5.2 control of cardiac output Flashcards
Equation for cardiac output ?
CO (ml/min)= SV (ml) X HR (bpm)
What is typical CO value ?
4900 ml/min because typical SV = 70ml and typical HR = 70bpm
~ 5L/min
CO is what ?
volume of blood ejected from the ventricle each minute
what is SV ?
stroke volume is volume of blood ejected from the ventricle with each heartbeat
CO is not fixed, what is it effected by ?
increases with exercise
increases with pregnancy
eating
What equation can be used to calculate SV ?
EDV - ESV
end diastolic volume - end systolic volume
what is preload ?
tension in the myocardial fibres at the end of diastole
What is known as the ventricular compliance curve ?
relationship between venous pressure and ventricular volume
- In diastole what relationship with ventricle, arteries and veins ?
- when do the ventricles fill until ?
- the ventricle is isolated from the arteries, and connected to the veins
- the walls stretch enough to produce an intra-ventricular pressure equal to venous pressure
Link between the venous pressure and volume of blood in the ventricles ?
The higher the venous pressure, the greater the volume of blood in the ventricles
what is compliance of the ventricles ?
ease with which the ventricles expands when filled with blood
For the ventricles what gives a measure of stiffness ?
opposite of compliance curve (C = change in V/ change in P) so change in pressure / change in volume
where measure of stiffness is opposite of compliance and as volume increases so does stiffness
What is starlings law of the heart ? [change]
the greater that ventricular muscle is stretched, the harder it contracts (within limits)
so the more it fills = the more it contracts = the greater the stroke volume
the more in , the more out
The slope (gradient) of frank-starling curves is a measure of what ?
where stroke volume on y-axis
and ventricular end-diastolic volume on x-axis
contractility of the ventricles
What is cardiac contractility?
cardiac work performed independent of pre-load or after-load