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MVO2 Determinants HR Wall Tension — FRCA Primary MCQ

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ModeratePhysiology - CardiovascularMVO2 Determinants HR Wall TensionFRCA Primary

Regarding myocardial oxygen demand the main determinants are:

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: CHeart rate / wall tension (preload and afterload) / and contractility

Myocardial O2 demand is determined by: heart rate (most important — determines both demand and diastolic perfusion time) / wall tension (Law of Laplace: T = P×r/2h — influenced by preload and afterload) / contractility (inotropy). The rate-pressure product (HR × systolic BP) is a clinical estimate of myocardial O2 demand.

Reference: Power Kam 2018 Principles of Physiology for the Anaesthetist