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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] .

Major factors influencing cardiac output

This figure lists the different factors affecting the heart rate and stroke volume. It also shows how they both affect the cardiac output.
Cardiac output is influenced by heart rate and stroke volume, both of which are also variable.

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.

Questions & Answers

Functions of the thoracic cage
Fereh Reply
protect all the organs and tissues from any impact or injury
Javier
why sickle cell carrier people don't get malaria
Boakye Reply
What is the amniotic fluid
bollywood Reply
structure of heart and it's function (10 mark )
Priyanka Reply
What is the best book on physiology?
cesar Reply
describe varicocele
malulu
what do you mean by peritoneum
Siba Reply
It is thick covering surrounding the abdomen
Awais
r8
how to become good in Anatomy and physiology
malulu
hi
Milkah
hlo
Wani
What are is the last solution to abdomen pain in pregnant women
Umoru
no it is in kidney
Tantray
Kk
Umoru
structure of heart and it's function
Priyanka
Serous membrane lining the cavity of the abdomen
bollywood
it is four lobs structure and it is triangular in shaped. it 's function pumping the blood
ABDULLAH
explain root of lungs
ABDULLAH
Glomerular pressure -capsule pressure -colloid osmosis pressure
malulu Reply
how to describe mechanism of micturition
malulu
spleen is important?
AKASH Reply
helpful in destruction of rbc
It is imp in storing blood and destruction of microbes and harmful particles
Awais
ty sir
AKASH
K
Umoru
what are the sources of glucose in the body
malulu
describe mechanism of micturition
malulu
Pancreatic hormones with function
mami Reply
Insulin, which helps to regulate our blood sugar levels.
Bb
glucagon which is antagonistic to insulin increase the blood glucose level,. Somatostatin help to regulate the levels of both insulin and glucagon
Ashish
thnks for helping
nimco
thanks
Narendra
what is a lymph node.?
AKASH
lymph nodes are small kidney shaped organs of the lymphatic system.
Trishauna
there are several hundred lymph nodes found mostly throughout the thorax and abdomen of the body with the highest concentrations in the auxiliary (armpit) and inguinal groin regions.
Trishauna
what is life
Yar Reply
life is the existence of an individual human being animal or plant
Furmose
how I join this
Ahmed
meaning
Furmose
to day I am new person and I can't participate questions so to morow I shall participate question sopleas excuse me
Ahmed
I had a debate earlier about nutrition and it didn't get a clear answer on that,can one tell me what the definition of nutrition.?
kelvin
the nutrition is nourish person is feeling an nutrition
Ahmed
I think nutrition is the process of taking food and using it for growth, metabolism and repair.
Methila
life is full of happy and sorrow
Sanamacha
life is achievement
Nandini
life is the nothing but god gave us 1 body. and we all service k in this body. The things which we do for the Survivation for this body I felt that this is called as the life
AKASH
Yes God gave us life but not god who gave us the life. Hope u understood what i meant by God n not god who gave life..... ?
laku
What's the question?
Sherman Reply
once you lose pigmentation can you ever get it back
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s
Nandini
females are lesser prone to acne
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why please expain
Janvi
described the skin
Yayra Reply
skin is outer covery of human body and it is largest organ of human body. it do three fauntion protection regulation and sensation of human body that is men fauntion of human skin it has seven part.
ABDULLAH
how thick is the epidermis?
Sovilace
the integumentary system is the largest system of the body 16% of body weight and 1.5 to 2m² in area
Trishauna
function of the endocrine system
Hamo Reply
produces hormones that plays specific functions
has endocrine gland calld as ductless gland so as produces hormones

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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