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Encyclopedia > Stroke volume

In cardiovascular physiology, stroke volume (SV) is the volume of blood ejected from a ventricle with each beat of the heart. A circulatory system (sometimes cardiovascular system) is an organ system that moves substances to and from cells; it can also help stabilize body temperature and pH (part of homeostasis). ... Human blood smear: a - erythrocytes; b - neutrophil; c - eosinophil; d - lymphocyte. ... In the heart, a ventricle is a chamber which collects blood from an atrium (another heart chamber) and pumps it out of the heart. ... The heart and lungs, from an older edition of Grays Anatomy. ...

Contents

Calculation

Its value is obtained by subtracting end-systolic volume (ESV) from end-diastolic volume (EDV) for a given ventricle: End-systolic volume is the volume of blood in the ventricles just after systole. ... End-diastolic volume is the volume of blood in the ventricles just before systole. ...

SV = EDVESV

In a healthy 70-kg man, the left ventricular EDV is 120 ml and the corresponding ESV is 50 ml, giving a stroke volume of 70 ml.


Influence on cardiac output

Stroke volume, along with heart rate (HR), is one of the determinants of cardiac output (CO): The infant/neonatal rate of heartbeat is around 130-150 bpm, the toddlers about 100–130 bpm, the older childs about 90–110 bpm, and the adolescents about 80–100 bpm. ... Cardiac output is the volume of blood being pumped by the heart, in particular a ventricle in a minute. ...

Therefore, if heart rate remains constant, a larger stroke volume will proportionately increase cardiac output. However, in normal resting individuals, increased stroke volume is often accompanied by a decreased heart rate in order to maintain constant cardiac output.


Determinants

Men, on average, have higher stroke volumes than women due to the larger size of their hearts. However, stroke volume depends on several factors such as heart size, contractility, duration of contraction, preload (end-diastolic volume), and afterload. Contractility is one of the factors which affect myocardial performance. ... Heart during ventricular diastole. ... End-diastolic volume is the volume of blood in the ventricles just before systole. ... In cardiac physiology, afterload is the tension produced by a chamber of the heart in order to contract. ...


Exercise

Prolonged aerobic exercise may also increase stroke volume, which frequently results in a slower heart rate. Reduced heart rate prolongs ventricular diastole (filling), increasing end-diastolic volume, and ultimately allowing more blood to be ejected. In physical exercise, aerobic exercise is complementary to anaerobic exercise. ... Diastole is the period of time when the heart relaxes after contraction. ...


Preload

Stroke volume is intrinsically controlled by preload (the degree to which the ventricles are stretched prior to contracting). An increase in the volume or speed of venous return will increase preload and, through the Frank-Starling law of the heart, will increase stroke volume. Decreased venous return has the opposite effect, causing a reduction in stroke volume. The Frank-Starling law of the heart (also known as Starlings law) states that the more the ventricle is filled with blood during diastole (end-diastolic volume), the greater the volume of ejected blood will be during the resulting systolic contraction (stroke volume). ...


Afterload

Elevated afterload (commonly measured as the aortic pressure during systole) reduces stroke volume. Though not usually affecting stroke volume in healthy individuals, increased afterload will hinder the ventricles in ejecting blood, causing reduced stroke volume. Increased afterload may be found in aortic stenosis and arterial hypertension. In cardiac physiology, afterload is the tension produced by a chamber of the heart in order to contract. ... Aortic valve stenosis (AS) is a heart condition caused by the incomplete opening of the aortic valve. ... Arterial hypertension, or high blood pressure is a medical condition where the blood pressure is chronically elevated. ...


See also

Cardiac output is the volume of blood being pumped by the heart, in particular a ventricle in a minute. ... End-diastolic volume is the volume of blood in the ventricles just before systole. ... End-systolic volume is the volume of blood in the ventricles just after systole. ... The infant/neonatal rate of heartbeat is around 130-150 bpm, the toddlers about 100–130 bpm, the older childs about 90–110 bpm, and the adolescents about 80–100 bpm. ...

References

  • Berne, Robert M., Levy, Matthew N. (2001). Cardiovascular Physiology. Philadelphia, PA: Mosby. 
  • Boron, Walter F., Boulpaep, Emile L. (2005). Medical Physiology: A Cellular and Molecular Approach. Philadelphia, PA: Elsevier/Saunders. 

External links


  Results from FactBites:
 
Stroke volume - definition of Stroke volume in Encyclopedia (188 words)
Stroke volume is the amount of blood ejected with each beat of the heart.
Men, on average, have higher stroke volumes than women due to the larger size of their hearts.
Stroke volume can also be increased by long term (aerobic) exercise, which frequently results in a slower heart rate.
stroke - Columbia Encyclopedia® article about stroke (672 words)
stroke, destruction of brain tissue as a result of intracerebral hemorrhage or infarction myocardial infarction, or heart attack, is usually caused by a blockage in one of the coronary arteries that supply blood to the heart muscle.
In cases of severe brain damage there may be deep coma, paralysis of one side of the body, and loss of speech, followed by death or permanent neurological disturbances after recovery.
Hypertension hypertension or high blood pressure, elevated blood pressure resulting from an increase in the amount of blood pumped by the heart or from increased resistance to the flow of blood through the small arterial blood vessels (arterioles).
  More results at FactBites »


 

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