pv loops
TRANSCRIPT
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Cardiac PRESSURE-VOLUME LOOPS
Dr.Syed Shaheer Haider PGT Anesthesiology
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Recalling…
Determinants of Cardiac Output:1. Preload2. Afterload3. Contractility (Inotropy)
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Recalling…Preload: It is the presystolic stretch.Frank-Starling law states that greater
the preload, the greater will be cardiac output.
End-Diastolic volume is reflected in End-Diastolic pressure LVEDP=LA pressure.
Pulmonary artery wedge pressure(PCWP) = LA pressure = PA diastolic pressure
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Recalling…
Afterload: Pressure that needs to overcome for left ventricle (Systole)
Defined as wall stress during systole
Laplace formula: Wall Stress ð = Pressure x Radius/2h ( Thickness)
Systolic pressure is often used to denote afterload
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Recalling…
Contractility: That determines the strength of contraction
LVEF = Stroke volume End Diastolic volume
(or)
LVEF = End Diastolic volume – End Systolic volume
End Diastolic Volume
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Basic Loop
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