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welcome to section six of Cardiology in this section I will be discussing the Starling curve and cardiac and Vascular function curves lets get started this is figure 2.8 from you text which shows a Starling curve the y-axis is cardiac output and the x-axis is preload lets look at the normal line first as you can see as preload increases the cardiac output increases but this only occurs up to a point and then we can see that the curve begins to taper off in order to understand this lets take a step back and pull up a blank screen a call from musculoskeletal histology that a sarcomere is the fundamental unit of striated muscle and cardiac muscle is a type of striated muscle so Ill draw the sarcomere here so in the sarcomere we can see that the Z line is right here and coming off we have actin right here in between the strands of actin there is the myosin hes represent the myosin heads so as the volume of blood in the heart increases or as preload increases the sarcomere gets stretch