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The Cardiovascular System and Exercise

The cardiovascular system serves five important functions during exercise:

  • Delivers oxygen to working muscles
  • Oxygenates blood by returning it to the lungs
  • Transports heat (a by-product of activity) from the core to the skin
  • Delivers nutrients and fuel to active tissues
  • Transports hormones

During exercise the working muscles demand more oxygen and more nutrients. Metabolic process speed up. More waste products are produced increasing acidity. Body temperature rises. Combined this leads to an increase demand on the Cardiovascular system.

Let's take a closer look at some of the immediate responses your body makes when you begin to exercise vigorously.


Immediate Response of the Cardiovascular System to Exercise

Heart Rate
Before exercise even begins heart rate increases in anticipation. This is known as the anticipatory response. After that heart rate increases in direct proportion to exercise intensity until maximum heart rate is reached.

Maximum heart rate is estimated with the formula 220-age. But this is only an estimation, and not always accurate. The only direct method for determining maximum heart rate is to have some exercise at increasing intensities until a plateau in heart rate is found.

Stroke Volume
This is simply the amount of blood (mL) ejected per beat from left ventricle. Stroke volume increases proportionally with exercise intensity. At rest it averages 50-80mL per beat increasing up to 100-120ml per beat during intense, physical activity. What causes the increase?

The left ventricle fills more completely, stretching it further and the elastic recoil produces a more forceful contraction - hence a greater output of blood.

Cardiac Output
This is the amount of blood (mL) pumped by the heart in 1 minute. It is a product of stroke volume multiplied by heart rate. If either heart rate or stroke volume increase (or both) cardiac output increase. Cardiac output increases proportionally with exercise intensity - which makes sense when you think both stoke volume and heart rate increase during activity.

To give you an idea of how much harder the heart works, it pumps about 5L of blood per minute at rest and up to 20-40L per minute during exercise.

Blood Flow
At rest 15-20% of circulating blood supplies skeletal muscle. During vigorous exercise this increases to 80-85%. Blood is shunted away from major organs such as the kidneys, liver, stomach and intestines. It is then redirected to the skin to promote heat loss.

Blood Pressure
At rest, a typical blood pressure might read 120/75 mm Hg. During exercise systolic pressure (the pressure during contraction of the heart or systole) can increase to over 200 mm Hg. Diastolic pressure on the other hand remains relatively unchanged. In fact an increase of more than 15 mm Hg as exercise intensity increases can indicate coronary heart disease.


Adaptations in the Cardiovascular System

Following an exercise program (of at least 6 weeks, 3x per week) the cardiovascular system and its components go through various adaptations. Here are the most important...

  Heart Size - weight and volume of the myocardium (heart) increases.

  Heart rate – decreases at rest and during sub maximal exercise. Time it takes for heart rate to return to resting levels decreases.

  Stoke volume – increases at rest and during sub maximal exercise.
Left ventricles fill more completely, producing a more forceful contraction.

  <>- during each contraction not all the blood in the left ventricles is ejected. The percentage that is pumped is called the ejection fraction and it can improve following aerobic training.

  Blood pressure – can decrease (both systolic and diastolic pressure) at rest and during sub maximal exercise by as much as 10 mm Hg.

  Blood Flow – greater capillarization in muscles, improved dilation of capillaries. Possibly increased collateral circulation to the myocardium (This is a process in which small, normally closed, arteries open up and connect two larger arteries or different parts of the same artery. They can serve as alternate routes of blood supply).

  Blood Volume – significant increase due to increase in plasma volume and erythrocytes (red blood cells). This is the main reason why the heart fills more completely thus increasing stroke volume.


Diagram of the Heart


Course Contributor Phil Davies