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Changes in cardiac output during exercise increase blood cycling rate up to 21 L per minute in active individuals and 35 L per minute in elite athletes. Heart health and exercise performance are regulated by your cardiac output ability.
However, exercise helps improve heart health, and can even reverse some heart disease risk factors. Like all muscles, the heart becomes stronger as a result of exercise, so it can pump more blood through the body with every beat and continue working at maximum level, if needed, with less strain. The resting heart rate of those who exercise is also slower, because less effort is needed to pump blood.