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. 1976 Jan;183(1):67–72. doi: 10.1097/00000658-197601000-00014

Cardiac output measurement by thermal dilution: reproducibility and comparison with the dye-dilution technique.

M B Sorensen, N E Bille-Brahe, H C Engell
PMCID: PMC1344185  PMID: 1108813

Abstract

Cardiac output estimates by the principle of thermodilution (COth) was compared with dye-dilution estimates (COdye) in pigs. For COth estimates a Swan-Ganz 7 F floating thermodilution catheter and a 9500 Edwards Computer, were used. The COdye estimates were obtained by the apparatus constructed by Zijlstra and Mook. The effect of the thermistor position in the pulmonary artery on the COth estimates was also investigated. The reproducibility of COth was examined by duplicate determinations. Based on 101 simultaneous estimates of COth and COdye the correlation was found COth = 1.020 COdye + 0.2378, r = 0.971 for cardiac outputs between 0.65 l/min and 11 l/min. For 111 duplicate determinations of COth between 2 and 9 l/min the coefficient of variation was 4.74%. The thermistor position in the pulmonary artery had no influence on the COth estimates provided an undamped pressure curve could be monitored from the tip of the catheter. Cardiac output can thus be measured rapidly with good accuracy also for low values by means of a blindly inserted thermistor catheter positioned without x-ray control and a computer with digital display.

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Selected References

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

  1. EVONUK E., IMIG C. J., GREENFIELD W., ECKSTEIN J. W. Cardiac output measured by thermal dilution of room temperature injectate. J Appl Physiol. 1961 Mar;16:271–275. doi: 10.1152/jappl.1961.16.2.271. [DOI] [PubMed] [Google Scholar]
  2. FEGLER G. Measurement of cardiac output in anaesthetized animals by a thermodilution method. Q J Exp Physiol Cogn Med Sci. 1954;39(3):153–164. doi: 10.1113/expphysiol.1954.sp001067. [DOI] [PubMed] [Google Scholar]
  3. FEGLER G. The reliability of the thermodilution method for determination of the cardiac output and the blood flow in central veins. Q J Exp Physiol Cogn Med Sci. 1957 Jul;42(3):254–266. doi: 10.1113/expphysiol.1957.sp001261. [DOI] [PubMed] [Google Scholar]
  4. Forrester J. S., Ganz W., Diamond G., McHugh T., Chonette D. W., Swan H. J. Thermodilution cardiac output determination with a single flow-directed catheter. Am Heart J. 1972 Mar;83(3):306–311. doi: 10.1016/0002-8703(72)90429-2. [DOI] [PubMed] [Google Scholar]
  5. Ganz W., Donoso R., Marcus H. S., Forrester J. S., Swan H. J. A new technique for measurement of cardiac output by thermodilution in man. Am J Cardiol. 1971 Apr;27(4):392–396. doi: 10.1016/0002-9149(71)90436-x. [DOI] [PubMed] [Google Scholar]
  6. JOSE A. D., McGAFF C. J., MILNOR W. R. The value of injections of dye into the left heart in the study of mitral and aortic valvular disease by catheterization of the left heart. Am Heart J. 1960 Sep;60:408–416. doi: 10.1016/0002-8703(60)90200-3. [DOI] [PubMed] [Google Scholar]
  7. Olsson B., Pool J., Vandermoten P., Varnauskas E., Wassén R. Validity and reproducibility of determination of cardiac output by thermodilution in man. Cardiology. 1970;55(3):136–148. doi: 10.1159/000169277. [DOI] [PubMed] [Google Scholar]
  8. Pavek K., Lindquist O., Arfors K. E. Validity of thermodilution method for measurement of cardiac output in pulmonary oedema. Cardiovasc Res. 1973 May;7(3):419–422. doi: 10.1093/cvr/7.3.419. [DOI] [PubMed] [Google Scholar]
  9. RAHIMTOOLA S. H., SWAN H. J. CALCULATION OF CARDIAC OUTPUT FROM INDICATOR-DILUTION CURVES IN THE PRESENCE OF MITRAL REGURGITATION. Circulation. 1965 May;31:711–718. doi: 10.1161/01.cir.31.5.711. [DOI] [PubMed] [Google Scholar]
  10. Solomon H. A., San Marco M. A., Ellis R. J., Lillehei C. W. Cardiac output determination: superiority of thermal dilution. Surg Forum. 1969;20:28–30. [PubMed] [Google Scholar]
  11. Uhrenholdt A. A computer as an aid in calculating cardiac output. Scand J Clin Lab Invest. 1967;19(1):38–44. doi: 10.3109/00365516709093479. [DOI] [PubMed] [Google Scholar]
  12. Wessel H. U., Paul M. H., James G. W., Grahn A. R. Limitations of thermal dilution curves for cardiac output determinations. J Appl Physiol. 1971 May;30(5):643–652. doi: 10.1152/jappl.1971.30.5.643. [DOI] [PubMed] [Google Scholar]
  13. Wiberg-Jorgensen F., Engell H. C., Rygg I. H. The dye-dilution technique fof measurement or cardiac output during operation for valvular disease: the importance of injection site. Dan Med Bull. 1975 Jan;22(1):4–9. [PubMed] [Google Scholar]

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