Frank-Starling Law and Inotropy: Three Frank-Starling curves shown for normoinotropy, hyperinotropy and hypoinotropy. A patient, who is normovolemic and normoinotropic, exhibits normal level of Ejection Phase Contractility (EPC). However, a patient who is hypovolemic can exhibit the same normal level of EPC if given positive inotropes, and a patient who is volume overloaded (hypervolemic) can also have normal level of EPC if given negative inotropes