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Afterload of the heart is when there is tension or stress that is placed on the wall of the left ventricle when blood is being pushed out of the heart. This can cause too much blood to build up in the heart at any given time. Preload of the heart is when there is tension or stress placed on the right ventricle of the heart when blood is taken into the heart. This can mean that not enough blood is being pumped into the heart as needed. The effects of preload of the heart can lead to poor circulation and lower blood pressure.

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Do angiotensin II blockers affect preload or afterload?

Afterload


What effect does Sodium Nitroprusside have on afterload and preload?

It decreases preload and afterload as a result of the dilation in the venous and arterial vasculature from the nitric oxide.


Does diuretics decrease preload or afterload?

it decreases blood volume and preload


In a healthy individual which of the following would be low Contractility Preload Stroke volume or Afterload.?

afterload


Dose morphine increase or decrease afterload?

Morphine decrease cathecolamines therefore decreases afterload.


What decreases cardiac output without change in heart rate PAWP or SVR Is it preload afterload or contractility?

A change in cardiac output without any change in the heart rate, pulmonary artery wedge pressure (PAWP = equated to preload) or systemic vascular resistance (SVR = afterload) would have to be due to a change in the contractility of the heart. Cardiac output (CO) is roughly equal to stroke volume x heart rate. Stroke volume is related to preload, contractility, and afterload. As you can see, the only variables you have not controlled for is cardiac contractility.


How can stroke volume can be altered?

Stroke volume is determined by three factors, altering any of them can change the stroke volume. These factors are preload, afterload, and contractility. The relationship is: SV = P*C/A What this means is that preload and contractility are directly proportional to the stroke volume and afterload is inversely proportional to stroke volume. If you increase preload (within certain limits), stroke volume will increase according to the Starling curve. Increasing contractility (many things can increase this), makes the heart pump harder and increases stroke volume. Increasing afterload decreases stroke volume. All of these can be reversed (decreasing preload and contractility = decreased stroke volume, etc). Get a good physiology book and it will explain all of this very well.


What factors regulat stroke volume?

Stroke volume is primarily regulated by three factors: preload, afterload, and contractility. Preload refers to the degree of stretch of the cardiac muscle fibers before contraction, influenced by venous return. Afterload is the resistance the heart must overcome to eject blood, primarily determined by arterial pressure and vascular resistance. Contractility refers to the intrinsic strength of the heart muscle's contraction, which can be affected by factors such as sympathetic stimulation and the availability of calcium.


What is myocardial contractility?

Cardiac contractility is the force of contraction possible for any given length of the cardiac muscle. It is related to the intracellular calcium levels.


How do you know when to decrease preload or afterload?

Decreasing preload may be indicated in conditions like heart failure, where fluid overload is present, leading to symptoms like pulmonary congestion. In contrast, reducing afterload is often necessary in cases of hypertension or aortic stenosis, where high systemic vascular resistance can strain the heart. Clinical assessment, including blood pressure readings, heart function, and patient symptoms, guides these decisions. Ultimately, the goal is to optimize cardiac output and alleviate symptoms while considering the underlying condition.


What is a Nursing intervention for pulmonary Edema?

1. Administer Oxygen 2. Decrease preload by getting patient to sit upright and dangle legs over side of bed, this decreased blood return to heart 3. Relieve anxiety, decreasing sympathetic drive. 4. Administer medication safely to reduce preload, afterload and contractility of the heart 5. Reduce movements of the patient, to decrease oxygen demands.


How do you use preload in a sentence?

John is about to preload his truck with logs.