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The heart is always looking to maintain same cardiac output (flow rate). Cardiac
output (ml/min) is determined by stroke volume (volume of ejected blood by left
ventricle) and heart rate. Cardiac output= SV * HR. SV is determined by end
systolic volume (volume left in heart after ejection) and EDV (SV=EDV-ESV).
CO=(EDV-ESV) * HR). An increase in EDV= increase SV and decrease in HR to
maintain cardiac output.
The increased EDV will increase the stretch of myocytes. Increase of stretch will
make myocytes reach a value closer to the optimal length of muscle units
(maximal cross bridges formation can occur) and the contractile force of heart
increases. More volume will be ejected. Increased EDV= increased SV
ESV= blood left in ventricle after ejection SV=EDV-ESV.
So: Increased EDV increased SV for CO to maintain the same, decrease the
heart rate.
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Changes preload (stretch of cells by volume of EDV), will influence the stroke
volume due to an increase of EDV= increased SV to pump out all blood that is
returned to the heart. So generally an increased venous blood return to heart will
increase the stroke volume.
Increase in blood in to heart = increase in blood ejected by heart.
In heart muscles the time at the absolute refractory period is longer and it ends
in phase: 4 when the repolarization has occurred. Meaning that the myocytes
has reached full relaxation summation of amplitude of contraction cannot
occur because no contractile force is left after the endening of absolute refractory
period.
Isovolumetric contraction (early phase of systole) occurs during the period both
valves are closed. No blood movement no change in volume, but increased
pressure. This occurs during relative refractory period of myocytes and
pacemaker cells possible to induce new action potential.
Explain why wave summation and tetanus are not possible in cardiac
muscle tissues.
Tetanus and wave summation can occur in skeletal muscle due to the short ARP
and long duration of contraction after end of ARP. In heart muscle we have the
opposite situation. Long ARP and no contraction force left after ARP
contributing to contraction calcium ions are removed from cytosol, intracellular
calcium ion concentration returns to baseline no increase of amplitude because
of increase in action potential frequency can occur.