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Multiple Choice
An increase in stroke volume is a result of which of the following?
A
increased afterload
B
increased venous return
C
decreased preload
D
decreased contractility
Verified step by step guidance
1
Understand the concept of stroke volume: Stroke volume is the amount of blood ejected by the left ventricle during each contraction. It is influenced by three main factors: preload, afterload, and contractility.
Define preload: Preload refers to the degree of stretch in the ventricular walls before contraction, which is directly related to venous return. Increased venous return leads to greater preload, enhancing stroke volume through the Frank-Starling mechanism.
Define afterload: Afterload is the resistance the heart must overcome to eject blood. Increased afterload typically reduces stroke volume because the heart has to work harder to pump blood against higher resistance.
Define contractility: Contractility refers to the strength of the heart's contraction. Increased contractility enhances stroke volume by enabling the heart to pump more blood per beat.
Analyze the options: Increased venous return increases preload, which boosts stroke volume. Decreased preload and decreased contractility would lower stroke volume, while increased afterload would also reduce stroke volume. Therefore, the correct answer is 'increased venous return.'