Cardiac function

Last revised by Joachim Feger on 11 Dec 2021

Cardiac function refers to the hearts capability to fulfill its task as the motor or pump of the blood circuit satisfying the bodies demands of oxygen and nutritive substances as well as the removal of waste products.

A direct measure of cardiac function is cardiac output which can be increased to 3-4 fold at strenuous exercise but only as long as the venous return will keep up at a similar rate.

Systolic function refers to the heart's ability to throw out a specific amount of blood in a certain amount of time. It is based on the following factors 1,2:

  • preload filling volume and filling pressures (preload)
  • vascular resistance and arterial pressure (afterload)
  • myocardial contractility
  • heart rate

Diastolic function refers to the capability of the cardiac chambers to fill adequately. It is characterized and dependent on different factors which include 1-5:

Radiographic features

Visual analysis

Includes the following features 6:

  • hemodynamic interaction between the chambers
    • synchrony/asynchrony, shunts, constriction etc.
  • cardiac chamber size
  • global and segmental wall motion assessment
    • normokinesia, hyperkinesia, hypokinesia, akinesia, dyskinesia
Quantitative analysis

Basic quantitative methods for the evaluation of cardiac function include 1-7:

Systolic function
Diastolic function
  • mitral inflow early diastolic velocity (E)
  • mitral annular early diastolic velocity (e')
  • E/A ratio and E/e’ ratio
  • peak tricuspid regurgitation velocity

Additional or advanced functional measurements include the following 4,5:

See also

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