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Updated: Apr 11, 2026

Ultrasound Assessment of Endothelial-Dependent Flow-Mediated Vasodilation of the Brachial Artery in Clinical Research
Published on: October 22, 2014
A pilot study of the relationship between Doppler-estimated carotid and brachial artery flow and cardiac index
U Weber1, N J Glassford2, G M Eastwood2
1Department of Intensive Care, Austin Hospital, Melbourne, Victoria, Australia.
Insights
Doppler ultrasound measurements of peripheral arterial blood flow in humans showed a weak correlation with cardiac index. These findings suggest that peripheral blood flow cannot reliably estimate cardiac index non-invasively.
Area of Science:
- Cardiovascular Physiology
- Medical Imaging
- Diagnostic Ultrasound
Background:
- Cardiac index is a critical measure of heart function.
- Non-invasive methods for estimating cardiac index are highly sought after.
- Doppler ultrasound is widely used for assessing blood flow.
Purpose of the Study:
- To investigate the correlation between Doppler-estimated peripheral arterial blood flow (carotid and brachial arteries) and cardiac index in healthy human volunteers.
- To determine if peripheral arterial blood flow can serve as a non-invasive surrogate for cardiac index.
Main Methods:
- Doppler ultrasound was used to measure carotid and brachial artery blood flow in 11 human volunteers.
- Measurements were correlated with simultaneously measured cardiac index.
- Statistical analysis, including correlation coefficients (ρ), was employed.
Main Results:
- Moderate to good correlations were observed between right- and left-sided brachial (ρ = 0.45) and carotid (ρ = 0.567) arterial blood flows.
- Peripheral arterial blood flows (brachial and carotid) showed no or negative correlations with cardiac index (e.g., right brachial: ρ = -0.145; right carotid: ρ = -0.376).
Conclusions:
- Doppler-estimated peripheral arterial blood flows exhibit only a weak correlation with cardiac index in humans.
- Peripheral arterial blood flow measurements using Doppler ultrasound are not suitable for non-invasive estimation of cardiac index.
- Findings contrast with some previous studies, highlighting the limitations of this non-invasive approach.
Abstract:
We measured carotid and brachial artery blood flow by Doppler ultrasound in 11 human volunteers, and related these to cardiac index and to each other. The median (IQR [range]) carotid arterial blood flow was 0.334 (0.223-0.381 [0.052-0.563]) l.min(-1) on the right and 0.315 (0.223-0.369 [0.061-0.690]) l.min(-1) on the left. The brachial arterial blood flow was 0.049 (0.033-0.062 [0.015-0.204]) l.min(-1) on the right and 0.039 (0.027-0.054 [0.011-0.116]) on the left. Cardiac index was 3.2 (2.8-3.5 [1.9-5.4]) l.min(-1) .m(-2) . There was a moderate to good correlation between right-and left-sided flows (brachial: ρ = 0.45; carotid: ρ = 0.567). Brachial and carotid flow had no or a negative correlation with cardiac index (right brachial: ρ = -0.145, left brachial: ρ = -0.349; right carotid: ρ = -0.376, left carotid: ρ = -0.285). In contrast to some previous studies, we found that Doppler-estimated peripheral arterial blood flows only show a weak correlation with cardiac index and cannot be used to provide non-invasive estimates of cardiac index in man.
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