Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974...

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Loring B. Rowell
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Transcript of Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974...

Page 1: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

Loring B. Rowell

Page 2: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

• Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974

• How Are Blood Flow and Metabolism Matched?", Mayo Clinic, Rochester, MN, January, 1993.

• Cardiac Function in Hyperthermia and Hypoxemia”, Brisbane, Australia, August, 1996.

• Why Do We Require a Second Heart During Exercise? U. of W. Ontario, 2000

Page 3: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

• Human Circulation: Regulation during physical stress. Oxford U. Press. 1986

• Human Cardiovascular Control. Oxford. 1993

• Handbook of Physiology: Section 12: Exercise: Regulation and Integration of Multiple Systems. APS. 1996

Page 4: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

Academic History

1953 BS Springfield College, Springfield, Mass.Prof. Karpovich

1953 – 56 Science and Math teacher, Littleton High School Littleton/Franconia, N.H.

1962 Ph. D. University of Minnesota Minneapolis, Minn.

Page 5: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 6: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 7: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

A Krogh 1874 – 1949U. of Copenhagen, DK

Ancel Keys F. Grande

U. Minnesota (LBR as student 1956-62)

Harvard U. England (Lovatt Evans)

Spain (beri beri research)

Page 8: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

A Krogh 1874 – 1949U. of Copenhagen, DK

P.O. AstrandB. Saltin

E. AsmussenE. H-ChristensenMaurius Nielsen

B. SaltinB. NielsenF. Bonde-Petersen

Sweden

Krogh Institute(LBR sabbatical 1978-79)

Page 9: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

A. KeysJ.T. ShepherdE. WoodY. Wang

Mayo Clinic(LBR 1960-1)

M. Visscher

H.L. TaylorA. KeysF. GrandeY. Wang

U. Minnesota(LBR 1956-62)

L. J. HendersonAncel Keys

H.L. Taylor

Harvard U

Page 10: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

Cardiac output and its distribution among the organ

vasculatures

Page 11: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 12: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 13: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

heart level, 5 Torr

foot level, 100 Torr

Page 14: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

Central

Splanchnic, renal

Cutaneous

Page 15: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

30 60 90 min

Heating Heating

Page 16: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 17: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

Flow:volume interaction

Page 18: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 19: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 20: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

Heating Heating

Page 21: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

Stroke volume and the interaction between the heart and the peripheral vasculature

Page 22: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 23: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 24: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 25: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 26: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

30 60 90

Time (min)

Page 27: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

Right atrial pressure

Cardiac output(venous return)

Right atrial pressure

Cardiac output(venous return)

0

“Venous return curve” “Vascular function curve”

0 +

-

+

-

Page 28: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

Gravity, the muscle pump,and reflex control

Page 29: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 30: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 31: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 32: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 33: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 34: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 35: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

Overall control mechanisms: The exercise stimulus

Page 36: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

Muscle chemoreflex: Zuntz 1889 , Wyss, Sheriff, O’Leary, Scher

Page 37: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 38: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

University of Minnesota

University of WashingtonMedicine (Cardiology)

1962 - 70Physiology and Biophysics

(1970 - )

H.D. Patton, W. CrillE. MasoroG. L. BrengelmannA. ScherA.C. BrownO.A. SmithM. BinderJ. W. Woodbury

R. A. BruceJ. R. BlackmonJ.W. Kennedy

E. Strandness (Surg)W. Volwiler (GI)J. Short (Derm)J. Olerud (Derm)

Page 39: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.
Page 40: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.

Symposium on Alpine Crystallography

Page 41: Loring B. Rowell. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev. 1974 How Are Blood Flow and Metabolism Matched?", Mayo.