Document Detail


Comparison of electrical velocimetry and transoesophageal Doppler echocardiography for measuring stroke volume and cardiac output.
MedLine Citation:
PMID:  16155037     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Impedance cardiography (ICG) has been used extensively to estimate stroke volume (SV) and cardiac output (CO) from changes of thoracic electrical bioimpedance (TEB). However, studies comparing ICG with reference methods have questioned the reliability of this approach. Electrical velocimetry (EV) provides a new algorithm to calculate CO from variations in TEB. As the transoesophageal Doppler echocardiographic quantification of CO (TOE-CO) has emerged as a reliable method, the purpose of this study was to determine the limits of agreement between CO estimations using EV (EV-CO) and TOE-CO. METHODS: Standard ECG electrodes were used for non-invasive EV-CO measurements. These were placed on 37 patients scheduled for coronary artery surgery necessitating transoesophageal echocardiography monitoring. Simultaneous EV-CO and TOE-CO measurements were recorded after induction of anaesthesia. EV-CO was calculated using the Bernstein-Osypka equation. TOE-CO was measured across the aortic valve using continuous-wave Doppler echocardiography and a triangular orifice model. RESULTS: A significant high correlation was found between the TOE-CO and the EV-CO measurements (r2=0.86). Data were related linearly. The slope of the line (1.10 (se 0.07)) was not significantly different from unity, and the point at which it intersected the ordinate (-0.46 (0.32) litre min(-1)) was not significantly different from zero. Bland-Altman analysis revealed a bias of 0.18 litre min(-1) with narrow limits of agreement (-0.99 to 1.36 litre min(-1)). CONCLUSIONS: The agreement between EV-CO and TOE-CO is clinically acceptable, and these two techniques can be used interchangeably.
Authors:
C Schmidt; G Theilmeier; H Van Aken; P Korsmeier; S P Wirtz; E Berendes; A Hoffmeier; A Meissner
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2005-09-09
Journal Detail:
Title:  British journal of anaesthesia     Volume:  95     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-10-10     Completed Date:  2005-11-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  England    
Other Details:
Languages:  eng     Pagination:  603-10     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology and Surgical Intensive Care Medicine, University of Münster Hospital, Albert-Schweitzer-Strasse 33, D-48149 Münster, Germany. schmch@uni-muenster.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Algorithms
Aortic Valve / ultrasonography
Cardiac Output*
Coronary Artery Bypass*
Echocardiography, Transesophageal
Female
Hemodynamics
Humans
Male
Middle Aged
Monitoring, Intraoperative / methods*
Reproducibility of Results
Rheology
Stroke Volume*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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