Minipress (Prazosin)
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ANGINA AND EXERCISE: BASIC PHYSIOLOGY OF EXERCISE
Any form of exercise involves work done by muscles. Muscles contain fibres which contract or shorten when they receive messages from the brain via the nerves. In the same way that a car engine requires fuel to make it work, so do the muscles. The fuel that muscles ‘run’ on is mainly glucose but with considerable exercise the body can break down fat and use that as fuel. In order for the energy to be released from the fuel, the body needs oxygen.
When we breathe, oxygen is drawn into the lungs. Blood in the blood vessels of the lungs absorbs the oxygen and then travels back to the heart to be pumped round the body. As the blood passes through the tissues of the body it releases oxygen where it is needed, for example working muscles. Blood flows round the body continuously, releasing oxygen and absorbing carbon dioxide which is a waste product – like the exhaust from a car engine. Carbon dioxide is then passed from the blood when it returns to the lungs to pick up more oxygen. The carbon dioxide is then breathed out by the lungs.
Muscle activity in the presence of enough oxygen is called aerobic exercise. But if the body is overworked, the blood supply cannot deliver enough oxygen to the muscles. The muscles will continue to work for a while with less oxygen, but in doing so, make a product called lactic acid. Lactic acid collects in the muscle making it stiff and painful, and ultimately the muscle stops working. Muscle activity without enough oxygen is called anaerobic exercise.
Cardio & BloodThe reason that your heart rate increases with exercise is to meet the demands for more oxygen. The harder the exercise, the more oxygen the muscles require. The more oxygen the muscles need, the faster the blood must be pumped round the body by the heart. The lungs respond to the increased demand for oxygen by breathing more deeply and more quickly, and the heart responds by contracting more quickly and powerfully. This is why the heart rate, the number of heartbeats per minute, increases during exercise.
The heart itself contains muscle and, like the skeletal muscles in the limbs, it too needs a constant supply of oxygen in order for it to function. Like skeletal muscle, the harder the heart muscle has to work, the more oxygen it requires. If the heart is pumping quickly to increase the circulation and oxygen supply to the working muscles in the body, but because of narrowing of the coronary arteries its own needs for increased oxygen are not being met, the result is pain. This explains why angina is felt during exercise.
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