Exercise and the Cardiovascular System: What Happens Inside Your Heart?

1. Introduction

  • During exercise, muscle activity increases, which raises the demand for oxygen and nutrients.
  • The cardiovascular system (CVS) responds by adjusting heart rate, cardiac output, and blood flow to match the metabolic needs of the body.

2. Types of Exercise

  • Dynamic (Isotonic): Running, swimming, cycling
  • Static (Isometric): Weightlifting, plank

Each affects CVS differently.


3. Cardiovascular Changes During Exercise

A. Heart Rate (HR)

  • Increases due to sympathetic stimulation
  • Proportional to intensity of exercise

B. Stroke Volume (SV)

  • Increases due to:
    • ↑ Venous return
    • ↑ Myocardial contractility

C. Cardiac Output (CO)

  • CO = HR × SV
  • Increases 4–6 times in intense exercise

D. Blood Pressure (BP)

  • Systolic BP increases
  • Diastolic BP:
    • May remain normal or slightly ↓ in dynamic exercise
    • ↑ in isometric/static exercise

E. Peripheral Resistance

  • Decreases in active muscles due to vasodilation
  • Increases in non-essential areas (like GIT)

F. Blood Flow Redistribution

Organ/Tissue

Change in Blood Flow

Skeletal muscles

↑↑↑ (active muscles)

Skin (later phase)

↑ (for cooling)

GIT & kidneys

Heart & brain

Maintained or slightly ↑

4. Mechanisms of CVS Regulation in Exercise

A. Neural Mechanisms

  • Central command from brain activates sympathetic system
  • Baroreceptor resetting maintains BP despite high CO

B. Local Mechanisms

  • Metabolic vasodilation in muscles:
    • ↑ CO₂, ↑ H⁺, ↑ temperature, ↓ O₂ → vasodilation

C. Hormonal Factors

  • Adrenaline and noradrenaline → ↑ HR & contractility

5. Benefits of Regular Exercise on CVS

  • Improves cardiac efficiency
  • Lowers resting heart rate
  • Improves circulation
  • Reduces risk of cardiovascular diseases
  • Enhances oxygen delivery to tissues

6. Clinical Importance

Condition

Exercise Response

Hypertension

Monitor BP; avoid isometric

Ischemic heart disease

Graded exercise, avoid overexertion

Heart failure

Low-intensity supervised exercise helps

Mnemonic for CVS Changes During Exercise – "H-CO-BP-VD"

  • H – ↑ Heart Rate
  • CO – ↑ Cardiac Output
  • BP – ↑ Systolic BP
  • VD – Vasodilation in active muscles

Post a Comment

Previous Post Next Post