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Cords, Coffee Tables, and Cadavers

Mini Cases on Cardiac Output

By Sheri L. Boyce

Cords, Coffee Tables, and Cadavers


 

Abstract

This collection of mini cases on cardiac function challenges students to explore the relationship between heart rate, stroke volume, and cardiac output, and to investigate some of the factors that alter each component, including preload, contractility, and afterload.  In the first mini case, “Carl” experiences shortness of breath caused by rupture of chordae tendineae; students evaluate the effect of altered afterload on his end systolic volume, cardiac output, and heart rate.  In the second, “Sofia” is seven months pregnant, and her increased blood volume affects preload, heart rate, and stroke volume. In the third, students consider a cadaver heart with obvious signs of heart failure that affected the donor’s ventricular volumes and therefore stroke volume and cardiac output.  Each mini case requires students to consider how various factors contribute to changes in ejection fraction. These cases, either together or alone, are appropriate for use in a two-semester anatomy and physiology course taken by nursing, nutrition, athletic training, pre-occupational therapy, and other health majors in their first or second year; they could also be adapted for a similar course at the advanced placement (AP) high school level.

   

Date Posted

01/09/2023

Overview

Objectives

  • Review how heart rate and stroke volume determine cardiac output, and what normal values are for each.
  • Predict how changes in preload and afterload affect stroke volume and cardiac output.
  • Examine how factors that determine end diastolic volume and end systolic volume can alter cardiac output.
  • Understand the relationship of end diastolic volume and end systolic volume to ejection fraction.
  • Explain briefly how cardiac dysfunction can lead to shortness of breath.

Keywords

Cardiac output; stroke volume; pregnancy; chordae tendineae; end diastolic volume; ejection fraction; preload; end systolic volume; heart failure; afterload

  

Subject Headings

Anatomy
Nursing
Physiology

EDUCATIONAL LEVEL

High school, Undergraduate lower division, Undergraduate upper division

  

FORMAT

PDF

   

TOPICAL AREAS

N/A

   

LANGUAGE

English

   

TYPE/METHODS

Directed, Mini-Case

 

 

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