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Multiple Choice
Which of the following would decrease stroke volume?
A
Increased contractility
B
Increased afterload
C
Increased preload
D
Decreased heart rate
Verified step by step guidance
1
Understand the concept of stroke volume, which is the amount of blood ejected by the left ventricle of the heart in one contraction.
Identify the factors that influence stroke volume: preload, afterload, and contractility.
Preload refers to the initial stretching of the cardiac myocytes prior to contraction, which is related to the volume of blood returning to the heart. Increased preload generally increases stroke volume.
Contractility is the intrinsic ability of cardiac muscle fibers to contract at a given fiber length. Increased contractility enhances stroke volume.
Afterload is the pressure the heart must work against to eject blood during systole. Increased afterload decreases stroke volume because the heart has to work harder to overcome the higher pressure.