[Transthoracic electrical impedance plethysmography and thermodilution: comparative evaluation of two methods for cardiac output measurement in man]. 1982

R L Tanguy, and Y Cadoret, and Y Guedes, and J P Egreteau

The measurement of cardiac output by electrical impedance plethysmography (non invasive technic) seems to be attractive but is still the subject of a certain number of critics. The authors have tried to compare it with a method which validity is well documented, the thermodilution. By these two methods, 87 measures of cardiac output have been performed in 14 hospitalized patients in intensive care, attained of various affections but exempts of cardiac or pulmonary lesions and in stable hemodynamic state. The stroke volume measured by electrical impedance plethysmography is calculated using Kubicek's formula: SV = Q (L2/Zo2) (dz/dt min) t. Results were as follows: absence of significative difference between the coefficients of variation of each series of measures (coefficient of mean variation, 5,6 +/- 3,4 p. cent for impedance and 3,8 +/- 3,2 p. cent for thermodilution); absence of significative difference between the mean values of cardiac output (7,59 +/- 2,69 l . min-1 for impedance and 7,72 +/- 1,99 l . min-1 for thermodilution); highly significant correlation between values for cardiac output obtained for each of these two methods )r = 0,804; n = 87; p less than 0,001). The authors conclude that in patients in intensive care whose pulmonary or cardiovascular system is not in critical situation, the electrical impedance plethysmography appear as a secure method for cardiac output measurement. However its generalisation still require other works.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010992 Plethysmography, Impedance Recording changes in electrical impedance between electrodes placed on opposite sides of a part of the body, as a measure of volume changes in the path of the current. (Stedman, 25th ed) Rheography,Impedance Plethysmography,Impedance Plethysmographies,Plethysmographies, Impedance,Rheographies
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
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
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

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