Why is it easier on the heart in a horizontal position?

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Discussion Overview

The discussion revolves around the physiological effects of body position on heart function, specifically why a horizontal position may be easier on the heart compared to a vertical position. It includes theoretical considerations, physiological mechanisms, and some references to engineering principles.

Discussion Character

  • Exploratory
  • Technical explanation
  • Debate/contested

Main Points Raised

  • One participant suggests that in a closed system, the equal pressures from blood columns at different heights neutralize the effect on the heart, implying that height should not matter if friction is ignored.
  • This participant also proposes that the elasticity of arteries plays a significant role, arguing that standing may stretch arteries in the legs, making it harder for the heart to pump blood effectively.
  • Another participant counters that friction cannot be ignored, indicating its significance in the discussion.
  • A different participant claims that friction remains constant regardless of body position, as the system's architecture does not change.
  • A reference is provided to a source discussing hydrostatic pressure and Starling's principle, suggesting that previous answers may be partially correct or based on personal theories.

Areas of Agreement / Disagreement

Participants express differing views on the role of friction and the impact of body position on heart function. There is no consensus on the explanations provided, and the discussion remains unresolved.

Contextual Notes

Participants have not fully addressed the assumptions regarding friction and the physiological implications of blood flow in different positions. The discussion also touches on the complexity of vascular mechanics without reaching a definitive conclusion.

Eratosten
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TL;DR
A seemingly simple question, but not quite. The classic answer, that in a horizontal position the heart does less work against gravity, meaning the liquid column is lower, doesn't seem plausible.
The system is closed, and as much blood rises to a certain height, an equal amount descends from the same height, so the two liquid columns create equal but opposite pressures, and their effect on the heart is 'neutralized.' Therefore, if we ignore friction in the blood vessels, it shouldn’t matter at what height the heart pumps. It is known in engineering that it does not matter to what height a pump raises the liquid, as long as the same liquid is returned to the pump from the same height, i.e. circulates in a circle and both pipes (rising and descending) are always filled with liquid. A longer path only increases friction in the system and increases the load on the pump. But now we are not talking about friction, but about gravity and the pressure caused by a column of liquid. It should be the same with the heart.

I believe the answer is more likely related to the elasticity of the arteries. Let’s not forget that blood vessels (arteries) are not rigid tubes; they are elastic and expand under pressure. Since the overall resistance in the body is very high, at the moment of a heartbeat, the arteries expand, and this expansion accommodates the larger volume of pumped blood. After a second, the elasticity of the arteries moves (pumps) the blood into the smaller vessels, and the arteries contract back. Now, let’s imagine that we are standing, and the arteries in our legs are already stretched by the weight of the blood, due to gravity. In this case, it will be more difficult for the heart to pump blood into these already stretched arteries, as they cannot stretch indefinitely.

What do you think?
 
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As a physicist, I think it's wrong to ignore friction, because its significant.
 
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The friction is the same in the horizontal and vertical position of the body, because nothing about the "architecture" of the system has been changed.
 

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