16523 netter73

16523 netter73



Rrsponse to txeras»


CARDIOVASCULAR PHYSIOLOGY

Anticipation of exercise stimulates cardioregulatory centers, increasing heart ratę

nerve (X)

Sympathctic inhibition by baroreceptor mechanism is overwhelmed by generalized slimulation of sympathetics

Sympathetic

Sympathctic


' .rei.r


nerves


Catecholamine output by suprarcnal medul-lae promoted by sympathetic stimulation


Baroreceptors stimulated by hse in blood pressure; fali in blood pressure de creases tonie sympathctic inhibition


Sympathetic nerve stim-ulntion and circulating catecholamines, plus rełative decrease in va* gal tonę, accelerate SA node discharge ratę


Increased ratę of contraction


Skin: vasoconstriction at first. then dilation for heat dissipation


Increased venous return due to action of muscle pump and respiratory movemenls "


Sympathctic nerves and circulating catecholamine dilate coronary arteries iirv crease O 2 supply and mc-tabolite removal) and ad direclly on heart muscle. accelerating myocardial metabolism


Liver and splanchnic beds blood llow diminishes


Increased


Kidneys: blood flow diminishes


Muscle: inilial compression followed by marked vasodilation due to relcase of mctabolites and circulating epinephrine


Figurę 4.21 Circulatory Response to Exercise ___._

This figurp summarizes the integrated neural and Chemical effects of    effects are mediated locally by the release of va$oactive metabf »!■•—

exercise on the cardiovascular system. Neural effects are mediated and the effects of circulating catechołamines (e.g.. epinepłuinc i centrally (by the autonomie nervous system), whereas the Chemical


86


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