Medical Physiology Cardiovascular Physiology

Cardiac Output and Venous Return

Topic overview

Start with the big picture

Cardiac output is the volume of blood pumped per minute and is calculated as heart rate multiplied by stroke volume. Stroke volume changes with preload, contractility, and afterload; ejection fraction and methods such as the Fick principle provide ways to assess cardiac function. At steady state, venous return equals cardiac output. Its relationship to mean systemic filling pressure, right atrial pressure, and resistance to venous return helps explain how blood volume and venous tone affect flow. The lesson also uses cardiac output and venous return curves to connect shifts in cardiac function or vascular conditions with changes in equilibrium pressure and output, including responses to exercise and sympathetic activation.

Learning objectives

What you'll learn

  • Relate heart rate and stroke volume to cardiac output.
  • Explain how preload, contractility, and afterload affect stroke volume.
  • Describe the pressure and resistance factors governing venous return.
  • Interpret shifts in cardiac output and venous return curves.
  • Connect exercise and sympathetic activation with hemodynamic changes.
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