Comparison of thermal dilution and electrical impedance dilution methods for measurement of cardiac output in standing and exercising horses. 2005

Pamela A Wilkins, and Raymond C Boston, and Robin D Gleed, and Alan Dobson
Department of Physiology, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853-6401, USA.

OBJECTIVE To compare cardiac output measured in the pulmonary artery and a carotid artery by use of thermal and electrical impedance dilution. Animals-7 fit, clinically normal Standardbreds between 2 and 5 years of age. METHODS Transient changes in electrical impedance and temperature of blood were induced by bolus injections of ice-cold saline hypertonic (6% and 9% NaCl) solutions. Cardiac output was calculated by applying Stewart-Hamilton principles to the indicator dilution transients. Measurements were made during sequential exercise episodes on a level treadmill over approximately an 8-fold range of cardiac output values. RESULTS We detected agreement between cardiac output determined by use of electrical impedance dilution at the pulmonary artery and carotid artery. Cardiac output from thermal dilution measured at the carotid artery exceeded that measured at the pulmonary artery. Cardiac output from the thermal dilution technique exceeded cardiac output from the electrical impedance dilution technique at both locations. CONCLUSIONS The electrical impedance indicator is conserved on first transit; therefore cardiac output measured by electrical impedance dilution at the carotid artery is reliable over a large range of values. Thermal dilution provides a larger estimate of cardiac output, compared with the electrical impedance dilution technique, probably because of a loss of indicator. The transpulmonary electrical impedance dilution technique may have potential for clinical application, particularly in animals in which catheterization of the pulmonary artery is not appropriate or blood loss must be minimized.

UI MeSH Term Description Entries
D002302 Cardiac Output The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat). Cardiac Outputs,Output, Cardiac,Outputs, Cardiac
D005082 Physical Exertion Expenditure of energy during PHYSICAL ACTIVITY. Intensity of exertion may be measured by rate of OXYGEN CONSUMPTION; HEAT produced, or HEART RATE. Perceived exertion, a psychological measure of exertion, is included. Physical Effort,Effort, Physical,Efforts, Physical,Exertion, Physical,Exertions, Physical,Physical Efforts,Physical Exertions
D006736 Horses Large, hoofed mammals of the family EQUIDAE. Horses are active day and night with most of the day spent seeking and consuming food. Feeding peaks occur in the early morning and late afternoon, and there are several daily periods of rest. Equus caballus,Equus przewalskii,Horse, Domestic,Domestic Horse,Domestic Horses,Horse,Horses, Domestic
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013815 Thermodilution Measurement of blood flow based on induction at one point of the circulation of a known change in the intravascular heat content of flowing blood and detection of the resultant change in temperature at a point downstream. Thermodilutions
D017097 Electric Impedance The resistance to the flow of either alternating or direct electrical current. Bioelectrical Impedance,Electric Resistance,Impedance,Ohmic Resistance,Biolectric Impedance,Electrical Impedance,Electrical Resistance,Impedance, Bioelectrical,Impedance, Biolectric,Impedance, Electric,Impedance, Electrical,Ohmic Resistances,Resistance, Electric,Resistance, Electrical,Resistance, Ohmic,Resistances, Ohmic

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