Abstract
Cardiac output was determined in 20 patients with various cardiac conditions by measuring the cross sectional area of the mitral orifice by echocardiography and the transmitral flow by the Doppler technique. Cardiac output was calculated by multiplying the corrected mitral orifice area by the maximum diastolic velocity integral recorded by the pulsed mode. The results were compared with that obtained by the Fick method. The correlation for cardiac output by the two techniques was high in the whole group, particularly in patients without mitral regurgitation. There was also a good correlation for stroke volume determined by the two methods. Cardiac output was significantly overestimated by the continuous mode and in patients with mitral regurgitation. These results show that the mitral orifice method provides a new and reliable approach to the non-invasive measurement of cardiac output.
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- Fisher D. C., Sahn D. J., Friedman M. J., Larson D., Valdes-Cruz L. M., Horowitz S., Goldberg S. J., Allen H. D. The mitral valve orifice method for noninvasive two-dimensional echo Doppler determinations of cardiac output. Circulation. 1983 Apr;67(4):872–877. doi: 10.1161/01.cir.67.4.872. [DOI] [PubMed] [Google Scholar]
- 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]
- 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]
- 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]
- Magnin P. A., Stewart J. A., Myers S., von Ramm O., Kisslo J. A. Combined doppler and phased-array echocardiographic estimation of cardiac output. Circulation. 1981 Feb;63(2):388–392. doi: 10.1161/01.cir.63.2.388. [DOI] [PubMed] [Google Scholar]
- Marino P., Zanolla L., Nidasio G. P., Nicolosi G. L., Fabbri A. Interpretative reproducibility of two-dimensional echocardiographic images. Analysis of intraobserver, interobserver and beat to beat reproducibility of the mitral valve orifice. Eur Heart J. 1983 Oct;4(10):733–737. doi: 10.1093/oxfordjournals.eurheartj.a061387. [DOI] [PubMed] [Google Scholar]
- Martin R. P., Rakowski H., Kleiman J. H., Beaver W., London E., Popp R. L. Reliability and reproducibility of two dimensional echocardiograph measurement of the stenotic mitral valve orifice area. Am J Cardiol. 1979 Mar;43(3):560–568. doi: 10.1016/0002-9149(79)90014-6. [DOI] [PubMed] [Google Scholar]
- Nichol P. M., Gilbert B. W., Kisslo J. A. Two-dimensional echocardiographic assessment of mitral stenosis. Circulation. 1977 Jan;55(1):120–128. doi: 10.1161/01.cir.55.1.120. [DOI] [PubMed] [Google Scholar]
- Ormiston J. A., Shah P. M., Tei C., Wong M. Size and motion of the mitral valve annulus in man. I. A two-dimensional echocardiographic method and findings in normal subjects. Circulation. 1981 Jul;64(1):113–120. doi: 10.1161/01.cir.64.1.113. [DOI] [PubMed] [Google Scholar]
- Rasmussen S., Corya B. C., Feigenbaum H., Black M. J., Lovelace D. E., Phillips J. F., Noble R. J., Knoebel S. B. Stroke volume calculated from the mitral valve echogram in patients with and without ventricular dyssynergy. Circulation. 1978 Jul;58(1):125–133. doi: 10.1161/01.cir.58.1.125. [DOI] [PubMed] [Google Scholar]
- 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]
- Taylor D. E., Wade J. D. Pattern of blood flow within the heart: a stable system. Cardiovasc Res. 1973 Jan;7(1):14–21. doi: 10.1093/cvr/7.1.14. [DOI] [PubMed] [Google Scholar]
- Valdes-Cruz L. M., Horowitz S., Mesel E., Sahn D. J., Fisher D. C., Larson D., Goldberg S. J., Allen H. D. A pulsed Doppler echocardiographic method for calculation of pulmonary and systemic flow: accuracy in a canine model with ventricular septal defect. Circulation. 1983 Sep;68(3):597–602. doi: 10.1161/01.cir.68.3.597. [DOI] [PubMed] [Google Scholar]