Heart rate and cardiac output relationship problems

heart rate and cardiac output relationship problems

The relationship between cardiac output (CardOut) and oxygen consumption 60 ml; P = ), lower resting heart rate (HR; median 72 vs. . histories of cardiac or pulmonary diseases, including asthma and tobacco use. Cardiac output is the product of stroke volume and heart rate. with advanced atrioventricular node disease may have reduced cardiac output due to low ( ventricular) heart rate. . These relationships are expressed by the Fick equation: . Cardiac output is influenced by heart rate and stroke volume, both of which are Bradycardia is the condition in which resting rate drops below 60 bpm, and .. The relationship between ventricular stretch and contraction has been stated in.

This tends to be significant mainly at the greatest levels of exercise. For example, the ventricle of a 70 kg person at rest might hold about ml of blood at the end of diastole.

As noted above, a typical stroke volume is about 70 ml. This is the fraction of the blood in the ventricle that is ejected during systole.

Understanding cardiac output

Norepinephrine, by increasing the force of contraction, would tend to increase the ejection fraction and thus the stroke volume. Afterload The aortic pressure influences the stroke volume for a straightforward reason. If the aortic pressure increases, this pressure reduces the volume of blood that flows into the aorta during systole.

The aortic pressure is called afterload because it is the "load" experienced by the ventricle after it begins contracting.

heart rate and cardiac output relationship problems

A drug might reduce the afterload, for example, by dilating arterioles. This allows blood to flow from the arteries more easily, thereby preventing the arterial pressure from increasing as blood is injected into it by the ventricle.

Frank-Starling Mechanism However, the factor we will be most concerned with is the Frank-Starling mechanism. Unfortunately, it is also the one most difficult to get your mind around. The Frank-Starling mechanism leads to changes in the stroke volume as a result of changes in the end-diastolic volume.

Cardiovascular System Physiology - Cardiac Output (stroke volume, heart rate, preload and afterload)

The end-diastolic volume is the volume of a ventricle at the very end of filling and just before systole begins. This can change because the ventricles are flexible and under different circumstances, the amount of blood flowing in during diastole varies. If less blood flows into the ventricle as it fills, the end-diastolic volume goes down.

If more blood flows in, the end-diastolic volume goes up.

Cardiac Output and Blood Pressure — PT Direct

The Frank-Starling effect is due to the fact that heart muscle fibers respond to stretch by contracting more forcefully. This is not a passive, elastic effect, but rather due to an increased expenditure of ATP energy.

We are not going to try to explain the cellular basis of this effect. It is not as straightforward as you might think. Thus, if the end-diastolic volume increases, the muscle fibers are lengthened and the ventricle contracts more forcefully, ejecting a greater stroke volume.

The figure to the right shows this Frank-Starling effect.

Cardiac Output and Blood Pressure

What factor alters the filling during diastole? For the right ventricle, this is the pressure in the right atrium, because this is the pressure that is experienced by the right ventricle as it fills. Since there is no valve at the entrance to the right atrium, the pressure in the right atrium is necessarily the same as the pressure in the veins at the entrance to the right atrium.

This pressure in the large veins at the entrance to the right atrium is called the central venous pressure.

heart rate and cardiac output relationship problems

In other words, the central venous pressure is the same at the right atrial pressure, and this is the pressure that determines the filling of the right ventricle and thus its end-diastolic volume.

The central venous pressure always is only a few mm Hg, but nonetheless it does change enough to significantly affect the stroke volume.

In particular, posture changes this pressure and that is the factor with which we are here most concerned. The Effect of Posture on Stroke Volume Recall how voluminous and thin-walled the superior and inferior vena cava are.

You probably were able to put two fingers into the superior vena cava of the pig heart. When a person is lying down, the large veins in the chest are plump with blood. And because these veins are stretched, the pressure in them is higher than when they contain less blood. Consequently, when lying down, the central venous pressure is relatively high, the end-diastolic volume is relatively high and thus the stroke volume is comparatively high.

But this changes when we stand. The pressure in the large veins in the legs increases greatly. For example, one meter below the heart, the effect of gravity adds about 74 mm Hg of pressure. Blood pressure Blood pressure BP is a measure of the force being exerted on the walls of arteries as blood is pumped out of the heart. The sphygmomanometer consists of an inflatable cuff with a pressure gauge.

When inflated the cuff blocks the flow of blood to the arm below the cuff. As the cuff is allowed to slowly deflate, the measurer listens through the stethoscope to sounds as the artery opens and allows blood flow to continue again.

The measurer is listening for two specific sounds as the blood flows through the artery, as shown on the below image. This measures the force the heart has to pump against to get the blood to flow around the body. The systolic number is placed over the diastolic number and is always the higher of the two numbers. The measurement of blood pressure is expressed in millimetres of mercury mmHg. High blood pressure at rest is an indicator that the cardiovascular system is in a less than ideal state of health.

Doctors and fitness professionals alike use blood pressure to screen for potential problems before making judgements as to what exercise a person can safely take part in. Cardiac output as we have already discussed 2.

Understanding cardiac output

Blood viscosity the thickness of the blood 3. At rest these are relatively constant however with exercise the heart beats faster and more blood is pumped out with each beat.

These factors both contribute to a rise in BP, as would any other factor that caused the heart to speed up. Changes in the volume of blood within the cardiovascular system will also affect BP. If a person was severely dehydrated or lost a large quantity of blood through a wound there would be less blood for the heart to pump, thereby reducing cardiac output and BP.

If the volume of blood increased waste products not being removed to the kidneys due to kidney failure for example then there would be a greater quantity of blood within the system increasing the pressure within.

Blood can thicken for many reasons but the main ones are a lack of water and or a high glucose blood sugar concentration. Low hydration levels can also result in thick blood and therefore higher blood pressure. This is why it is important to always remain well hydrated, as it helps to reduce the pressure within the blood vessels and therefore the load on the heart to pump the blood.

For this reason people with a history of heart problems are often prescribed medications to keep their blood thin. Total peripheral resistance When we were kids we used to take the garden hose and put our thumb over the end of it to get the water to squirt further usually to make sure a sibling got wet!

heart rate and cardiac output relationship problems

We increased the pressure by decreasing the space the flow of water could go through. The same principle applies in the body with blood and the vessels. If the area available for blood to flow through is reduced then pressure will increase.