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Chapter 3 The Cardiorespiratory System Purpose • To provide the fitness professional with a fundamental knowledge and explanation of the cardiorespiratory system. Objectives • Following this presentation the participant will be able to: – Describe the structure and function of: • The cardiorespiratory system • The cardiovascular system • The respiratory system – Explain how each of those systems relates to human movement. – Go through oxygen-testing procedures. – Relate how oxygen is related to energy expenditure as well as the influence that dysfunctional breathing can have on the human movement system (HMS). The Cardiorespiratory System • To maintain a constant state of efficient operation, the HMS needs to have support systems. • The cardiorespiratory system comprises the cardiovascular and respiratory systems. • Together they provide the tissues of the HMS with oxygen, nutrients, protective agents, and a means to remove waste products. Cardiovascular System • The cardiovascular system is composed of the heart, blood, and blood vessels. Heart • A muscular pump that rhythmically contracts to push blood throughout the body • Heart muscle is termed cardiac muscle and has characteristics similar to skeletal muscle. – Cardiac muscle contraction is involuntary. – The heart is in the mediastinum. Cardiac Muscle Contraction • Cardiac muscle fibers are shorter and more tightly connected. – Enables the contraction of one fiber to stimulate the others to contract synchronously • All cardiac muscle fibers have a built-in contraction rhythm, and the fibers with the highest rhythm determine the heartbeat or heart rate. – Typical discharge rate (heart rate) is 70–80 beats per minute Cardiac Muscle Contraction • Specialized conduction system of cardiac muscle that provides the rhythm for the heart rate includes: – Sinoatrial (SA) node • Located in the right atrium. • Called the “pacemaker” because it initiates the heartbeat – Internodal pathways • Transfers the impulse from the SA to the atrioventricular (AV) nodes – Atrioventricular (AV) node • Delays the impulse before moving on to the ventricles – Atrioventricular (AV) bundle (bundle of His) • Passes the impulse to the ventricles for contraction via the left and right bundle branches of the Purkinje fibers. Structure of the Heart • The heart is composed of four chambers that form two interdependent but separate pumps. • Each side of the heart has two chambers. – Atrium – Ventricle • Atrium gathers blood coming to the heart. • Ventricle pumps the blood out to the rest of the body. Function of the Heart • Each contraction of a ventricle pushes blood from the heart into the body. • The amount of blood that is pumped out with each contraction of a ventricle is the stroke volume (SV). • The rate at which the heart pumps is the heart rate (HR). • Together, the heart rate and the stroke volume make up the overall performance of the heart (cardiac output). Monitoring Heart Rate • Place index and middle fingers around the backside of the wrist (about one inch from the top of wrist, on the thumb side). • Locate the artery by feeling for a pulse with the index and middle fingers. Apply light pressure to feel the pulse. • When measuring the pulse during rest, count the number of beats in 60 seconds. When measuring the pulse during exercise, count the number of beats in 6 seconds and add a zero to that number. Example: Beats in 6 seconds = 17. Add a zero = 170. Pulse rate = 170 bpm Blood • Blood acts as a medium to deliver and collect essential products to and from the body’s tissues. • The average human body holds about 5 L (roughly 1.5 gallons) of blood at any given time. • Blood is a vital support mechanism as it: – Transports oxygen, hormones, and nutrients to specific tissues and collects waste products – Regulates body temperature and pH levels – Protects from injury and blood loss using clotting mechanism to seal off damaged tissue – Provides specialized immune cells to fight foreign toxins within the body, decreasing disease and sickness Blood Vessels • Blood vessels form a closed circuit of hollow tubes that allow blood to be transported to and from the heart. – Arteries: transport blood away from the heart. – Veins: transport blood back to the heart. Respiratory System • The second functional component of the cardiorespiratory system is the respiratory system. • Its primary role is to ensure proper cellular functioning. • Works intimately with the cardiovascular system by providing a means to collect oxygen from the environment and transport it to the bloodstream. Respiratory System • The collection and transportation of oxygen is made possible by the respiratory pump and the respiratory airways. Respiratory Pump • Located in the thoracic cavity • Provides framework and flexibility to allow for the expansion and compression needed for ventilation – Divided into two phases • Inspiratory (inhalation) • Expiratory (exhalation) Respiratory Pump • Bones – Sternum, ribs, vertebrae • Muscles – Inspiration: diaphragm, external intercostals, scalenes, sternocleidomastoid, pectoralis minor – Expiration: internal intercostals, abdominals Respiratory Passageways • Air must have passageways to funnel it in and out of the lungs for proper utilization. • Respiratory passageways are divided into – Conduction passageway – Respiratory passageway Respiratory Passageways • Conduction passageways – – – – – – Nasal cavity Oral cavity Pharynx Larynx Trachea Right and left pulmonary bronchi • Respiratory passageway – Alveoli – Alveolar sacs Cardiorespiratory Function • Cardiovascular and respiratory systems make up the cardiorespiratory system. – Respiratory system: provides the means to gather oxygen from the environment and transfer it to the body. – Cardiovascular system: provides the means to transport oxygen to the tissues of the body. Oxygen Consumption • The use of oxygen by the body is known as oxygen consumption; at rest = 3.5 mL per kg per min. • Maximal oxygen consumption is generally accepted as the best means of gauging cardiorespiratory fitness. – Submaximal testing procedures have been established to estimate maximal oxygen consumption. • Used in a fitness assessment, it can provide important structural and mechanical information that may help a fitness professional limit the risk of injury. Dysfunctional Breathing • The importance of all systems in the body working synergistically can be further demonstrated by the intimacy between the cardiorespiratory system and the HMS. • If there is a dysfunction in the cardiorespiratory system, this can directly impact the components of the HMS and perpetuate into further dysfunction. Dysfunctional Breathing • Alterations in breathing patterns are a prime example of this relationship. – During shallow breathing patterns, the secondary respiratory muscles are used more predominantly. – If this shallow, upper-chest breathing pattern becomes habitual, it can cause overuse of muscles including the scalenes, sternocleidomastoid, levator scapulae, and upper trapezius. – These muscles also play a major postural role in the kinetic chain as they all connect directly to the head and neck. – Their increased activity and excessive tension often result in headaches, lightheadedness, and dizziness. Summary • The respiratory system gathers oxygen from the environment, inhales it through the nose and mouth, and processes it to be delivered to the tissues of the body. • As cells use oxygen, they produce carbon dioxide, which is transported back to the heart and lungs in the deoxygenated blood to be released through exhalation. • The collection and transportation of oxygen is made possible by the respiratory pump and the respiratory airways. • If there is a dysfunction in the cardiorespiratory system, this can directly impact the components of the HMS and perpetuate into further dysfunction.