AQA · A-Level · Physical Education

    Course version: 7582 · Version from Sept 2016

    Cardiovascular system: Starling’s law of the heart.

    Starling's law describes how the heart matches its output to the blood returning to it.

    Checked against the AQA 7582 specification (opens in a new tab) on .

    • Point 20 of 25
    • 4 key terms

    Study notes

    From the checked teaching notes for this specification point.

    The idea

    Starling's law describes how the heart matches its output to the blood returning to it. Increased venous return stretches the ventricular walls, raising the volume of blood in the ventricle at the end of diastole. This greater stretch increases the force of ventricular contraction, so stroke volume rises and, because cardiac output equals heart rate multiplied by stroke volume, cardiac output rises too. During exercise, the skeletal muscle pump and respiratory pump increase venous return, so stroke volume increases. The relationship is not unlimited: excessive filling eventually reduces the effectiveness of contraction.

    What earns the marks

    • Starling's law links the degree of stretch of ventricular muscle to the force of contraction.
    • Greater venous return increases end-diastolic volume and stretches the ventricular walls.
    • Increased stretch raises the force of ventricular contraction, increasing stroke volume.
    • Cardiac output equals heart rate multiplied by stroke volume, so a rise in stroke volume raises cardiac output.
    • The skeletal muscle pump and respiratory pump increase venous return during exercise.
    • The relationship has a limit: excessive filling can reduce the effectiveness of contraction.

    Common mistakes and how to put them right

    • Thinking Starling's law increases heart rate.

      Put it right: It changes the force of contraction and stroke volume, while heart rate is influenced separately.

    • Believing stroke volume can rise indefinitely.

      Put it right: Excessive ventricular filling eventually reduces the effectiveness of contraction.

    • Confusing venous return with cardiac output.

      Put it right: Venous return is the blood returning to the heart, whereas cardiac output is the volume the heart pumps out per minute.

    • Assuming the law applies to atria only.

      Put it right: The key stretch and force relationship is described for ventricular muscle.

    Exam tips

    • State the chain explicitly: venous return increases, end-diastolic volume increases, ventricular stretch increases, force of contraction increases, stroke volume increases.
    • Use the equation cardiac output equals heart rate multiplied by stroke volume to explain why cardiac output rises.
    • Link the law to exercise by naming the skeletal muscle pump and respiratory pump as mechanisms that raise venous return.

    Try the lesson

    The start of the Cardiovascular system: Starling’s law of the heart. lesson, made from checked teaching notes for this specification point.

    Have a go first

    According to Starling's law of the heart, what happens to the force of ventricular contraction when the ventricles are filled with a greater volume of blood?

    Listen

    Starling's law describes how the heart matches its output to the blood returning to it. Increased venous return stretches the ventricular walls, raising the volume of blood in the ventricle at the end of diastole. This greater stretch increases the force of ventricular contraction, so stroke volume rises and, because cardiac output equals heart rate multiplied by stroke volume, cardiac output rises too. During exercise, the skeletal muscle pump and respiratory pump increase venous return, so stroke volume increases. The relationship is not unlimited: excessive filling eventually reduces the effectiveness of contraction. A strong answer earns marks for these points. Starling's law links the degree of stretch of ventricular muscle to the force of contraction. Greater venous return increases end-diastolic volume and stretches the ventricular walls. Increased stretch raises the force of ventricular contraction, increasing stroke volume. Cardiac output equals heart rate multiplied by stroke volume, so a rise in stroke volume raises cardiac output. Exam tip: State the chain explicitly: venous return increases, end-diastolic volume increases, ventricular stretch increases, force of contraction increases, stroke volume increases.

    See it

    A top-down flowchart. A node labelled 'Increased venous return' leads to 'Increased end-diastolic volume', which leads to 'Ventricular walls stretched'. That leads to 'Increased force of ventricular contraction', then to 'Increased stroke volume', then to 'Increased cardiac output'. A separate node labelled 'Skeletal muscle pump and respiratory pump' points into 'Increased venous return'. From 'Ventricular walls stretched' a branch leads to 'Excessive filling reduces effectiveness of contraction'.
    It shows how increased venous return stretches the ventricular walls to raise the force of contraction and stroke volume, how the pumps raise venous return during exercise, and the limit of excessive filling.

    Key words

    Say what each word means before you turn the card.

    Venous return and ventricular filling

    Try answering aloud or in your head before turning the card.

    Force of contraction and stroke volume

    Try answering aloud or in your head before turning the card.

    Cardiac output equation

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    Exercise-induced changes in cardiac function

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    See every definition
    Venous return and ventricular filling
    Blood returning to the heart stretches the ventricular walls, raising the volume of blood in the ventricle at the end of diastole.
    Force of contraction and stroke volume
    Greater stretch increases the force of ventricular contraction, so stroke volume rises.
    Cardiac output equation
    Cardiac output equals heart rate multiplied by stroke volume, so a rise in stroke volume raises cardiac output.
    Exercise-induced changes in cardiac function
    During exercise, the skeletal muscle pump and respiratory pump increase venous return, so stroke volume increases.

    Label the diagram

    Some boxes have lost their names. Pick the right name for each number.

    The diagram again, with 3 boxes numbered instead of named. A top-down flowchart. A node labelled 'Increased venous return' leads to 'Increased end-diastolic volume', which leads to 'Ventricular walls stretched'. That leads to 'Increased force of ventricular contraction', then to 'Increased stroke volume', then to 'Increased cardiac output'. A separate node labelled 'Skeletal muscle pump and respiratory pump' points into 'Increased venous return'. From 'Ventricular walls stretched' a branch leads to 'Excessive filling reduces effectiveness of contraction'.
    • 1Box 1

    • 2Box 2

    • 3Box 3

    0 of 3 labelled

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