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What is the normal heart rate and ventilation response to a progressive work test (graphs)?

a) Heart rate increases linearly with exercise intensity, ventilation remains constant
b) Heart rate increases linearly with exercise intensity, ventilation increases linearly
c) Heart rate remains constant with exercise intensity, ventilation increases linearly
d) Heart rate remains constant with exercise intensity, ventilation decreases linearly

User Minillinim
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Final answer:

The normal physiological response to exercise involves an increase in heart rate and ventilation. With higher intensity exercise, heart rate initially increases cardiac output until about 160 bpm, after which cardiac output decreases due to reduced stroke volume. Ventilation typically increases to meet oxygen demand, opposing the suggested scenario where it anomalously decreases linearly.

Step-by-step explanation:

Normal Heart Rate and Ventilation Response During Exercise

In a healthy young adult, the normal heart rate (HR) and ventilation response to exercise is quite specific. Initially, as exercise intensity increases, both the heart rate and cardiac output (CO) increase. When the HR exceeds 160 beats per minute (bpm), CO actually starts to decrease due to a significant reduction in stroke volume (SV), which occurs because diastolic filling time is reduced at higher heart rates. Regarding ventilation, as the intensity of exercise rises, there typically would be a linear increase in ventilation to meet the oxygen demand of the muscles. However, in this scenario, we are hypothesizing an abnormal response where ventilation decreases linearly with increasing exercise intensity, which does not reflect the usual physiological response.

During a progressive work test, HR does not remain constant but rather increases with exercise intensity. Under normal conditions, ventilation also increases to accommodate the higher demand for oxygen. This increase in ventilation is achieved by increasing both the rate and depth of breathing. In contrast, the question suggests an abnormal response where with a progressive increase in work, ventilation would decrease rather than increase, which is contrary to typical bodily responses during exercise.

User Khurrum Qureshi
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