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What increases cardiac output?

Published in Cardiac Physiology 3 mins read

Cardiac output is increased by factors that raise either heart rate or stroke volume, as confirmed by established medical knowledge. According to the provided reference, an increase in both heart rate and stroke volume directly leads to increased cardiac output.

Understanding Cardiac Output

Cardiac output (CO) is a crucial measure of heart function. It represents the volume of blood the heart pumps per minute. A higher cardiac output generally indicates better blood supply to the body's tissues and organs.

Factors Increasing Cardiac Output

Here's a breakdown of the factors contributing to increased cardiac output:

  • Heart Rate: The number of times the heart beats per minute.
    • An increased heart rate means the heart is pumping more frequently, leading to higher cardiac output.
    • During exercise, the heart rate increases to meet the body's increased demand for oxygen.
  • Stroke Volume: The amount of blood ejected by the heart with each beat.
    • A greater stroke volume indicates that the heart is pumping more blood with each contraction, resulting in a higher cardiac output.
    • Factors influencing stroke volume include:
      • Preload: The amount of stretch on the heart muscle before contraction. Increased preload generally leads to increased stroke volume (up to a point).
      • Contractility: The force of the heart's contraction. Increased contractility increases stroke volume.
      • Afterload: The resistance the heart must overcome to eject blood. Decreased afterload increases stroke volume.

Example: Exercise and Cardiac Output

During exercise, the body requires more oxygen. To meet this demand:

  1. Heart rate increases: The heart beats faster to pump more blood.
  2. Stroke volume increases: The heart contracts more forcefully, ejecting more blood with each beat.

The combined effect of increased heart rate and increased stroke volume results in a significantly higher cardiac output, ensuring that the body's tissues receive the oxygen they need.

How Heart Rate and Stroke Volume Work Together

The relationship between heart rate, stroke volume, and cardiac output can be expressed with the following equation:

Cardiac Output (CO) = Heart Rate (HR) x Stroke Volume (SV)

This formula highlights how both heart rate and stroke volume directly influence cardiac output. If either heart rate or stroke volume increases (or both), cardiac output will also increase.

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