Page 218 - Color_Atlas_of_Physiology_5th_Ed._-_A._Despopoulos_2003
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A.  Factors influencing cardiac action
        1  Increase in filling (preload)  2  Increase in blood pressure (afterload)
          (See preceding Plate A  T 1              T      T 2
          for explanation of curves)
                                       Transitional phase (t):  Stroke volume
                                       Blood pressure
                    T
        Blood pressure      New after-  Blood pressure  rises while  S 2  normalizes
                                       stroke volume
                            loaded
                                                          (SV 2 =SV) despite
                                       decreases
                                                          increased
                            peak curve
                                                          blood pressure:
                                                S t       Increased work  of Stroke Volume
                                                    D t   D 2
                                                     Work
                S  S 1
                      D    D 1                                         Regulation
                      Work                                A 2
                                               V Ü
                                                         Ventricular volume
                            A 1
            M  V       A  Ventricular volume                           Plate 8.10
                                        ESV    SV
                                         ESV t  SV t
             ESV     SV
                                           ESV 2     SV 2
                 EDV
                                    B.  Venous return
        3  Increase
             in contractility  T 3
                         New                 Venous return = cardiac output
                         afterloaded
         Blood pressure                     heart   Pulmonary  Left
                         peak curve
                                            Right
                                                               heart
                      T
                                    Suction via     circulation
                                    lowering of
                         Same stroke  cardiac
                         volume at  valve plane
                         higher pressure
                                                  Negative
                              or               pressure in thorax
            S 3
                         Higher stroke
                         volume       Venous     Inspiration
                      D 3  (SV 4 >SV) at  valves
                         same pressure
                 Arbeit
          S 4
                                               Positive pressure
                                               in abdominal cavity
                                                 Muscle pump
             V 4                                     Systemic
                      Ventricular volume  Blood pressure  circulation
                                      ca. 15mmHg
                  SV
                                                                      205
                SV 4
       Despopoulos, Color Atlas of Physiology © 2003 Thieme
       All rights reserved. Usage subject to terms and conditions of license.
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