Explain why a person with a leaking heart valve has difficulty exercising. [4 marks]
-> backflow of blood may occur
-> less blood can be pumped out of the heart to the cells
-> less oxygen is supplied to the cells
-> less aerobic respiration and more anaerobic respiration
-> less energy is released so less efficient muscle contraction
-> less efficient removal of lactic acid
-> lactic acid accumulates causing muscle fatigue
-> less efficient removal of carbon dioxide