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.

Anaesthesia
|May 27, 2015
PubMed

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.

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