Other declines noted within
the cardiovascular system are a decrease in cardiac output (the
volume of blood pumped per minute by either ventricle), a decrease
in stroke volume (the volume of blood pumped by one side of the
heart per beat), a decrease in maximum heart rate (HR), and a
likely increase in systolic blood pressure (BP). Cardiac output
must rise if either stroke volume or HR rise. It must be able
to vary to accommodate differences in pressure and/or resistance,
which call for changes in blood flow. For example, blood flow
must increase with an increase in resistance, as in exercise,
due to vasodilation of the arterioles. If the heart was not able
to vary its output, adaptation to a stressor such as exercise
would be impossible. With aging, the capacity of the heart to
adapt may become somewhat impaired. Cardiac output decreases by
approximately 1% per year after 20 years of age in the average
sedentary individual. Between the ages of 30 and 70, the average
sedentary individual's cardiac output decreases as much as 30%
due to a decrease in stroke volume which in turn is largely due
to a progressively reduced capacity of the left ventricle.
