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Haemodynamic Variables

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Haemodynamic Variables
Measuring haemodynamic variables using different techniques and examining the effects of diving reflex, isometric muscle contraction and psychological stress on these variables.

Introduction

Haemodynamics is the study of factors that determine the movement of blood (Widmaier et al, 2011). The main haemodynamic factors are heart rate and blood pressure. Heart rate is defined as the number of times the heart contracts per minute. Normal resting heart rate in adults ranges between 60 – 100 beats per minute. Monitoring heart rate regularly is important to diagnose medical conditions such as high heart rate (tachycardia) and low heart rate (bradycardia). Heart rate monitors are also used during exercise to heighten efficiency of and individual’s training (Pocock and Richards, 2004).

Blood pressure is the pressure that the blood exerts against the blood vessel walls, especially the walls of the arteries. Two types of blood pressure are recorded; systolic blood pressure – when pressure is high during ventricular systole – and diastolic blood pressure – when pressure is low during ventricular relaxation.
Monitoring blood pressure is important because it allow changes to be detected. The common condition of high blood pressure is often asymptomatic, making it difficult to be realised until complications occur (Walerstein, 2010).
Diving reflex is a reflex of mammals, reptiles, and birds that causes the body to respond in a number of different ways when the trigeminal facial nerves are stimulated or when the body undergoes apnea. These nerves are stimulated when the face comes in contact with cool water (below 21C). The colder the water, the quicker the physiological changes occur. The physiological changes that occur are bradycardia (slowing down of heart rate) and peripheral vasoconstriction (narrowing of blood vessels). Peripheral vasoconstriction occurs to reduce blood flow to limbs and increase blood flow to organs that require the most oxygen. A decrease



References: Pocock, J. and Richards, C. D. (2004) Human physiology; The basis of medicine 2nd edition, Oxford University Press, pg 309 Walerstein,S. (2010). The Importance of Monitoring High Blood Pressure. Available: http://eastmeadow.patch.com/articles/the-importance-of-monitoring-high-blood-pressure. Last accessed 30th Nov 2012. Rennie, J. (2012). How the Dive Reflex Extends Breath-Holding.Available: http://www.scientificamerican.com/article.cfm?id=breath-holding-dive-reflex-extends. Last accessed 30th Nov 2012. Marieb, E.N. and Hoehn, K. (2004) Human anatomy and physiology 7th edition, Pearson Benjamin Cummings, pg 296 – 297. Torpy, J. M., Burke, A. E. and Glass, R. M.. (2007). Acute Emotional Stress and the Heart . The Journal of American Medical Association. 298 (3), p360. O’Brien, E., Bickford Smith, P. and Murray, A. . (2000). Blood Pressure Measurement Devices – Mercury and Non-mercury. Medical Devices Agency. 2000 (3). Bunker Rosdahl, C. and Kowalski, M. T.. (2008). Unit 8. In: Textbook of Basic Nursing. 9th ed. United States of America: Lippincott Williams and Wilkins. p520 Gladwell, V., F. and Coote, J., H.. (2002). Heart rate at the onset of muscle contraction and during passive muscle stretch in humans: a role for mechanoreceptors. The Journal of Physiology. 540 (3), p1095 - 1102. Hiebert, S.,M. and Burch, E.. (2003). Simulated Human Diving and Heart Rate: Making the most of the Diving Response as a Laboratory Experiment. Advances in Physiology Education. 27 (3), p130 - 145.

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