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Preload

  • Amanda R. VestEmail author
Chapter
Part of the Contemporary Cardiology book series (CONCARD)

Abstract

The four major determinants of cardiac output are cardiac preload, myocardial contractility, heart rate, and afterload. Of these four elements, preload is the primary determinant. Cardiac preload is a semiquantitative composite assessment that encompasses all of the factors that contribute to passive ventricular wall stress at the end of diastole. Accurate measurement of intracardiac pressure waveforms derived from the pulmonary artery catheter is a key component of clinical hemodynamic management of patients with cardiovascular diseases. Noninvasive preload assessment techniques have practical limitations but are an area of active clinical development and could represent an important advance in heart failure care.

Keywords

Preload Pressure Volume Waveforms Venous Catheter 

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Suggested Reading

  1. Ahrens TS, Taylor LA. Hemodynamic waveform analysis. Philadelphia: WB Saunders; 1992. Chapters 2 and 3.Google Scholar
  2. Daily EK, Schoroeder JS. Techniques in bedside hemodynamic monitoring. 5th ed. St. Louis: Mosby; 1994.Google Scholar
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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of CardiologyTufts Medical CenterBostonUSA

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