20 likes | 167 Views
MYOCARDIAL PERFORMANCE A fterload. S ummation of all forces opposing ventricular fiber shortening during ejection: Ventricular shape and size Wall thickness I ntracavitary pressure Aortic impedance (resistance) Ventricular resistance (inertia). Law of Laplace. stress = Pr / h.
E N D
MYOCARDIAL PERFORMANCEAfterload Summation of all forces opposing ventricular fiber shortening during ejection: • Ventricular shape and size • Wall thickness • Intracavitary pressure • Aortic impedance (resistance) • Ventricular resistance (inertia) Law of Laplace stress = Pr / h SVR = MAP – CVP/CO phenylephrine norepinephrine SVR Wall stress ~