CARDIAC OUTPUT

(CURAH JANTUNG)

I D.P.SUTJANA
BAGIAN FISIOLOGI FK.UNUD

THE FUNCTION:
TO SIRCULATION OF BLOOD TO ALL PART
OF THE BODY, FOR:
1. DELIVERY
Nutrition and O2
2. REMOVAL
waste of metabolism,
CO2
3. TRANSPORT Hormon
4. MAINTENANCE body temperature

CARDIAC

CARDIAC CHAMBER
CARDIAC IS DOUBLE PUMP, BUT
WORK AS A SINGLE UNIT
CONTAINT:
RIGHT ATRIA, RIGHT VENTRICLE
LEFT ATRIA AND LEFT VENTRICLE

70-80/mnt pacemaker

40-60/mnt

15-40/mnt

SYSTOLE ATRIA /
DIATOLE VENTRICLE
1. AV VALVE OPEN

DIASTOLE ATRIA /
SISTOLE VENTRICLE
1. AV VALVE CLOSED
2. SEMILUNAR

2. SEMILUNAR

PULMONARY AND
AORTIC CLOSED

3. BLOOD FLOW FROM

ATRIA TO VENTRICLE

PULMONARY AND
AORTIC OPEN

3. BLOOD FLOW FROM

VENTRICLE TO
PULMONARY AND
AORTIC ARTERY

 CARDIAC SYCLE
VENTRICLE FILLING PASE

A. PASIVE 70 % (100CC) BLOOD DIRECT FLOW TO THE VENTRICLE

VIA ATRIA
B. 30% (20 CC) CONTRACTION OF ATRIA
VENTRICLE EJECTION PASE
C VENTRICLE SYSTOLE ISOMETRIC (ISOVOLUMETRIC)
D. VENTRIKCLE EJECTION
RELACSATION ISOMETRIC
E. RELACSATION ISOMETRIC VENTRICLE

CARDIAC OUTPUT
THE AMOUNT OF BLOOD THAT IS PUMPED BY
THE RIGHT HEART INTO THE PULMONAL
ARTERY OR LEFT HEART INTO THE AORTA
EACH MINUTE
THE QUANTITY OF BLOOD THAT FLOWS TO
THE PERIPHERAL CIRCULATIONS

CARDIAC OUTPUT
FORMULA : CO = HR X SV
HR= NUMBER HEART BEAT PER MINUTE
SV= THE AMOUNT OF BLOOD THAT CAN BE
PUMPED BY THE RIGHT OR LEFT
VENTRICLE EACH BEAT.

HR : 80 / M
SV : 70 ML
CO = 80 X 70 ML = 5600 ML

STROKE VOLUME (SV) / VOLUME SEDENYUT:

Jumlah darah yang dipompa jantung setiap satu
kali sistolik ventrikel 70 cc untuk setiap ventrikel
RUMUS : SV = EDV - ESV

CARDIAC OUTPUT (COP) CURAH JANTUNG)

Jumlah darah yang yang dipompa jantung per
menit
RUMUS: COP = HR X SV

CO OF
TWO CARDIAC PUMP
RIGHT VENTRICEL: TO THE
PULMONARY ARTERY TO THE LUNG

LEFT VENTRICLE: TO THE AORTIC

VASSEL TO ALL OF THE BODY

END DIASTOLIC VOLUME (EDV)

END SISTOLIC VBOLUME (ESV)
EDV : THE VOLUME OF BLOOD IN THE HEART
THE END OF DIASTOLIC OF THE HEART
EDV : 120 ML

SV = THE VOLUME OF BLOOD EACH BEAT OF

THE HEART (70 ML)
ESV : THE VOLUME OF BLOOD IN THE HEART AT
THE ENDE OF SISTOLIC OF THE HEART
ESV = 50 ML

EDV = ESV-SV
= 120 ML 70 ML = 50 ML

CONTROL OF CO
ACCORDING TO:
1. HR
2.HEART CONTRACTILITY
3. PRELOAD
4.AFTERLOAD

ROLE OF OTONOMIC
NERVUS SYSTEM

CONTROL OF CO
1.ROLE OF THE FRANK-STARLING LAW:
INCREASES OF VR INCREASES OF IN
DIASTOLIC FILLING PRESSURE IN THE
VENTRICLE GREATES FORCE OF
VENTRICEL CONTRACTION

2. INCREASE OF TISSUE MET.RATE

LOCAL VASODILATION, DECREASE IN
TOTAL PERIPHERAL RESISTANCE
INCREASE OF VR

VENOUS RETURN
IS THE AMOUNT OF BLOOD THAT
FLOWS FROM THE VEIN BACK TO THE
RIGHT ATRIUM EACH MINUTE
VR = CO
VR = 5 L/M / 3 L/M/BS

THE FRANK-STARLING LAW

CONCEPT
DURING INCREASED VR, RIGHT ATRIAL
ATRETCH INCREASED CO.
1.

STRETCH OF SINUS NODE DIRECT

EFFECT ON RHYTHMICITY OF THE NODE
10-15% INCREASES HR

2.

EXTRA STRETCH IN THE RIGHT ATRIUM

BAINBRIDGE REFLEX IMPULS
VASOMOTOR CENTRE SYMPATHETIC
NERVES, N.VAGI INCREASE HR , VR

DISTRIBUSI CO PD ORGAN
LUNG :
100 %
GIT
:
21 %
LIVER :
6%
KIDNEY:
20 %
SKIN
:
9%
BRAIN :
13 %
CARDIAC M.CLE:
3%
SKLT. MUSCLE
: 15 %
BONE
: 5%
OTHERS
: 8%