To address the situation where cardiac output does not increase as much as the oxygen consumption rate (which has increased by eight times), the body must find alternative mechanisms to enhance oxygen delivery to tissues.
Given the options provided:
A. An increase in the amount of oxygen removed by hemoglobin - This would not be likely, as a greater removal of oxygen would typically occur at lower consumption rates or decreased oxygen levels.
B. A reduction in the concentration of hemoglobin in the blood - This option would negatively impact oxygen delivery rather than enhance it.
C. A further increase in heart rate - This option could potentially enhance cardiac output, but since it states that cardiac output did not increase significantly, further increasing heart rate alone may not be the most effective or sufficient mechanism.
D. Hemoglobin combines more oxygen at the lungs during exercise - This option is consistent with the behavior of hemoglobin under increased oxygen demand. During exercise, the affinity of hemoglobin for oxygen may not significantly decrease, allowing for more efficient loading of oxygen in the lungs, thus improving oxygen delivery despite a lower increase in cardiac output.
Based on these analyses, the most likely mechanism that could allow increased oxygen delivery by the cardiovascular system, given the increase in oxygen consumption rate and the insufficient increase in cardiac output, is:
D. Hemoglobin combines more oxygen at the lungs during exercise.