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The three main functions of the cardiovascular system

The cardiovascular system has three main functions:

  1. transport of oxygen, carbon dioxide and nutrients
  2. clotting of open wounds
  3. regulation of body temperature

Regulating body temperature

In the heat, blood vessels close to the surface of the skin enlarge. This process is called . This allows more heat to be lost from the blood.

When a person takes part in exercise their face can become pink due to vasodilation of the blood vessels close to the skin's surface.

Man with very pink face after completing some strenuous exercise

In the cold, blood vessels at the skin's surface close. This process is called and takes blood away from the surface of the skin to help prevent it from losing heat.

Blood pressure

When the heart contracts it pushes blood into blood vessels which creates blood pressure.

A blood pressure reading consists of two values:

  • systolic value – blood pressure while the heart is squeezing
  • diastolic value – blood pressure while the heart is relaxing

The average blood pressure for an adult is 120/80 mmHg. The first number is the systolic value and the second number is the diastolic value.

Blood pressure is determined by Q (cardiac output) and the resistance to the blood flow (R). Resistance to blood flow is caused both by the diameter of the blood vessels and by the thickness of the blood. Furthermore, if a person has a condition called atherosclerosis (plaque in the arteries), their resistance to blood flow will increase and so will blood pressure. This can have serious health implications such as causing chronic high blood pressure, angina or even heart attack or stroke.

The heart's performance as a pump

The heart's function is to pump the blood and circulate it round the body. We assess the heart's performance by measuring how much blood it pumps out each minute. This is called cardiac output. To calculate cardiac output, we also need to know about heart rate and stroke volume.

Heart rate

Heart rate (HR) is the number of times the heart beats (or the ventricles pump blood out) in one minute. The average resting HR is approximately 70 beats per minute (bpm).

Stroke volume

Stroke volume (SV) is the amount of blood pumped out of the ventricles each time they contract. The average resting SV is approximately 70 ml.

Cardiac values

Cardiac output (Q) is the amount of blood pumped from the heart every minute and can be calculated by multiplying heart rate (HR) by stroke volume (SV).

SV is 70 to 90 millilitres at rest. The fitter you are, the larger your stroke volume.

We can calculate a typical cardiac output at rest and during exercise:

Q at rest = SV Ă— HR

Q at rest = 70 Ă— 70

Q at rest = 4900 ml/min

Q at rest = 4.9 l/min

Q during exercise = SV Ă— HR

Q during exercise = 120 Ă— 180

Q during exercise = 21600 ml/min

Q during exercise = 21.6 l/min