BBC Science Focus

WHY DOESN’T MY HEART GET TIRED?

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Your heart is an incredibly powerful organ. Every day it beats about 100,000 times. Imagine the energy takes it to squeeze a tennis ball – that’s not far off the force your heart is using each time it beats to pump blood around your body. So, with that many reps each day, why doesn’t it burn out? While your heart is a muscle, it’s not quite the same as your skeletal muscles – such as the biceps and quads – that are attached to your bones. This is primarily because the heart is made of cardiac muscle, consisting of special cells called cardiomyoc­ytes. Unlike other muscle cells in the body, cardiomyoc­ytes are highly resistant to fatigue. True, cardiomyoc­ytes are primarily powered by mitochondr­ia (the energy house of the cell), similar to your other muscles. However, cardiomyoc­ytes have as much as 10 times the density of mitochondr­ia, skyrocketi­ng their energy output. The cardiomyoc­ytes have also evolved to have an enhanced blood supply, being better than ordinary muscle cells at extracting oxygen from the blood. Plus, the heart has another secret weapon: it’s flexible in terms of fuel, able to consume glucose, free fatty acids and lactate.

So, why aren’t all muscles made of cardiomyoc­ytes? For all their benefits, cardiomyoc­ytes contract without nerve supply, making them incapable of voluntary and purposeful movements. But when it comes to beating constantly and without tiring, your heart has evolved to do its job brilliantl­y – it has no time for DOMS (delayed onset muscle fatigue) after a hard workout. Which is fortunate, because, when it comes to your cardiac muscles, rest days are not an option.

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