The healthy heart does not control a specific cardiac output: a plea for a new interpretation of normal cardiac function

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Original languageEnglish
Pages (from-to)H1239-H1243
JournalAmerican Journal of Physiology - Heart and Circulatory Physiology
Volume323
Issue number6
Early online date28 Nov 2022
Publication statusPublished - Dec 2022

Abstract

The current evidence suggests that the healthy heart does not sense the optimal cardiac output because the different organ systems that influence cardiac function do not interact to adjust their individual responses towards a specific Q. Consequently, it is conceivable that the complex cycle of cardiac contraction and relaxation must occur for reasons other than to produce a specific target Q and that there is likely an as of yet undiscovered overarching principle in the cardiovascular system that explains the combined effects of the prevailing preload, afterload and contractility. Future research should embrace the possibility of a different purpose to cardiac function than previously assumed and examine the biological capacity of this fascinating organ accordingly.

Keywords

    cardiac output, exercise, heart failure, hypertension, twist

ASJC Scopus subject areas

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abstract = "The current evidence suggests that the healthy heart does not sense the optimal cardiac output because the different organ systems that influence cardiac function do not interact to adjust their individual responses towards a specific Q. Consequently, it is conceivable that the complex cycle of cardiac contraction and relaxation must occur for reasons other than to produce a specific target Q and that there is likely an as of yet undiscovered overarching principle in the cardiovascular system that explains the combined effects of the prevailing preload, afterload and contractility. Future research should embrace the possibility of a different purpose to cardiac function than previously assumed and examine the biological capacity of this fascinating organ accordingly.",
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