Gasto cardiaco

Retorno Venoso
Leyden Yeraldi Chavez Vergara
Hospital Nacional Almanzor Aguinaga Asenjo
MR2 Medicina Intensiva
 OBJETIVOS HEMODINAMICOS DO2: GC x CaO2

Cantidad de O2
Entregado por el corazón
a las células

CaO2: (HbxSaO2x1,34)+(PaO2x0,003)
 Gasto Cardiaco
Es la suma de los flujos
Valores de todo el organismo
varían
según sexo,
edad

SC

IC: GC x m2
de SC

Cantidad de sangre que bombea el corazón hacia

la aorta cada min
 La misma
cantidad
eyectada por el
Sistema
Ley de ventrículo
Principio de circulatorio:
GC calcular conservación izquierdo, debe
Fick sistema
de las masas. ser la misma
cerrado
que regrese al
corazón
derecho

Oxigeno: sustancia trazadora debe conocerse VO2: Q x (CaO2 –CvO2)

cantidad y concentración al entrar arterias y
salir por las venas.
Diagrama Volumen Presión
 Determinantes del GC
Precarga
•Es la carga que distiende el musculo previo a la contracción muscular y
determina el llenado o estrés diastólico, por lo que el volumen de fin de
diástole es la fuerza de la precarga en el corazón intacto.

Ley de Frank Starling

Existe una relación positiva entre la precarga y el volumen sistólico, de tal modo que, cuanto
mayor es la precarga ventricular (y, por lo tanto, el grado de estiramiento de sus fibras
miocárdicas), mayor es el volumen sistólico.

Curva de
función La precarga-dependencia es la
ventricular capacidad del corazón de modificar el
volumen sistólico ante cambios de la
precarga, y dependerá del valor basal
de precarga y de la zona de la curva
Zona de
Zona de de Frank-Starling en la que operan
precarga
precarga ambos ventrículo
Interdepende
dependencia
ncia
Precarga
 Poscarga •Realmente correspondería al estrés (o tensión) encontradas por las
miofibrillas del VI cuando se contraen contra el volumen al final de la
diástole, justo antes de que se produzca el acortamiento.

Cualquier condición que aumente la resistencia requiere una

mayor poscarga para forzar la apertura de las válvulas
semilunares y bombear la sangre.
Distribución del flujo sanguíneo a los tejidos
 Precarga
Clásicamente se define como el grado de estiramiento máximo o
tensión de las fibras miocárdicas antes del inicio de la contracción
ventricular y viene determinada por la longitud media de los
sarcómeros al final de la diástole.
Frecuencia Cardiaca
 Table of contents

Cardiology Pulmonary
01 You can describe the topic of
02 You can describe the topic of
the section here the section here

Radiology Pathology
03 You can describe the topic of
04 You can describe the topic of
the section here the section here
 Introduction
This can be the part of the presentation where you can introduce your
healthcare center. Keep it short and go straight to the point. Your audience will
appreciate it
 01
Cardiology
You can enter a subtitle here if you need it
The slide title goes here!

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clear? Lists like this one:

● They’re simple
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● You’ll never forget to buy milk!

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miss the point of your presentation
Our center
Venus has a beautiful name and is the second
planet from the Sun. It’s terribly hot—even
hotter than Mercury—and its atmosphere is
extremely poisonous
Mission
Mercury is the closest planet to the
Sun and the smallest one in the Solar
System—it’s only a bit larger than our
Moon

Vision
Venus has a beautiful name and is the
second planet from the Sun. It’s
terribly hot—even hotter than
Mercury
“This is a quote. Words full of
wisdom that someone important
said and can make the reader get
inspired.”

—Someone Famous
 Key numbers

5,000 20,000 50,000

This is the number of This is the number of This is the number of total
transplants performed so far patients we had last visitors we had last month
month
 Our graphics

40 % Mercury
Mercury is the closest planet to
the Sun and the smallest one in the
Solar System

60 % Venus
Venus has a beautiful name and is
the second planet from the Sun.
It’s terribly hot

Follow the link in the graph to modify its data and then paste the new one here.
For more info, click here
 A brief story
Mercury is the closest planet to the Sun and the smallest one in the Solar
System—it’s only a bit larger than our Moon. The planet’s name has nothing
to do with the liquid metal since it was named after the Roman messenger
god, Mercury
 Milestones reached

2017 2018 2019 2020

Venus Saturn Jupiter Mars

Venus has a beautiful Saturn is a gas giant and It’s the biggest planet in Despite being red, Mars
name has several rings the Solar System is a cold place
 Our process
2 4

Mercury Venus
1. Mercury is the smallest planet
The planet’s name has Venus has a beautiful name 2. Jupiter is the biggest planet of them all
nothing to do with the and is the second planet 3. Neptune is an ice giant
liquid metal from the Sun 4. Despite being red, Mars is a cold place
A picture is worth a
thousand words
 A picture
always
reinforces the
concept
Images reveal large amounts of data, so remember: use
an image instead of a long text. Your audience will
appreciate it
150,000
Big numbers catch your audience’s attention
 Areas we cover

Mercury Venus Jupiter

It’s the closest planet to Venus has a beautiful Jupiter is the biggest
the Sun name, but it’s hot planet of them all

Neptune Saturn Mars

It’s the farthest planet Saturn is a gas giant and Mars is actually a very
from the Sun has several rings cold place
Awesome words
 Services

Mercury Venus
It’s the closest planet to It’s the farthest planet
the Sun from the Sun

Mars Saturn
Mars is actually a very Saturn is a gas giant and
cold place has several rings
 Key accomplishments

Mercury Jupiter
It’s the closest planet to the Jupiter is the biggest planet of
Sun them all
Saturn
Saturn is a gas giant and has
several rings
 Patient satisfaction

Venus
It’s the farthest planet from
7 / 10
the Sun

Saturn
Saturn is a gas giant and 9 / 10
has several rings
 Innovations

Mercury Venus Saturn Mars

Mercury is the closest Saturn is a gas giant and
Venus has a beautiful Despite being red, Mars is
planet to the Sun and the has several rings. It's
name and is the second actually a cold place. It’s
smallest one in the Solar composed mostly of
planet from the Sun full of iron oxide dust
System hydrogen
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Quality improvement measures

Items Concept Reached

1 Mars Mars is actually a very cold place

2 Venus Venus has a beautiful name

3 Saturn Saturn is a gas giant

4 Jupiter It’s the biggest planet of them all

5 Neptune It’s the farthest planet from the Sun

 This is a map
Mercury
It’s the closest planet to
the Sun

Mars
Mars is actually a very
cold place

Jupiter
Jupiter is the biggest
planet of them all
 Testimonials

“Mercury is the closest planet to the “Venus has a beautiful name and is the
Sun and the smallest one in the Solar second planet from the Sun. It’s
System—it’s only a bit larger than our terribly hot—even hotter than
Moon” Mercury”

—Jenna Doe, 25 —John James, 36

 Awards

2018 2020
Mars Jupiter
Mars is actually a very Jupiter is the biggest
cold place planet of them all
2019
Mercury
It’s the closest planet to
the Sun
 Our team

Nurse Doctor Surgeon

You can talk a bit about this You can talk a bit about this You can talk a bit about this
person here person here person here
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