19.4 Cardiac physiology

 Page 1 / 34
By the end of this section, you will be able to:
• Relate heart rate to cardiac output
• Describe the effect of exercise on heart rate
• Identify cardiovascular centers and cardiac reflexes that regulate heart function
• Describe factors affecting heart rate
• Distinguish between positive and negative factors that affect heart contractility
• Summarize factors affecting stroke volume and cardiac output
• Describe the cardiac response to variations in blood flow and pressure

The autorhythmicity inherent in cardiac cells keeps the heart beating at a regular pace; however, the heart is regulated by and responds to outside influences as well. Neural and endocrine controls are vital to the regulation of cardiac function. In addition, the heart is sensitive to several environmental factors, including electrolytes.

Resting cardiac output

Cardiac output (CO) is a measurement of the amount of blood pumped by each ventricle in one minute. To calculate this value, multiply stroke volume (SV)    , the amount of blood pumped by each ventricle, by heart rate (HR)    , in contractions per minute (or beats per minute, bpm). It can be represented mathematically by the following equation:

CO = HR × SV

SV is normally measured using an echocardiogram to record EDV and ESV, and calculating the difference: SV = EDV – ESV. SV can also be measured using a specialized catheter, but this is an invasive procedure and far more dangerous to the patient. A mean SV for a resting 70-kg (150-lb) individual would be approximately 70 mL. There are several important variables, including size of the heart, physical and mental condition of the individual, sex, contractility, duration of contraction, preload or EDV, and afterload or resistance. Normal range for SV would be 55–100 mL. An average resting HR would be approximately 75 bpm but could range from 60–100 in some individuals.

Using these numbers, the mean CO is 5.25 L/min, with a range of 4.0–8.0 L/min. Remember, however, that these numbers refer to CO from each ventricle separately, not the total for the heart. Factors influencing CO are summarized in [link] .

SVs are also used to calculate ejection fraction    , which is the portion of the blood that is pumped or ejected from the heart with each contraction. To calculate ejection fraction, SV is divided by EDV. Despite the name, the ejection fraction is normally expressed as a percentage. Ejection fractions range from approximately 55–70 percent, with a mean of 58 percent.

Exercise and maximum cardiac output

In healthy young individuals, HR may increase to 150 bpm during exercise. SV can also increase from 70 to approximately 130 mL due to increased strength of contraction. This would increase CO to approximately 19.5 L/min, 4–5 times the resting rate. Top cardiovascular athletes can achieve even higher levels. At their peak performance, they may increase resting CO by 7–8 times.

Since the heart is a muscle, exercising it increases its efficiency. The difference between maximum and resting CO is known as the cardiac reserve    . It measures the residual capacity of the heart to pump blood.

what are the body plains
median plane,transverse or horizontal plane and coronal or frontal plane
How do I summarize the whole of muscular system
briefly explain the similarities between transcription and DNA replication
transcription copies DNA into RNA while replication makes another copy of DNA
Goode
A general explanation: Replication occurs when a copy of DNA is made. Transcription is the first step in the process of protein synthesis. Messenger RNA is made using a portion of the DNA molecule as a template.
Lessa
Winifred
hello guys
PRINCE
Relationship between essential amino acids and immune response
Eunice
transcription from DNA to rna involves the matching of the nucleotides represented by c,g, t and A, but where there is a t, it is replaced by a u- uracil
Patrick
what is the main function of the pcn?
career in the health professions, respond appropriately to signs of illness, help you in your roles as a parent, spouse
student would have an appreciation of the heart anatomy to give understanding of anatomy while opening ideas of function and physiology
Coach
study of the parts of the body
Coach
macro anatomy, study of big structures of the body that can be viewed with the naked eye
Coach
that is called gross anatomy
Patrick
what is integumentry
chemical level cell level tissue level organs level organ system organism
when you sitting close to a campfire your sense smell adapts the smell but when the trace of smoke is introduced into your environments it becomes unsual for you
sam
I need to know mechanism of body fluid
johnson
OK but I need to know where are you coming from
johnson
Amiebo
oh ft, help out with integumentary system now
Amiebo
Pls give me a brief description of vetebra
7 cervical (c1 atlas and c2 axis help the neck rotate) 12 thoracic 5 lumbar 1 sacral and 2 coccyx
Anna
breakfast at 7, lunch at 12, and dinner at 5. sacrum holds 5, coccyx holds 4
Patrick
really there's just one coccyx and sacrum
Patrick
atlas like the Greek God holds the weight of the world on top of him
Patrick
elasticity of the vagina
The vagina is an elastic muscular wall
antouman
*organ
antouman
It has I think squamous cuboidal or maybe columnar epithelium designed for secretion, expansion and friction.
Patrick
how can you remember the integumentary system
integumentary system is the skin the skin is protection all the body and contain deid cells
Drs
how can you remember the formation of bone?
Maame
the largest organ of the body
Toni
skin is largest organ
Zara
what is the best way to remember the cranial bones or any other bones ?
Savannah
skeletal system?
Savannah
look at the diagram structure and then remember it considering it your own body i memorise like that
Zara
hi guys! do you have to remember ALL the structures of the bones- I mean every single hole, depression or tuberosity?
Kristina
tuborisity
Zara
hey guz i hv to remember Immune antibodies and antigens how? i found it difficult
Zara
well, they are all grouped, aren't they? I mean they all come in series like H1, H2A, H2B and so on. In this case I learn the common part first and then that what's different
Kristina
nd what about IgG , IgE etc.
Zara
the majors
Toni
the thin skin does not have stratum lucidium I believe
Patrick
acronyms
Patrick
if u know the bones, the muscle has part of the name of the bone in it
Patrick
epidermis, I believe epi means on top. dermis in the middle and hypodermis, hypo meaning below. the hypodermis is actually considered not part of the skin or int system
Patrick
big sweet guys love candy = basale, spinosum, granulosum, lucidum ( only in thick skin), corneum
Anna
I love it ☝🏾
Savannah
thank you Zara !
Savannah
can anyone send diet plan for asthma patients
waseem
is
Drs
hey
Daud
jam how are you
Daud
Hey guys l am Matrin
Matrin
blood is a connective tissue which transport oxygen and other nutrients to body
which type of protein is blood?
Zara
what is blood?
blood is a connective tissue which transport oxygen and nutrients to body
Zara
which type of protein is blood?
Zara
haemoglobin
Rashid
and what about its structure i think its Quartenary structure 🤔💭
Zara
yes it is
Rashid
it is globular
Rashid
a vascular structure compose of vessels.
Toni
what is the functions of lymph
what is plasma
A plasma is a hot ionized gas consisting of approximately af a equal number of positive ly charged ionized and negative ly charged electron is called plasma.
what is an atomical position?
military position, body erect where by the body will be up straight..the cephalic and thoracic are straight
Mwita
functions of plasma membrane