Atrial Kick

The contraction of the atria prior to ventricular contraction causes an increased volume and stretch to the ventricles – resulting in increased force of contraction and increased stroke volume (Starling’s Law); this extra stroke volume increases cardiac output by 10-35%.

Since the atrium is about 1/3 the size of the ventricle, an atrial contraction only contributes an additional15-35% of blood volume to the ventricle. This ‘topping up’ of the ventricle by the atrium is called atrial kick.

Atrial kick occurs as the atria contract prior to ventricular contraction. Atrial kick contributes 15-35% to the volume of blood in the ventricle. This extra volume in turn increases cardiac output by a similar 15-35%. Note: as we age, atrial kick tends to be a more significant contributor to cardiac output (closer to 35%). This is one reason that our older patients are more affected by rhythm disturbances such as atrial fibrillation (a quivering of the atria rather than a coordinated contraction) than our younger patients. Atrial fibrillation causes a complete loss of atrial kick.

1. Six Second ECG Guidebook (2012), T Barill, p. 23, 191

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