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Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
06:34

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography

Published on: October 28, 2020

4.7K

A comparison of ventricular systolic function indices provided by VolumeView/EV1000™ and left ventricular ejection

Nitchakan Nakwan1, Ply Chichareon2, Bodin Khwannimit3,4

  • 1Division of Critical Care Medicine, Department of Internal Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand.

Journal of Clinical Monitoring and Computing
|May 10, 2018
PubMed

Insights

Cardiac Function Index (CFI) and Global Ejection Fraction (GEF) measured by VolumeView/EV1000™ reliably estimate Left Ventricular Ejection Fraction (LVEF) in septic shock patients. These indices show strong correlation and predictive ability for assessing LV systolic function.

Area of Science:

  • Critical Care Medicine
  • Cardiology
  • Hemodynamics

Background:

  • Septic shock poses significant challenges in assessing cardiac function.
  • Accurate monitoring of left ventricular systolic function is crucial for patient management.
  • Echocardiography is a standard but sometimes limited method for evaluating ejection fraction.

Purpose of the Study:

  • To compare Cardiac Function Index (CFI) and Global Ejection Fraction (GEF) from VolumeView/EV1000™ with Left Ventricular Ejection Fraction (LVEF) by echocardiography.
  • To evaluate the correlation between CFI, GEF, and LVEF in septic shock patients.
  • To assess the predictive ability of CFI and GEF for different LVEF thresholds.

Main Methods:

  • Prospective observational study in a medical intensive care unit.
  • Inclusion of 32 mechanically ventilated septic shock patients.
  • Simultaneous measurement of CFI, GEF (VolumeView/EV1000™), and LVEF (echocardiography).

Main Results:

  • Strong correlation found between CFI and GEF (r=0.82, P<0.0001).
  • Significant correlations observed between CFI and LVEF (r=0.56, P<0.0001) and GEF and LVEF (r=0.71, P<0.0001).
  • CFI and GEF demonstrated good predictive ability for LVEF thresholds (AUC 0.875-0.934).

Conclusions:

  • CFI and GEF obtained by VolumeView/EV1000™ correlate well with LVEF.
  • These indices provide a reliable estimation of left ventricular systolic function in septic shock.
  • CFI and GEF are valuable tools for monitoring cardiac function in critically ill patients.

Keywords:
Cardiac function indexGlobal ejection fractionHemodynamic monitoringTranspulmonary thermodilution

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