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Q.A resting adult has a heart rate of 72 beats per minute and a stroke volume of 70 mL.

(i) Calculate his resting cardiac output in litres per minute.
(ii) During maximal exercise his heart rate rises to 190 bpm and his stroke volume to 120 mL — calculate his maximal cardiac output.
(iii) State by what factor the cardiac output has increased and explain why this increase is necessary.
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Cardiac output, the volume of blood pumped by the heart per minute, increases significantly during exercise to meet the body's elevated demands for oxygen and nutrient delivery.

Cardiac output is a fundamental measure in cardiovascular physiology, representing the total volume of blood pumped by the heart's left ventricle into the aorta per minute. Understanding cardiac output is crucial in Physical Education because it directly reflects the heart's efficiency and its ability to supply oxygen and nutrients to the working muscles, especially during physical activity. When we exercise, our muscles need more oxygen and fuel to generate energy, and they also produce more waste products. The heart must respond by increasing its output to meet these heightened demands.

Cardiac output is determined by two primary factors: the heart rate and the stroke volume.

Cardiac Output (CO) = Heart Rate (HR) × Stroke Volume (SV)

Where:

  • Heart Rate (HR) is the number of times the heart beats per minute, measured in beats per minute (bpm).
  • Stroke Volume (SV) is the volume of blood pumped out by the left ventricle in a single beat, typically measured in millilitres (mL).
  • Cardiac Output (CO) is the total volume of blood pumped per minute, usually expressed in millilitres per minute (mL/min) or litres per minute (L/min).

(i) Calculate his resting cardiac output in litres per minute.

To calculate the resting cardiac output, we use the given resting heart rate and stroke volume.

  1. Given resting heart rate (HR) = 72 beats per minute
  2. Given resting stroke volume (SV) = 70 mL per beat
  3. Using the formula, Cardiac Output (CO) = HR × SV CO(resting) = 72 bpm × 70 mL/beat CO(resting) = 5040 mL/minute
  4. To convert millilitres per minute to litres per minute, divide by 1000: CO(resting) = 5040/1000 L/minute CO(resting) = 5.04 L/minute

(ii) During maximal exercise his heart rate rises to 190 bpm and his stroke volume to 120 mL — calculate his maximal cardiac output.

To calculate the maximal cardiac output, we use the given maximal exercise heart rate and stroke volume.

  1. Given maximal exercise heart rate (HR) = 190 beats per minute
  2. Given maximal exercise stroke volume (SV) = 120 mL per beat
  3. Using the formula, Cardiac Output (CO) = HR × SV CO(maximal) = 190 bpm × 120 mL/beat CO(maximal) = 22800 mL/minute
  4. To convert millilitres per minute to litres per minute, divide by 1000: CO(maximal) = 22800/1000 L/minute CO(maximal) = 22.8 L/minute

(iii) State by what factor the cardiac output has increased and explain why this increase is necessary.

First, let's calculate the factor by which the cardiac output has increased.

  1. Factor of increase = (Maximal Cardiac Output)/(Resting Cardiac Output) Factor = (22.8 L/minute)/(5.04 L/minute) Factor ≈ 4.52 The cardiac output has increased by a factor of approximately 4.52.

This significant increase in cardiac output during maximal exercise is absolutely necessary to meet the dramatically elevated metabolic demands of the body, particularly the working muscles. Here's why:

  • Increased Oxygen Delivery: During intense exercise, muscles require a much greater supply of oxygen to fuel aerobic respiration, which produces ATP (energy). A higher cardiac output means more oxygenated blood is pumped to the muscles per minute, ensuring they receive enough oxygen to sustain activity. …

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