Validation of non-invasive measurement of cardiac output. The Ann Arbor experience

S Julius1

  • 1Department of Internal Medicine, University of Michigan Medical School, Ann Arbor 48109-0356.

European Heart Journal
|December 1, 1990
PubMed

Insights

Non-invasive cardiac output measurement using M-mode echocardiography and CO2 rebreathing is unreliable. The echo-Doppler method shows promise for population studies.

Area of Science:

  • Cardiology
  • Physiology
  • Medical Technology

Background:

  • Accurate clinical measurement of cardiac output is essential for patient assessment.
  • Non-invasive methods are preferred to avoid risks associated with invasive procedures.

Purpose of the Study:

  • To evaluate the reliability of non-invasive methods for measuring cardiac output.
  • To identify suitable methods for population studies.

Main Methods:

  • Assessment of M-mode echocardiography for cardiac output measurement.
  • Evaluation of the CO2 rebreathing technique for cardiac output determination.
  • Analysis of the echo-Doppler method for cardiac output assessment.

Main Results:

  • M-mode echocardiography was found to be unreliable for clinical cardiac output measurement.
  • The CO2 rebreathing technique demonstrated unreliability in cardiac output assessment.
  • The echo-Doppler method showed potential utility, particularly for population studies.

Conclusions:

  • Current non-invasive methods like M-mode echocardiography and CO2 rebreathing are not reliable for clinical cardiac output measurement.
  • The echo-Doppler technique presents a viable option for estimating cardiac output in population-based research.

Related Concept Videos

Assessment of apical pulse01:17

Assessment of apical pulse

Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessment of apical radial pulse01:25

Assessment of apical radial pulse

Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
Equipments Used To Measure Blood Pressure01:30

Equipments Used To Measure Blood Pressure

Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
Cardiac Output and Stroke Volume01:11

Cardiac Output and Stroke Volume

Cardiac output (CO) is an integral aspect of human physiology, reflecting the heart's efficiency and responsiveness to the body's needs. It represents the volume of blood that the left or right ventricle ejects into the aorta or pulmonary trunk each minute. The CO is calculated by multiplying the heart rate (HR)—the number of heartbeats per minute—by the stroke volume (SV)—the amount of blood pumped out with each heartbeat.
In an average resting adult male, the typical cardiac output averages...
Exercise and Cardiac Output01:17

Exercise and Cardiac Output

Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be met...
Measurement of Blood Pressure01:17

Measurement of Blood Pressure

Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a stethoscope.