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The Dependent Variable

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Rebuilding cardiovascular physiology from first principles.

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Issues17Founded3 months agoLast Issue7 days ago
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Latest Issues

The Afterload Problem

Afterload is usually taught as “the load the heart pumps against.”

It sounds straightforward until you ask what that load actually is.

Arterial pressure? Systemic vascular resistance? Aortic impedance? Effective arterial elastance? Ventri...

7 days ago
9
2

The Pressure That Wasn’t Measured

A brief extra post outside my usual schedule. I came across this paper while reviewing the recent haemodynamics literature and thought it was too relevant to leave until later. It connects directly with two themes I’ve been exploring here...

12 days ago
4

The Preload Problem

Preload, Frank–Starling and filling pressure are not the same thing. A first-principles rethink of what actually limits cardiac output.

In 2001, James Norton went through the physiology literature looking at how preload was defined. He fou...

14 days ago
5
4
Paid

What Actually Happens When We Give Fluid or Vasopressors?

We give fluid and vasopressors every day, and we usually describe what they do with a small set of familiar phrases. Fluid increases preload. Noradrenaline increases venous return. Venoconstriction mobilises stressed volume. Vasopressors in...

21 days ago
16

Episode VIII: The Dependent Variable

Venous Return Wars

The Venous Return Wars have raged for decades. Champions have arisen on both sides. Guyton rules the haemodynamic empire, and his apprentice Magder defends it. The physics is strong with the rebels, but they have yet to...

a month ago
4
6
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  • The Dependent Variable

    Rebuilding cardiovascular physiology from first principles.

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