Myocardial contractility: non-invasive assessment after cardiac surgery

The shape of the carotid blood-flow signal in the assessment of myocardial contractility is important. The non-invasive electromagnetic method permits the measurement of the pulsatile carotid flow rate and thus to estimate the maximum blood flow acceleration (max. dF/dt), which is directly related to myocardial contractility. The electromagnetic flowmeter method, routinely used in the superficial arteries of arteriosclerotic patients, has been modified to record the blood flow rate in the carotid artery. Two ECG electrodes on both sides of the common carotid artery record the signal given by a small magnet located above the electrodes. Using this method, we have studied the effects of isoprenaline infusion in a normal subject. In patients after cardiac surgery we measured max. dF/dt in the region of the carotid artery and compared changes in it with parameters obtained by invasive methods such as the cardiac index, and the pulmonary and systemic pressures. The first results of blood flow recordings in the ascending aorta are presented here.