HEART RATE
7
The heart is embedded between the two
lungs and works like a displacement pump:
blood is valve-controlled and sucked in
through the superior and inferior caval vein
via the right heart side , loaded with new
oxygen via the lung, and discharged again
through the large body artery (aorta) via the
left side of the heart.
For the body, the heart rate is really a
secondary factor. There is no place for the
body to capture the heart rate directly.
Similar to a gas pedal in a car, the optimal
heart rate at any given time is determined by
other factors. For example, you would never
drive full speed at rush hour in the city. Nor
would a driver ever crawl along an empty
highway at 20 miles per hour. So, just like the
traffic conditions determine the speed of a
car, supplying the tissue – in particular with
oxygen – is central to the organism. If the
tissue is using up a lot of oxygen, the heart
steps on the gas to pump a certain amount
of blood per unit of time through the tissue.
Therefore, the critical factor is the cardiac
output, that is to say the amount of blood
that is pumped through the body within one
minute of time, for example.
A second factor is the distribution of blood
within the body. This is measured by the
HEART RATE
6
CARDIAC OUTPUT, BLOOD PRESSURE
AND WORKLOAD
An Emergency situation is communicated
to the body by sensors and the central
nervous system. In particular, information
from the central organs, like the brain itself, is
processed. Two compensation mechanisms
are possible:
Locally, better circulation can be
achieved by opening the arterial vessels,
i.e. the body provides the blood with
supply channels that are as large as
possible. To use the car metaphor again:
the body clears the highway for the blood.
This way, it can get to the undersupplied
areas quickly.
Centrally, cardiac output can be ramped
up by increasing the stroke volume and/
or heart rate: the body steps on the gas.
A special measure for the interaction
between local circulation and cardiac
output is the arterial blood pressure. It
determines how fast the blood flows
and therefore how fast substances are
transported back and forth. If the arterial
vessels are dilated and offer less flow
resistance, the cardiac output needs to be
raised to maintain the blood pressure – the
heart rate increases.
If the blood pressure is high, that is if the
vessels are constricted, it’s the other way
around. In this case, the heart rate is
lowered. Keeping these facts in mind, it is
worthwhile to take a closer look at how the
cardiovascular system reacts to increased
muscle activity. Because here, a special
case comes into effect.
MUSCLE ACTIVITY
When muscles are flexed they depress
the nearby vessels, which increases the
vessel resistance. This should lead to an
excessive increase in blood pressure, so the
heart rate should actually slow down as a
result. However, just the opposite happens
because the physical activity triggers
complex processes in the brain, which lead
blood pressure, which can be determined
by the organism based on how much the
vessels are stretched.
The way the system works couldn’t be easier.
As soon as there are signs of insufficient
circulation, compensation mechanisms
are put into action. The body reacts to the
imminent undersupply.
Diagram: Cardiopulmonary
System
to changes in blood pressure. The metabolic
process caused by the contraction, the
metabolites produced and the heightened
impact of the sympathetic nervous system
lead to further changes that cause the
heart rate to increase. Because when the
performance level increases the active
muscles must be supplied with more blood.
Nutrients and especially oxygen have to be
delivered in larger quantities, metabolites,
especially lactic acid and carbon dioxide,
as well as heat have to be removed. This
requires an increased cardiac output.
As the stroke volume ( meaning the amount
of blood that is pumped through the heart
by a heartbeat ) limits the ability to increase
the cardiac output, the greater need is
mainly met by the heart rate. The rule of
thumb is: the heart rate rises proportionally
to the metabolism.
Aortic arch
If the workload is high, more
oxygen needs to be transported
to the muscles, so the vessels are
dilated
In combination with the maximum heart
rate, you can at least define the range within
which the heart rate fluctuates. This way, just
one glance at a SCUBAPRO computer will tell
you how high your level of exertion currently
is, based on completely objective criteria.
Keep in mind however that, particularly
while in the water, it is conceivable that a
heart rate below the actual resting heart
rate can temporarily occur. Why? Simply
because basic environmental variables
change and affect the body when you
plunge into the water. The sum of the effects
described below makes the heart rate slow
down underwater.
This slowdown needs to be considered
when interpreting the changes in heart rate.