Frank–Starling Law
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Frank–Starling Law
The Frank–Starling law of the heart (also known as Starling's law and the Frank–Starling mechanism) represents the relationship between stroke volume and end diastolic volume.Widmaier, E. P., Hershel, R., & Strang, K. T. (2016).''Vander's Human Physiology: The Mechanisms of Body Function''(14th ed.). New York, NY: McGraw-Hill Education. The law states that the stroke volume of the heart increases in response to an increase in the volume of blood in the ventricles, before contraction (the end diastolic volume), when all other factors remain constant. As a larger volume of blood flows into the ventricle, the blood stretches cardiac muscle, leading to an increase in the force of contraction. The Frank-Starling mechanism allows the cardiac output to be synchronized with the venous return, arterial blood supply and humoral length, without depending upon external regulation to make alterations. The physiological importance of the mechanism lies mainly in maintaining left and right ...
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Starling RAP Combined
Starlings are small to medium-sized passerine birds in the family Sturnidae. The Sturnidae are named for the genus ''Sturnus'', which in turn comes from the Latin word for starling, ''sturnus''. Many Asian species, particularly the larger ones, are called mynas, and many African species are known as glossy starlings because of their iridescent plumage. Starlings are native to Europe, Asia, and Africa, as well as northern Australia and the islands of the tropical Pacific. Several European and Asian species have been introduced to these areas, as well as North America, Hawaii, and New Zealand, where they generally compete for habitats with native birds and are considered to be invasive species. The starling species familiar to most people in Europe and North America is the common starling, and throughout much of Asia and the Pacific, the common myna is indeed common. Starlings have strong feet, their flight is strong and direct, and they are very gregarious. Their preferred habi ...
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Troponin
image:Troponin Ribbon Diagram.png, 400px, Ribbon representation of the human cardiac troponin core complex (52 kDa core) in the calcium-saturated form. Blue = troponin C; green = troponin I; magenta = troponin T.; ; rendered with PyMOL Troponin, or the troponin complex, is a complex of three regulatory proteins (troponin C, troponin I, and troponin T) that are integral to muscle contraction in skeletal muscle and cardiac muscle, but not smooth muscle. Measurements of cardiac-specific troponins I and T are extensively used as diagnostic and prognostic indicators in the management of myocardial infarction and acute coronary syndrome. Blood troponin levels may be used as a diagnostic marker for stroke or other myocardial injury that is ongoing, although the sensitivity of this measurement is low. Function Troponin is attached to the protein tropomyosin and lies within the groove between actin filaments in muscle tissue. In a relaxed muscle, tropomyosin blocks the attachment site fo ...
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Starling Equation
The Starling equation describes the net Fluid dynamics, flow of fluid across a semipermeable membrane. It is named after Ernest Starling. It describes the balance between capillary pressure, interstitial pressure, and osmotic pressure. The classic Starling equation has in recent years been revised. The Starling principle of fluid exchange is key to understanding how Blood plasma, plasma fluid (solvent) within the Circulatory system, bloodstream (intravascular fluid) moves to the space outside the bloodstream (extravascular space). Transendothelial fluid exchange occurs predominantly in the capillaries, and is a process of plasma ultrafiltration across a semi-permeable membrane. It is now appreciated that the ultrafilter is the glycocalyx of the plasma membrane of the endothelium, whose interpolymer spaces function as a system of small pores, radius circa 5 nm. Where the endothelial glycocalyx overlies an inter endothelial cell cleft, the plasma ultrafiltrate may pass to the i ...
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Dario Maestrini
Dario Maestrini (23 March 1886 – 28 October 1975) was a 20th-century Italian physiologist and scientist. He was noted in the national scientific community for his research on heart, in particular for the first formulation of the Frank-Starling law, known as "Legge del cuore" or "Legge di Maestrini" by Italian doctors. Early life Dario Maestrini was born on 23 March 1886 in Colle Umberto I, Corciano. His parents were Geremia Maestrini and Ester Monni. He was the first of three children. At high school he focused on classical studies, and later enrolled at the University of Perugia to study veterinary medicine. During his time there he attended David Anxefeld's Institute of Physiology, and became his assistant. He graduated in 1912. After this first degree Dario Maestrini decided to enter the University of Pisa for Medicine and Surgery, where he graduated on 17 July 1914 with full marks. Medical career On 14 November 1916 he obtained a post as lector in physiology. During th ...
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Ernest Starling
Ernest Henry Starling (17 April 1866 – 2 May 1927) was a British physiologist who contributed many fundamental ideas to this subject. These ideas were important parts of the British contribution to physiology, which at that time led the world. He made at least four significant contributions: 1. In the capillary, water is forced out through the pores in the wall by hydrostatic pressure and driven in by the osmotic pressure of plasma proteins (or oncotic pressure). These opposing forces approximately balance; which is known as Starling's Principle. 2. The discovery of the hormone secretinwith his brother-in-law William Baylissand the introduction of the word hormone. 3. The analysis of the heart's activity as a pump, which is known as the Frank–Starling law. 4. Several fundamental observations on the action of the kidneys. These include evidence for the existence of vasopressin, the anti-diuretic hormone. He also wrote the leading textbook of physiology in English, which r ...
