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. 1987 Nov;58(5):455–459. doi: 10.1136/hrt.58.5.455

Cardiac stroke volume during exercise measured by Doppler echocardiography: comparison with the thermodilution technique and evaluation of reproducibility.

H Ihlen 1, K Endresen 1, S Golf 1, S Nitter-Hauge 1
PMCID: PMC1277339  PMID: 3676035

Abstract

Cardiac stroke volume was measured simultaneously by Doppler echocardiography and thermodilution in patients with severe coronary artery disease. One group (20 patients) was examined during supine exercise at 25 W and a second group (20 patients) during sitting exercise at 25 W and 50 W. In a third group (10 patients) the reproducibility of the non-invasive stroke volume estimate was determined during upright exercise. There was a considerable variation between results obtained with the invasive and non-invasive technique at rest and during exercise, but no systematic differences were found. Analysis of variance showed that no systematic differences between ultrasonic results were introduced by two observers or by measurements on different days. The coefficient of variation between any pairs of Doppler measurements in each patient was 6%. These findings demonstrate that the ultrasonic technique is suitable for detecting changes in stroke volume induced by low load exercise in patients with severe angina pectoris.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bland J. M., Altman D. G. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986 Feb 8;1(8476):307–310. [PubMed] [Google Scholar]
  2. Bryg R. J., Labovitz A. J., Mehdirad A. A., Williams G. A., Chaitman B. R. Effect of coronary artery disease on Doppler-derived parameters of aortic flow during upright exercise. Am J Cardiol. 1986 Jul 1;58(1):14–19. doi: 10.1016/0002-9149(86)90233-x. [DOI] [PubMed] [Google Scholar]
  3. Chandraratna P. A., Nanna M., McKay C., Nimalasuriya A., Swinney R., Elkayam U., Rahimtoola S. H. Determination of cardiac output by transcutaneous continuous-wave ultrasonic Doppler computer. Am J Cardiol. 1984 Jan 1;53(1):234–237. doi: 10.1016/0002-9149(84)90718-5. [DOI] [PubMed] [Google Scholar]
  4. Daley P. J., Sagar K. B., Wann L. S. Doppler echocardiographic measurement of flow velocity in the ascending aorta during supine and upright exercise. Br Heart J. 1985 Dec;54(6):562–567. doi: 10.1136/hrt.54.6.562. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Falsetti H. L., Carroll R. J., Swope R. D., Chen C. J. Turbulent blood flow in the ascending aorta of dogs. Cardiovasc Res. 1983 Jul;17(7):427–436. doi: 10.1093/cvr/17.7.427. [DOI] [PubMed] [Google Scholar]
  6. Gardin J. M., Kozlowski J., Dabestani A., Murphy M., Kusnick C., Allfie A., Russell D., Henry W. L. Studies of Doppler aortic flow velocity during supine bicycle exercise. Am J Cardiol. 1986 Feb 1;57(4):327–332. doi: 10.1016/0002-9149(86)90913-6. [DOI] [PubMed] [Google Scholar]
  7. Goldberg S. J., Sahn D. J., Allen H. D., Valdes-Cruz L. M., Hoenecke H., Carnahan Y. Evaluation of pulmonary and systemic blood flow by 2-dimensional Doppler echocardiography using fast Fourier transform spectral analysis. Am J Cardiol. 1982 Dec;50(6):1394–1400. doi: 10.1016/0002-9149(82)90481-7. [DOI] [PubMed] [Google Scholar]
  8. Huntsman L. L., Stewart D. K., Barnes S. R., Franklin S. B., Colocousis J. S., Hessel E. A. Noninvasive Doppler determination of cardiac output in man. Clinical validation. Circulation. 1983 Mar;67(3):593–602. doi: 10.1161/01.cir.67.3.593. [DOI] [PubMed] [Google Scholar]
  9. Ihlen H., Amlie J. P., Dale J., Forfang K., Nitter-Hauge S., Otterstad J. E., Simonsen S., Myhre E. Determination of cardiac output by Doppler echocardiography. Br Heart J. 1984 Jan;51(1):54–60. doi: 10.1136/hrt.51.1.54. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Ihlen H., Endresen K., Myreng Y., Myhre E. Reproducibility of cardiac stroke volume estimated by Doppler echocardiography. Am J Cardiol. 1987 Apr 15;59(9):975–978. doi: 10.1016/0002-9149(87)91137-4. [DOI] [PubMed] [Google Scholar]
  11. Ihlen H., Myhre E., Pamlie J., Forfang K., Larsen S. Changes in left ventricular stroke volume measured by Doppler echocardiography. Br Heart J. 1985 Oct;54(4):378–383. doi: 10.1136/hrt.54.4.378. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Loeppky J. A., Greene E. R., Hoekenga D. E., Caprihan A., Luft U. C. Beat-by-beat stroke volume assessment by pulsed Doppler in upright and supine exercise. J Appl Physiol Respir Environ Exerc Physiol. 1981 Jun;50(6):1173–1182. doi: 10.1152/jappl.1981.50.6.1173. [DOI] [PubMed] [Google Scholar]
  13. Mackenzie J. D., Haites N. E., Rawles J. M. Method of assessing the reproducibility of blood flow measurement: factors influencing the performance of thermodilution cardiac output computers. Br Heart J. 1986 Jan;55(1):14–24. doi: 10.1136/hrt.55.1.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Rein A. J., Hsieh K. S., Elixson M., Colan S. D., Lang P., Sanders S. P., Castaneda A. R. Cardiac output estimates in the pediatric intensive care unit using a continuous-wave Doppler computer: validation and limitations of the technique. Am Heart J. 1986 Jul;112(1):97–103. doi: 10.1016/0002-8703(86)90685-x. [DOI] [PubMed] [Google Scholar]
  15. Schuster A. H., Nanda N. C. Doppler echocardiographic measurement of cardiac output: comparison with a non-golden standard. Am J Cardiol. 1984 Jan 1;53(1):257–259. doi: 10.1016/0002-9149(84)90723-9. [DOI] [PubMed] [Google Scholar]
  16. WANG Y., MARSHALL R. J., SHEPHERD J. T. The effect of changes in posture and of graded exercise on stroke volume in man. J Clin Invest. 1960 Jul;39:1051–1061. doi: 10.1172/JCI104120. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Wille S. O., Walløe L. Pulsatile pressure and flow in arterial stenoses simulated in a mathematical model. J Biomed Eng. 1981 Jan;3(1):17–24. doi: 10.1016/0141-5425(81)90100-x. [DOI] [PubMed] [Google Scholar]

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