Stroke volume is the volume of blood pumped out of the heart's left ventricle during each systolic contraction. It is calculated as the difference between the left ventricular end-diastolic and left ventricular end-systolic volumes. Stroke volume can vary depending on heart health and physical activity. During exercise, for example, cardiac output increases due to a linearly increasing heart rate and a non-linearly increasing stroke volume response. This is because the body requires more oxygen, which is delivered through the blood. As stroke volume increases, heart rate decreases, and vice versa.
Characteristics | Values |
---|---|
Stroke Volume | The amount of blood ejected from the left ventricle in a single heartbeat |
Cardiac Output | The blood volume the heart pumps through the systemic circulation over a period measured in liters per minute |
Heart Rate | Normally 60 to 100 beats per minute |
Heart Health | Stroke volume can vary based on heart health |
Activity | Stroke volume can vary based on whether one is at rest or moving |
What You'll Learn
- Stroke volume is the volume of blood pumped out of the heart's left ventricle during each systolic cardiac contraction
- Stroke volume can be calculated as the difference between the left ventricular end-diastolic and left ventricular end-systolic volumes
- Cardiac output is the blood volume the heart pumps through the systemic circulation over a period measured in litres per minute
- Cardiac output can be calculated by multiplying the heart rate by the stroke volume
- Stroke volume can be influenced by contractility, preload, and afterload
Stroke volume is the volume of blood pumped out of the heart's left ventricle during each systolic cardiac contraction
Stroke volume is a measure of the volume of blood pumped out of the heart's left ventricle during each systolic cardiac contraction. It is calculated as the difference between the left ventricular end-diastolic volume and the left ventricular end-systolic volume. In other words, it is the amount of blood ejected from the ventricle with each heartbeat.
The average stroke volume of a 70 kg male is 70 mL. Stroke volume can be influenced by various factors, such as contractility, preload, and afterload. For example, an increase in preload, or the amount of blood filling the heart at the end of diastole, will result in an increase in stroke volume. This is because a higher preload will lead to a larger end-diastolic volume, which increases the amount of blood available for ejection during systole. Similarly, an increase in contractility, or the force of myocardial contraction, will also lead to an increase in stroke volume as the heart is able to pump out more blood with each contraction. On the other hand, an increase in afterload, or the pressure that the heart has to pump against, will generally cause a decrease in stroke volume as it becomes more difficult for the heart to eject blood against higher pressures.
Stroke volume is an important parameter in assessing cardiac function and is often used by physicians in critical care settings. By monitoring stroke volume, physicians can gain insights into the heart's pump function and organ perfusion. Additionally, stroke volume plays a crucial role in determining cardiac output, which is the amount of blood pumped by the heart per minute. Cardiac output is calculated by multiplying stroke volume by heart rate, and it provides valuable information about the heart's strength and health.
In summary, stroke volume is a critical indicator of cardiac function and can provide valuable insights into the heart's ability to pump blood effectively. By understanding the factors that influence stroke volume, such as contractility, preload, and afterload, physicians can better assess and manage cardiac health and optimize cardiac output to meet the body's metabolic demands.
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Stroke volume can be calculated as the difference between the left ventricular end-diastolic and left ventricular end-systolic volumes
Stroke volume is the volume of blood pumped from the ventricle per beat. It is calculated as the difference between the left ventricular end-diastolic volume and the left ventricular end-systolic volume. In other words, it is the amount of blood ejected from the left ventricle in a single heartbeat.
The end-diastolic volume is the amount of blood in the ventricles before the heart contracts. It is the measure of blood in the left or right ventricle before the heart contracts, at the end of diastole, just before systole starts. Diastole is when the heart muscle relaxes and the chambers fill with blood, and systole is when the ventricles contract, pushing blood out of the right ventricle into the lungs and out of the left ventricle to the rest of the body.
The end-systolic volume is the amount of blood remaining in the ventricle at the end of systole, after the heart has contracted.
The stroke volume is calculated using measurements of ventricle volumes from an echocardiogram. The volume of blood in the ventricle at the end of a beat (end-systolic volume) is subtracted from the volume of blood just before the beat (end-diastolic volume).
