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. 1990 Jan;65(1 Spec No):15–19. doi: 10.1136/adc.65.1_spec_no.15

Reproducibility of measurements of cardiac output in newborn infants by Doppler ultrasound.

I Hudson 1, A Houston 1, T Aitchison 1, B Holland 1, T Turner 1
PMCID: PMC1590175  PMID: 2407197

Abstract

Interobserver reproducibility in deriving cardiac output by measuring aortic blood flow velocity and diameter with imaging and Doppler ultrasound was investigated in 20 healthy infants born at full term. Aortic diameter was measured in three ways. Mean blood flow velocity was measured at three sites with both continuous wave and pulsed Doppler. Two observers carried out each study independently. Intraobserver reproducibility was investigated in 12 infants using the suprasternal site for measuring blood flow velocity. The most reproducible determination of cardiac output was found when the suprasternal site with continuous wave Doppler was used for measurement of blood flow velocity and M mode trailing edge to leading edge echocardiography was used for diameter. Normal mean (2 SD) cardiac output is 231 (77) ml/kg/min. Technical difficulties in measuring aortic diameter accurately limit direct comparison between infants.

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Selected References

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

  1. Alverson D. C., Eldridge M. W., Johnson J. D., Aldrich M., Angelus P., Berman W., Jr Noninvasive measurement of cardiac output in healthy preterm and term newborn infants. Am J Perinatol. 1984 Jan;1(2):148–151. doi: 10.1055/s-2007-999991. [DOI] [PubMed] [Google Scholar]
  2. Alverson D. C., Eldridge M., Dillon T., Yabek S. M., Berman W., Jr Noninvasive pulsed Doppler determination of cardiac output in neonates and children. J Pediatr. 1982 Jul;101(1):46–50. doi: 10.1016/s0022-3476(82)80178-9. [DOI] [PubMed] [Google Scholar]
  3. Alverson D. C. Neonatal cardiac output measurement using pulsed Doppler ultrasound. Clin Perinatol. 1985 Feb;12(1):101–127. [PubMed] [Google Scholar]
  4. Chung K. J., Hesselink J. R., Chernoff H. L., Kreidberg M. B., Cleveland R. J. Digital subtraction angiography in patients with transposition of the great arteries after surgical repair. J Am Coll Cardiol. 1985 Jan;5(1):113–117. doi: 10.1016/s0735-1097(85)80092-9. [DOI] [PubMed] [Google Scholar]
  5. Costeloe K., Stocks J., Godfrey S. Cardiac output in the neonatal period using impedance cardiography. Pediatr Res. 1977 Dec;11(12):1171–1177. doi: 10.1203/00006450-197712000-00001. [DOI] [PubMed] [Google Scholar]
  6. Freyschuss U., Noack G., Zetterström R. Serial measurements of thoracic impedance and cardiac output in healthy neonates after normal delivery and caesarean section. Acta Paediatr Scand. 1979 May;68(3):357–362. doi: 10.1111/j.1651-2227.1979.tb05020.x. [DOI] [PubMed] [Google Scholar]
  7. Kavey R. E., Krongrad E., Gersony W. M. Perioperative echocardiographic evaluation of cardiovascular function: assessment of changing hemodynamic state. Circulation. 1980 Oct;62(4):773–782. doi: 10.1161/01.cir.62.4.773. [DOI] [PubMed] [Google Scholar]
  8. Lunt M. J. Accuracy and limitations of the ultrasonic Doppler blood velocimeter and zero crossing detector. Ultrasound Med Biol. 1975 Oct;2(1):1–10. doi: 10.1016/0301-5629(75)90035-6. [DOI] [PubMed] [Google Scholar]
  9. Mellander M., Sabel K. G., Caidahl K., Solymar L., Eriksson B. Doppler determination of cardiac output in infants and children: comparison with simultaneous thermodilution. Pediatr Cardiol. 1987;8(4):241–246. doi: 10.1007/BF02427536. [DOI] [PubMed] [Google Scholar]
  10. Nishimura R. A., Callahan M. J., Schaff H. V., Ilstrup D. M., Miller F. A., Tajik A. J. Noninvasive measurement of cardiac output by continuous-wave Doppler echocardiography: initial experience and review of the literature. Mayo Clin Proc. 1984 Jul;59(7):484–489. doi: 10.1016/s0025-6196(12)60438-8. [DOI] [PubMed] [Google Scholar]
  11. Powner D. J., Snyder J. V. In vitro comparison of six commercially available thermodilution cardiac output systems. Med Instrum. 1978 Mar-Apr;12(2):122–127. [PubMed] [Google Scholar]
  12. Walther F. J., Siassi B., Ramadan N. A., Ananda A. K., Wu P. Y. Pulsed Doppler determinations of cardiac output in neonates: normal standards for clinical use. Pediatrics. 1985 Nov;76(5):829–833. [PubMed] [Google Scholar]
  13. Walther F. J., Siassi B., Ramadan N. A., Wu P. Y. Cardiac output in newborn infants with transient myocardial dysfunction. J Pediatr. 1985 Nov;107(5):781–785. doi: 10.1016/s0022-3476(85)80417-0. [DOI] [PubMed] [Google Scholar]

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