cardiac muscle mechanics Flashcards
co=
HR*SV
SV=
EDV-ESV
ESV
amount remaining in heart after systole
EDV
amount filled
what affects EDV
preload
what affects ESV
after load and inotropy
preload
initial stretch prior to contraction, ventricular wall, max stretch = EDV/EDP
starling law
more enters, more ejected (heterometric… related to sarcomere length)
what regulation is related to sarcomere length
heterometric
starling Mech.
myofilament overlap, length dep. activation
compliance is related to
preload, less at higher volume…
after load
mainly aortic pressure, load against heart ejection
what increases afterload
pressure and hypertrophy
isotropy is dependent or intependent?
independent!!
what slope is inotropy related to
ESVPR
what affects isotropy?
sympa/para… affect contraction
MOA of inotropy
increased Ca++ delivery, increased binding, increase crossbrige activity