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HMS, BM EQ-Bank 67

Explain how the cardiovascular system adapts to exercise at altitude (2500 metres) over both short-term (24 - 48 hours) and long-term (3+ weeks) periods.   (5 marks)

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Sample Answer

  • Reduced oxygen pressure at altitude triggers immediate cardiovascular responses within 24-48 hours.
  • Heart rate increases because the body needs to circulate blood faster to compensate for lower oxygen content.
  • Cardiac output also rises through increased stroke volume, ensuring tissues receive adequate oxygen supply.
  • These short-term changes maintain oxygen delivery to vital organs despite the thinner air.
  • Breathing rate accelerates in response to chemoreceptors detecting lower blood oxygen levels.
  • After several days, low oxygen levels stimulate the kidneys to produce EPO (erythropoietin).
  • EPO signals bone marrow to increase red blood cell production, which begins the long-term adaptation process.
  • Over 3-4 weeks, red blood cell count rises significantly, enhancing the blood’s oxygen-carrying capacity.
  • Increased haemoglobin concentration results from these higher red blood cell numbers.
  • More haemoglobin molecules enable better oxygen binding from each breath of thin air.
  • Blood vessels in tissues also increase through capillarisation, improving oxygen delivery at the cellular level.
  • Long-term adaptations therefore compensate for reduced atmospheric oxygen, allowing sustained performance at altitude.
Show Worked Solution

Sample Answer

  • Reduced oxygen pressure at altitude triggers immediate cardiovascular responses within 24-48 hours.
  • Heart rate increases because the body needs to circulate blood faster to compensate for lower oxygen content.
  • Cardiac output also rises through increased stroke volume, ensuring tissues receive adequate oxygen supply.
  • These short-term changes maintain oxygen delivery to vital organs despite the thinner air.
  • Breathing rate accelerates in response to chemoreceptors detecting lower blood oxygen levels.
  • After several days, low oxygen levels stimulate the kidneys to produce EPO (erythropoietin).
  • EPO signals bone marrow to increase red blood cell production, which begins the long-term adaptation process.
  • Over 3-4 weeks, red blood cell count rises significantly, enhancing the blood’s oxygen-carrying capacity.
  • Increased haemoglobin concentration results from these higher red blood cell numbers.
  • More haemoglobin molecules enable better oxygen binding from each breath of thin air.
  • Blood vessels in tissues also increase through capillarisation, improving oxygen delivery at the cellular level.
  • Long-term adaptations therefore compensate for reduced atmospheric oxygen, allowing sustained performance at altitude.

Filed Under: Respiratory and circulatory systems Tagged With: Band 5, Band 6, smc-5523-20-Efficiency

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