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Otto Frank (physiologist)
Otto Frank (21 June 1865 – 12 November 1944) was a German born doctor and physiologist who made contributions to cardiac physiology and cardiology. The Frank–Starling law of the heart is named after him and Ernest Starling. Family and early life (Friedrich Wilhelm Ferdinand) Otto Frank was born in Groß-Umstadt and was the son of Georg Frank (1838–1907), a doctor of medicine and a practicing physician, and Mathilde Lindenborn (1841–1906). Otto Frank was married to Theres Schuster in a Catholic wedding in Munich. Training and Work Otto Frank studied medicine in Munich and Kiel between 1884 and 1889 (approbation in Munich 1889). During 1889 to 1891 he undertook training in mathematics, chemistry, physics, anatomy and zoology in Heidelberg, Glasgow, Munich and Straßburg. He then worked until 1894 as an assistant to Carl Friedrich Wilhelm Ludwig in the ''Physiologisches Institut'' in Leipzig. There in 1892 he completed his doctoral studies (''Promotion''). Subsequently, ...
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Diastolic Heart Failure
Heart failure with preserved ejection fraction (HFpEF) is a form of heart failure in which the ejection fraction – the percentage of the volume of blood ejected from the left ventricle with each heartbeat divided by the volume of blood when the left ventricle is maximally filled – is normal, defined as greater than 50%; this may be measured by echocardiography or cardiac catheterization. Approximately half of people with heart failure have preserved ejection fraction, while the other half have a reduction in ejection fraction, called heart failure with reduced ejection fraction (HFrEF). Risk factors for HFpEF include hypertension, hyperlipidemia, diabetes, smoking, and obstructive sleep apnea. HFpEF is characterized by abnormal diastolic function: there is an increase in the stiffness of the left ventricle, which causes a decrease in left ventricular relaxation during diastole, with resultant increased pressure and/or impaired filling. There is an increased risk for at ...
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Aorta
The aorta ( ) is the main and largest artery in the human body, originating from the left ventricle of the heart and extending down to the abdomen, where it splits into two smaller arteries (the common iliac arteries). The aorta distributes oxygenated blood to all parts of the body through the systemic circulation. Structure Sections In anatomical sources, the aorta is usually divided into sections. One way of classifying a part of the aorta is by anatomical compartment, where the thoracic aorta (or thoracic portion of the aorta) runs from the heart to the diaphragm. The aorta then continues downward as the abdominal aorta (or abdominal portion of the aorta) from the diaphragm to the aortic bifurcation. Another system divides the aorta with respect to its course and the direction of blood flow. In this system, the aorta starts as the ascending aorta, travels superiorly from the heart, and then makes a hairpin turn known as the aortic arch. Following the aortic arch, the ...
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Left Ventricle
A ventricle is one of two large chambers toward the bottom of the heart that collect and expel blood towards the peripheral beds within the body and lungs. The blood pumped by a ventricle is supplied by an atrium, an adjacent chamber in the upper heart that is smaller than a ventricle. Interventricular means between the ventricles (for example the interventricular septum), while intraventricular means within one ventricle (for example an intraventricular block). In a four-chambered heart, such as that in humans, there are two ventricles that operate in a double circulatory system: the right ventricle pumps blood into the pulmonary circulation to the lungs, and the left ventricle pumps blood into the systemic circulation through the aorta. Structure Ventricles have thicker walls than atria and generate higher blood pressures. The physiological load on the ventricles requiring pumping of blood throughout the body and lungs is much greater than the pressure generated by the at ...
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Myocardium
Cardiac muscle (also called heart muscle, myocardium, cardiomyocytes and cardiac myocytes) is one of three types of vertebrate muscle tissues, with the other two being skeletal muscle and smooth muscle. It is an involuntary, striated muscle that constitutes the main tissue of the wall of the heart. The cardiac muscle (myocardium) forms a thick middle layer between the outer layer of the heart wall (the pericardium) and the inner layer (the endocardium), with blood supplied via the coronary circulation. It is composed of individual cardiac muscle cells joined by intercalated discs, and encased by collagen fibers and other substances that form the extracellular matrix. Cardiac muscle contracts in a similar manner to skeletal muscle, although with some important differences. Electrical stimulation in the form of a cardiac action potential triggers the release of calcium from the cell's internal calcium store, the sarcoplasmic reticulum. The rise in calcium causes the cell' ...
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End-diastolic Volume
In cardiovascular physiology, end-diastolic volume (EDV) is the volume of blood in the right or left ventricle at end of filling in diastole which is ammount of blood present in ventricle at the end of diastole systole. Because greater EDVs cause greater distention of the ventricle, ''EDV'' is often used synonymously with '' preload'', which refers to the length of the sarcomeres in cardiac muscle Cardiac muscle (also called heart muscle, myocardium, cardiomyocytes and cardiac myocytes) is one of three types of vertebrate muscle tissues, with the other two being skeletal muscle and smooth muscle. It is an involuntary, striated muscle th ... prior to contraction (systole). An increase in EDV increases the preload on the heart and, through the Frank-Starling mechanism of the heart, increases the amount of blood ejected from the ventricle during systole ( stroke volume). __TOC__ Sample values The right ventricular end-diastolic volume (RVEDV) ranges between 100 and 160 mL. Th ...
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