regulation of stroke volume and heart rate Flashcards
how does sympathetic nervous system affect heart rate
release noradrenaline which acts on b1 receptors on sinoatrial node
increased slope of pacemaker potential - increases HR
how does parasympathetic nervous system affect heart rate
vagus nerve releases Ach which acts on muscarinic receptors on SA node
hyperpolarises cells and decreases slope of pacemaker potential - decreases HR
starlings law
energy of contraction is proportional to the initial length of cardiac muscle fibre
what is preload affected by
end diastolic volume
how does EDV affect preload
inc venous return - inc EDC and so inc SV
dec venous return - dec EDV and so dec SV
afterload
is the load against which the muscle tries to contract
what if afterload set by
afterload is set by the aterial pressure against which blood is expelled - total peripheral resistance
increasing TPR
= stroke volume goes down
factors affecting stroke volume
preload
afterload
neural
pathological
sympathetic effects on stroke volume
noradrenaline actts on B1 receptors on myocytes
increase contractility to give stronger (but shorter) contraction
parasympathetic effect on SV
little effect (vagus nerve does not innervate ventricular muscle)
hypercalaemic effect on graph
shifts curve up and left
hypocalcaemi effect on graph
shifts curve down and right
ischaemia effect on graph
shifts curve down and right
CO =
HR x SV