Heart Rate, Blood Pressure, and Exercise（心率,血压,和锻炼）.pdf

Computer 11 Heart Rate, Blood Pressure, and Exercise The adaptability of the heart can be observed during exercise, when the metabolic activity of skeletal muscles increases. The cardiovascular system, consisting of the heart and blood vessels, responds to exercise with an increase in heart rate and strength of contraction with each beat, resulting in a higher cardiac output (cardiac output = quantity of blood pumped through the heart per unit of time) and blood pressure. Positive pressure is created by forceful contraction of the left ventricle of the heart, measured as systole. It is maintained during relaxation of the ventricle by closure of the aortic valve and recoil of arteries, measured as diastole (see Figure 1). y Mean arterial pressure (MAP) is a useful measure of the adequacy of tissue perfusion, and is not p a simple average of systolic and diastolic blood pressures. This is because diastole continues for twice as long as systole. MAP can be reasonably approximated using the equation: o ( 2( ))systole + diastole = MAP 3 c The mean arterial pressure is directly proportional to cardiac output and inversely proportional to total peripheral resistance, where: n Cardiac output is the amount of blood pumped out of the heart with each beat (called the stroke o volume), multiplied by the number of beats per minute. i Total periph