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The Frank-Starling mechanism operates via:

  • A Autonomic neural control of heart rate acting via vagal and sympathetic input to the SA node rather than any change in the intrinsic stretch-tension relationship of cardiac muscle fibres
  • B Length-dependent activation of cardiac myofilaments: increased stretch exposes more troponin C binding sites and improves actin-myosin overlap
  • C Hormonal modulation produced by circulating epinephrine binding beta-adrenergic receptors alone without any contribution from the length-dependent stretch of cardiac sarcomeres themselves
  • D Direct regulation of the rate of ATP synthesis within cardiac mitochondria during stretch independent of any sarcomere length change or troponin C binding site exposure involved

Correct answer: B. Length-dependent activation of cardiac myofilaments: increased stretch exposes more troponin C binding sites and improves actin-myosin overlap

Explanation: Frank-Starling: increased ventricular filling stretches sarcomeres, increasing myofilament sensitivity to Ca2+ (exposing more troponin C sites) and reducing steric hindrance. More crossbridges form, increasing force.

Concept context

Blood, lymph, the heart, the cardiac cycle, blood pressure, and ECG. High NEET weightage.

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