NCCAOM Biomedicine Board Practice Exam

Sympathetic activation plays a crucial role in the cardiovascular system by increasing cardiac output. When the sympathetic nervous system is activated, it triggers the release of catecholamines, such as epinephrine and norepinephrine, which bind to adrenergic receptors in the heart. This interaction leads to an increase in heart rate (positive chronotropic effect) and an increase in the force of each contraction (positive inotropic effect). As a result, the overall cardiac output—the volume of blood the heart pumps per minute—rises significantly to meet the demands of the body during times of stress or physical activity.

Moreover, sympathetic activation also affects blood vessels, but it typically causes vasoconstriction rather than vasodilation, which helps to redirect blood flow to essential organs and muscles, thereby supporting increased cardiac output. As a consequence, blood pressure tends to rise during sympathetic activation, ensuring that oxygen and nutrients are delivered efficiently throughout the body. This physiological response is essential for the fight-or-flight reaction, facilitating a quick and effective response to stressors.