What is the difference between blood flow and cardiac output

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Discussion Overview

The discussion centers around the differences and relationships between blood flow and cardiac output, exploring their definitions, equations, and implications for blood pressure regulation, particularly during exercise. Participants examine the physiological mechanisms involved and the effects of vasoconstriction on blood flow and oxygen delivery to muscles.

Discussion Character

  • Debate/contested
  • Technical explanation
  • Conceptual clarification

Main Points Raised

  • Some participants note that cardiac output is defined as stroke volume multiplied by heart rate, while blood flow is described as the cross-sectional area of a vessel times its velocity, suggesting a potential discrepancy between the two concepts.
  • There is a discussion about the relationship between blood pressure and blood flow, with some participants questioning whether blood pressure is solely determined by blood flow.
  • One participant highlights that during exercise, vasoconstriction may decrease blood flow but also increases cardiac output through the action of epinephrine on the heart, which could counteract the decrease in oxygen delivery to muscles.
  • Another participant points out that different blood vessels respond differently to vasoconstriction, indicating that not all vessels constrict uniformly during sympathetic activation.
  • Concerns are raised about the impact of friction and resistance on blood pressure differences between the aorta and capillaries, suggesting that these factors contribute to the observed variations in blood pressure.
  • There is a question about whether blood flow and cardiac output can be considered the same, given the complexities discussed.

Areas of Agreement / Disagreement

Participants express differing views on the relationship between blood flow and cardiac output, with no consensus reached on whether they are equivalent or how they interact with blood pressure regulation.

Contextual Notes

Participants acknowledge that the definitions and equations for blood flow and cardiac output may not align perfectly, and there are unresolved questions about the impact of various physiological factors on blood pressure and oxygen delivery.

Jmiz
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according to this one source, cardiac output (vascular) = blood flow (http://legacy.owensboro.kctcs.edu/gcaplan/anat2/notes/APIINotes5 cardiac_equations.htm)

However, their equations do not match:

Cardiac output (CO)= Stroke volume * Heart Rate
Blood Flow = cross sec area of vessel times velocity

This is important because cardiac output is also in relationship with blood pressure:
change in bP = cardiac output times resistance of vessel

If blood flow equals cardiac output then the equation of blood pressure would also be impacted by blood flow.

The statement that started my curiosity was that one way of regulating bP is with vasoconstriction which leads to an increase in peripheral resistance and a lower BLOOD FLOW. Ultimately, this is a mechanism for bP to be increased, however if the lower blood flow also has an effect on blood pressure then it becomes more complicated. So, I want to make sure that blood pressure is not impacted by blood flow.

Also, the sympathetic nervous system leads to vasoconstriction of vessels and leads to an increase in bP. But, when you are exercising wouldn't vasoconstriction decrease the amount of blood flowing and thus decrease the oxygen supplying rate to muscles?

Thanks for your help.
 
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I want to make sure that blood pressure is not impacted by blood flow.

The velocity subheading of the blood flow Wiki gives a few examples of areas where cross section and velocity are drastically different. You're probably aware that blood pressure is significantly lower in capillaries than in the aorta. However, multiply their given values and you'll see that flow in all 3 of those instances is more or less the same. Easy counterexample. Now, blood flow may have an effect of pressure, but as you can see, it's not the sole determinant.

As for constriction during exercise, not all of your vessels have the same response to epinephrine. Vessels in your core constrict, but peripheral vessels have a different response due to their respective balance of the different adrenergic receptors.[/quote]
 
Jmiz said:
wouldn't vasoconstriction decrease the amount of blood flowing and thus decrease the oxygen supplying rate to muscles?
That's not the only deciding factor for the O₂ reaching the muscles. Epinephrine also acts on your heart, increasing rate and stroke volume. hence ##\uparrow## in cardiac output ⇒ ##\uparrow## O₂ to muscles
 
aroc91 said:
The velocity subheading of the blood flow Wiki gives a few examples of areas where cross section and velocity are drastically different. You're probably aware that blood pressure is significantly lower in capillaries than in the aorta. However, multiply their given values and you'll see that flow in all 3 of those instances is more or less the same. Easy counterexample. Now, blood flow may have an effect of pressure, but as you can see, it's not the sole determinant.

As for constriction during exercise, not all of your vessels have the same response to epinephrine. Vessels in your core constrict, but peripheral vessels have a different response due to their respective balance of the different adrenergic receptors.

Thanks. I believe it is the loss of force via friction throughout the pathway from aorta to capillaries as well as the internal higher resistance of aorta that explain for the difference in bP between the capillaries (farther out) and the aorta.

Also accommodating for the example that you have provided, does that mean that blood flow and cardiac output are not the same?
 
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Vasoconstriction does not merely affect the arteries. Veins are the major blood reservoir. When they contract due to sympathetic activity, all the blood in the veins will be forced to return to the heart, so with the increase in venous return, there will be a subsequent increase in cardiac output.
 

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