Image for Cardiovascular Physiology Concepts, Richard E Klabunde PhD

Cardiovascular Physiology Concepts

Richard E. Klabunde, PhD

Topics:

Arrhythmias
Cardiac Valve Disease
Coronary Artery Disease
Edema
Heart Failure
Hypertension
Peripheral Artery Disease

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Cardiovascular Physiology Concepts textbook cover

Click here for information on Cardiovascular Physiology Concepts, a textbook published by Lippincott Williams & Wilkins (2005)




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Effects of Preload on Cardiac Fiber Shortening

preload effects on cardiac muscle fiber shortening

When allowed to shorten against a fixed afterload (isotonic contraction), an increase in muscle length prior to contraction (i.e., increased preload) increases the degree of shortening (ΔL) and the rate of length change (dL/dt; velocity of shortening) as shown in the figure at right. With increased preload, a normal cardiac muscle fiber will shorten to the same minimal length. The effect of preload on velocity of shortening alters the slope of the force-velocity relationship for cardiac muscle.

As described above, increasing the preload increases the magnitude of the muscle fiber shortening. This can also be depicted using a length-tension diagram as shown at right, below.

effects of preload on cardiac muscle fiber active tension
With the muscle preload length at L1, the muscle will develop tension until a fixed afterload tension is reached, then the muscle will shorten (black, dashed line) with no further increase in tension to a minimal length (Lmin, blue line). If the preload is increased to L2 and the muscle contracted with the same fixed afterload, the muscle will shorten (green, solid line) to the same Lmin. Therefore, a normal cardiac muscle fiber will contract to the same minimal length regardless of the preload, as long as the preload is within a normal physiologic range.

Revised 04/02/2007



DISCLAIMER: These materials are for educational purposes only, and are not a source of medical decision-making advice.