Term
explain excitation contraction coupling in cardiac muscle (sequences)
Definition
excitation->
Ca channels in t-tubules open->
Ca flows into the cytoplasm->
Ca binds to receptors on the the outside of the SR->
open Ca channels->
flow of Ca in to cytosol->
increase Ca in cytosol->
contraction
Term
1 systolic + 1 diastolic =
Definition
1 cardiac cycle
Term
what is the definition of the cardiac cycle?
Definition
the repeated pattern of concentration and relaxation of the heart (usually refers to ventricles)
Term
what is systole?
Definition
contraction phase
ejection of blood
Term
how much blood is ejected from the heart during systole?
Definition
2/3 of blood per beat
Term
what is diastole?
Definition
relaxation phase
filling with blood
Term
T/F at rest systole is longer than diastole.
Definition
false
diastole is longer than systole
Term
how does exercise effect the length of time for diastole and systole?
Definition
both become shorter
Term
how long is one cardiac cycle?
Definition
0.8 seconds
Term
at rest how is the 0.8 seconds broken into systole and diastole?
Definition
systole=0.3
diastole=0.5
Term
during exercise how is the 0.8 seconds broken into systole and diastole?
Definition
systole=0.2
diastole=0.13
Term
during exercise does the cardiac cycle become shorter?
Definition
yes
Term
is pressure in the ventricles low or high during diastole?
Definition
low because the AV valves are open to allow the ventricles to fill with blood
Term
T/F AV valves open when ventricular pressure greater than atrial pressure
Definition
false
less than
Term
what happens to pressure in the ventricles during systole?
Definition
pressure becomes higher
Term
T/F semilunar valves open when ventricular pressure is greater than atrial pressure
Definition
true
Term
what is the first heart sound?
Definition
closing of the AV valves when the ventricles contract
Term
what is the second heart sound?
Definition
closing of the aortic and pulmonary valves when the ventricles relax
Term
how many phases is diastole?
Definition
three
Term
explain the first stage of diastole.
Definition
isovolumetric ventricular relaxation
atrium and ventricle relaxed
AV and semilunar valves are closed
Term
explain the second stage of diastole,
Definition
part of ventricular filling
atrium and ventricle relaxed
AV valve is open
semilunar valves are closed
Term
explain the third stage of diastole.
Definition
part of ventricular filling
atrial contraction
atrium contracts
ventricle relaxed
AV valve open
semilunar valves closed
Term
what percent of blood is pumped into the ventricle in the second stage of diastole?
Definition
70%
Term
what percent of blood is pumped into the ventricle in the third stage of diastole?
Definition
remaining 30%
Term
how does the blood remain in the same ventricles?
Definition
all valves must close
Term
what causes the AV valve to open in the second stage of diastole?
Definition
the pressure different between the atria and ventricles
Term
when the blood returns to the atria does pressure increase?
Definition
yes
Term
how much blood is in the heart?
Definition
120mL
Term
explain the first stage of systole.
Definition
isovolumetric ventricular contraction
blood volume is 120mL
all valves closed
atria relax
ventricles contract
Term
explain the second stage of systole.
Definition
ventricular ejection
atrium relaxed
ventricle contracts
semilunar valves are open
AV valves closed
2/3 blood pumped out
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