Observations on cardiac energetics. I. Theoretical introduction.

Abstract

Equations are developed to describe the energy expenditure of the human heart. As well as the external potential and kinetic energy terms, general consideration is given to other possible avenues of energy consumption. Emphasis is placed upon using mathematical variables which are readily available for experimental verification. The errors involved in assuming that mean values for the physiological parameters give reasonable estimations for the external mechanical performance are examined, and a theoretical estimation for the discrepancy in the kinetic component is presented. Logical extension of the mathematical derivation leads to a determination of cardiac external mechanical efficiency and clearly demonstrates the significance of the ventricular pressure-volume loop in this context. Finally, experimental procedures are suggested to clarify further some of the conclusions reached through the theoretical analysis.