Filling Time

During diastole, the blood is drawn into the ventricle. This takes time, referred to as “filling time”. Without an adequate filling time, the ventricle receives less blood. With less blood volume, stroke volume and cardiac output falls.

Figure 2.2 Cardiac Output and Heart Rate

This graph illustrates the relationship between heart rate and cardiac output. As heart rate increases, so does cardiac output – to a point. Cardiac output tends to fall when heart rate surpasses 150/minute due to inadequate filling time. Low cardiac output states also occur with low heart rates (<50/minute). Of course, this graph represents a significant generalization. Young and athletic people can have good cardiac outputs with heart rates greater than 150/minute and less than 50/minute. Those with cardiac disease often cannot tolerate heart rates as low as 50/minute or as high as 150/minute.

1. Six Second ECG Guidebook (2012), T Barill, p. 30

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