The formula for stroke volume is:
Stroke volume = end-diastolic volume – end-systolic volume
Stroke volume is an important determinant of cardiac output, which is the product of stroke volume and heart rate. It is also used to calculate ejection fraction, which is stroke volume divided by end-diastolic volume.
In a healthy 70-kg man, the end-diastolic volume is approximately 140 mL, and the end-systolic volume is approximately 50 mL, giving a stroke volume of 90 mL.
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Cardiac output is the blood volume the heart pumps through the systemic circulation over a period measured in litres per minute
Cardiac output is a measure of the volume of blood pumped by the heart through the systemic circulation over a minute, typically reported in litres per minute. It is calculated by multiplying the stroke volume (SV) by the heart rate (HR). The stroke volume is the volume of blood pumped out of the left ventricle during each systolic cardiac contraction. The average stroke volume of a 70 kg male is 70 mL.
Cardiac output is dependent on the heart as well as the circulatory system – veins and arteries. It is influenced by the heart rate, stroke volume, arterial compliance, vasoconstriction, arterial pressure (afterload), and the volume of blood entering the heart from the veins (venous return). The amount of blood pumped by the heart is closely matched to the body's metabolic needs. During exercise, for example, the cardiac output increases to meet the body's increased oxygen demands.
Cardiac output can be measured in several ways, including:
- Calculating the amount of oxygen an organ or tissue uses by subtracting the oxygen in veins from that in arteries, then multiplying it by the blood flow rate.
- Comparing the temperature of blood in the vena cava or right atrium with that in the pulmonary arteries.
- Taking the mean arterial pressure and dividing it by the systemic vascular resistance.
- Using portable devices that involve breathing certain gases through a mouthpiece or measuring heart rate and stroke volume with electrodes placed on the chest.
Cardiac output typically ranges from 5 to 6 litres per minute in a person at rest. During exercise, an athlete's cardiac output can exceed 35 litres per minute. Factors that affect cardiac output include high blood pressure, older age, heart attack, abnormal heart rhythm, aortic stenosis, and constrictive pericarditis.
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Cardiac output can be calculated by multiplying the heart rate by the stroke volume
Cardiac output is the
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Stroke volume can be influenced by contractility, preload, and afterload
Stroke volume is the volume of blood pumped out of the heart's left ventricle during each systolic cardiac contraction. It is influenced by three variables: contractility, preload, and afterload.
Contractility is the force of myocyte contraction, referred to as the heart's inotropy. It is the intrinsic strength of the cardiac muscle independent of preload. An increase in contractility, such as during exercise, generally leads to an increase in stroke volume. This is because a stronger contraction allows the heart to push more blood out with each beat.
Preload represents all the factors contributing to passive muscle tension in the muscles at rest. It is related to ventricular filling and is the passive ventricular wall stress at the end of diastole. An increase in preload will generally lead to an increase in stroke volume. This is because a greater volume of blood in the ventricles at the end of diastole will result in a larger volume being ejected during systole. For example, during early pregnancy, increased blood volume leads to increased preload and, subsequently, increased stroke volume and cardiac output.
Afterload represents all the factors contributing to total tension during isotonic systolic contraction. It is the force or load against which the heart contracts to eject blood. An increase in afterload, such as in individuals with long-standing high blood pressure, generally causes a decrease in stroke volume. This is because the heart has to work harder to eject the same amount of blood, resulting in a smaller volume being ejected with each beat.
In summary, stroke volume can be increased by increasing contractility or preload or decreasing afterload. These variables work together to ensure the heart pumps an appropriate volume of blood with each beat to meet the body's metabolic needs.
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Frequently asked questions
Stroke volume (SV) is the amount of blood ejected from the left ventricle in a single heartbeat. It is equal to the difference between the left ventricular end-diastolic volume and the left ventricular end-systolic volume.
Cardiac output (CO) is the volume of blood pumped by the heart through the systemic circulation over a period, measured in litres per minute. It is calculated by multiplying the heart rate (HR) by the stroke volume.
During exercise, cardiac output increases due to a linearly increasing heart rate and a non-linearly increasing stroke volume response.
An increase in heart rate can cause a decrease in stroke volume. However, this relationship is complex and depends on various factors such as preload, afterload, and contractility.
The three main factors that affect stroke volume are contractility, preload, and afterload. Increasing contractility or preload, or decreasing afterload, can lead to an increase in stroke volume.