Cardiac Output

What is it? Why is it Vital?

The amount of blood pumped out of the ventricle in a minute (most often refers to the blood pumped by the left ventricle)

What is cardiac output?

Simply, cardiac output is the amount of blood ejected by the left ventricle in one minute. The left ventricle seems to get the lion’s share of attention perhaps because the body’s blood flow and pulse are provided by the left ventricle.

For an adult, an average cardiac output is about 5-8 liters of ejected blood per minute. With strenuous activity, an adult’s cardiac output can increase to an amazing 25 liters per minute to satisfy the body’s demands for oxygen and nutrients.

Some of us readily remember that cardiac output is calculated via the following formula:

Cardiac Output = Stroke Volume x Heart Rate

or

CO = SV x HR

Cardiac output is a product of heart rate (beats per minute) and stroke volume. Stroke volume is the amount of blood ejected by the left ventricle with each contraction.

Let’s put this in perspective. What is your pulse rate? If a typical cardiac output is about 5000 ml (5 liters), what is your approximate stroke volume? For example, a patient named Mary has a pulse of 72/minute.

5000 = ____(SV) X 72 (HR)

With a little math, Mary’s stroke volume is calculated to be about 70 ml.

SV = 5000 / 72 = 70 ml

Therefore, each time Mary’s left ventricle beats, it ejects about 70 ml of blood. Mary turns out to be about average when it comes to stroke volume. A typical stroke volume for adults is 50-80 ml. How about your own stroke volume?

Note that the heart extracts most of the available oxygen from the blood even during periods when the body is at rest. The heart, then, has very little physiological reserve to respond to episodes of high energy demand. Rather, the heart depends almost entirely on increased coronary blood flow to satisfy high energy demand.

1. Six Second ECG Guidebook (2012), T Barill, p. 24, 107, 108, 121, 193

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