What is a normal cardiac output (cardiac output, CO)?

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From the Guidelines

Normal cardiac output is 4 to 6 L/min at rest, depending on body size.

Cardiac Output Details

  • Cardiac output is defined as the volume of blood ejected from the heart in liters per minute 1.
  • This value can vary depending on several factors, including body size and physical activity level.
  • At rest, a normal cardiac output is typically in the range of 4 to 6 L/min 1.
  • It's worth noting that cardiac output can increase significantly during exercise, as the body requires more oxygen and nutrients to be delivered to the muscles 1.
  • The American Heart Association provides guidelines for exercise testing and training, which includes information on cardiac output and other relevant physiological parameters 1.

From the Research

Definition of Cardiac Output

  • Cardiac output is the amount of blood the heart pumps in 1 minute, and it is dependent on the heart rate, contractility, preload, and afterload 2

Normal Values of Cardiac Output

  • Peak exercise cardiac output in healthy individuals is approximately 13.2 ± 3.5 L/min, with values ranging from 15.3 ± 3.3 L/min in men to 11.0 ± 2.0 L/min in women 3
  • Normative reference values of cardiac output by pulsed-wave Doppler echocardiography in adults are:
    • Lower limit: 3.3 L/min (females), 3.5 L/min (males)
    • Upper limit: 7.3 L/min (females), 8.2 L/min (males) 4
  • Cardiac output can also be estimated from blood pressure and heart rate using the Liljestrand & Zander formula, with moderate correlation to Modelflow-derived CO 5

Factors Influencing Cardiac Output

  • Age: peak cardiac output and cardiac power output decrease with age, particularly in men 3, 6
  • Gender: cardiac output values are generally higher in men than in women 3, 4
  • Body size: cardiac output is higher in obese patients, but cardiac index (CI) is not significantly different between obese and non-obese patients 4

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Understanding cardiac output.

Critical care (London, England), 2008

Research

Physiological range of peak cardiac power output in healthy adults.

Clinical physiology and functional imaging, 2006

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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