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How is heart rate controlled?

Published in Cardiovascular Physiology 2 mins read

Heart rate is primarily controlled by the autonomic nervous system, which functions involuntarily. This system has two main branches that work in opposition to regulate heart rate: the sympathetic and parasympathetic nervous systems.

The Autonomic Nervous System's Role

The autonomic nervous system (ANS) manages bodily functions without conscious control. Heart rate regulation is a key function of the ANS.

Sympathetic Nervous System (SNS)

The sympathetic nervous system is responsible for the "fight-or-flight" response. When activated, it increases heart rate. Here’s how:

  • Hormone Release: The SNS releases hormones called catecholamines, specifically epinephrine (adrenaline) and norepinephrine (noradrenaline).
  • Increased Heart Rate: These hormones bind to receptors on the heart, causing it to beat faster and stronger.
  • Triggers: Stress, exercise, excitement, and fear can trigger the SNS.

Parasympathetic Nervous System (PNS)

The parasympathetic nervous system promotes a "rest-and-digest" state. It slows down heart rate. Here’s how:

  • Vagus Nerve: The PNS exerts its influence through the vagus nerve, a major nerve extending from the brainstem to the heart.
  • Acetylcholine Release: The vagus nerve releases acetylcholine.
  • Decreased Heart Rate: Acetylcholine binds to receptors on the heart, slowing down the heart rate and reducing its contractility.
  • Dominance at Rest: The PNS is typically dominant at rest, keeping the heart rate lower than it would be if only influenced by the SNS.

Summary

In essence, heart rate is a delicate balance between the stimulatory effects of the sympathetic nervous system and the inhibitory effects of the parasympathetic nervous system. The body constantly adjusts this balance based on various internal and external cues to meet its metabolic demands.

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