Ventricular elastance ($p_{LV}=E_{LV}(t)(V_{LV}-V_0)$)

Time-dependent elastance models the pressure generated by a cardiac ventricle at its current stressed volume. The reference $V_0$ is its zero-pressure volume. The inverse of elastance is compliance at fixed time. Rising elastance increases pressure without volume change during isovolumetric contraction; an approximately constant systolic value $E_S$ gives compliance $C_s=1/E_S$ during a simplified ejection stage.

If an open aortic valve equilibrates pressure much faster than peripheral outflow, the arteries and ventricle share a common pressure while their combined blood volume is conserved during the short adjustment. Let arterial vascular compliance be $C_a$ and systolic ventricular elastance be $E_s$. Equating the initial and final arterial-plus-ventricular stored volumes gives the displayed pressure. Subsequent peripheral drainage sees the combined compliance $C_a+1/E_s$; during filling a closed aortic valve removes the ventricular contribution.

After a rapid switch to systolic compliance $C_s$, negligible valve resistance equalizes arterial and ventricular pressures. Neglecting runoff during this short stage conserves combined stored volume and gives the displayed pressure. Thereafter, with closed mitral valve, negligible venous pressure and constant $C_s$, the pressure decays as ${\hat{p}}_a{e}^{-t/[R_c(C_a+C_s)]}$. At firing duration $\Delta t_F$, the stroke volume is $V^{+}-V_0-C_s{\hat{p}}_a{e}^{-\Delta t_F/[R_c(C_a+C_s)]}$. Each approximation follows from an explicit valve or time-scale separation condition.