Venous Return Mechanisms

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  • Venous Return Mechanisms
    • Pocket Valves
      • One-way valves located in the veins which prevent the backflow of blood.
    • Gravity
      • Blood from the upper body, above the heart, is helped to return by gravity.
    • Smooth Muscle
      • The layer of smooth muscle in the vein wall venoconstricts to create venomotor tone which aids the movement of blood.
    • Muscle Pump
      • During exercise, skeletal muscles contract compressing the veins located between them, squeezing the blood back to the heart.
    • Respiratory Pump
      • During inspiration and expiration, a pressure difference between the thoracic and abdominal cavity is created, squeezing the blood back to the heart. As exercise increases respiratory rate, the respiratory pump is maximised.
    • After we finish exercising and enter recovery, cardiac output is still high.
      • However, there may not be sufficient pressure to return the vast quantity of blood back to the heart. This can cause feelings of being lightheaded or dizzy.
        • Equally, this blood may sit in the pocket valves and pool. This is known as blood pooling and is often described as the feeling of 'heavy legs' after exercise.
          • To combat this effect and maintain venous return, it is essential to complete an active recovery (cool down). This low-intensity exercise maintains the muscle and respiratory pump to aid the return of blood to the heart.

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