Five factors that increase myocardial contractility
Increased circulating catecholamines
Inotropes, digoxin, calcium solutions
Hyperthermia
Increased sympathetic nervous system activity
Increased HR
Five factors that decrease myocardial contractility
Hypoxia or hypercapnia
Acidosis
BB and dig
Cardiomyopathies
Increased parasympathetic nervous system activation
How is myocardial contractility measured?
Cardiac cath or ECHO