hard · MCAT bio-biochem

An investigator infuses a positive inotrope that increases ventricular contractility without changing heart rate, preload, or afterload.

How does this shift the ventricular pressure-volume loop and the Frank-Starling curve simultaneously?

  1. The end-systolic pressure-volume line rotates leftward and steeper at every afterload, and the Frank-Starling curve simultaneously shifts upward at every preload.
  2. The PV loop widens only because end-diastolic volume itself rises, while the Frank-Starling curve stays unchanged since contractility is treated as a fully separate variable.
  3. The end-systolic pressure-volume relationship shifts rightward, lowering stroke volume, while the Frank-Starling curve shifts downward.
  4. Both curves stay unaffected because inotropic state only modifies heart-rate-dependent relaxation kinetics, never the pressure-volume relationship itself.

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