TABLE 1.
Bioreactance | Bioimpedance | |
Assumptions regarding blood flow | Related to change in body’s resistance, capacitance, and inductance | Related to the change in body’s resistance only |
Anatomical assumption regarding thorax | Thorax is an electrical circuit with resistor and capacitor | Fluid-filled cylinder or truncated cone |
SV estimation | Calculated from phase shift, determined from resistance and capacitance [amplitude magnitude of impedance and phase direction of impedance (Z0)] | Calculated from estimated changes in resistance/impedance (Z0) – electrical current flow over time due to aortic blood flow changes |
SV calculation | Peak rate of change of the phase shift (dφ/dtmax) is proportional to the peak aortic flow from which SV is calculated (eq. 2) | Instantaneous rate of change in Z0 is related to aortic blood flow and SV is proportional to the maximal rate of change of Z0 (dZ0/dtmax) and the ventricular ejection time (VET) |
Electrode placement | Applied at the base of the neck (thoracic inlet) and costal margins (thoracic outlet) on both sides. Measurements are sensitive to electrode placement |
2 pairs of dual-electrode sensors – placed on the left thorax and right neck Measurements stated not to be sensitive to placement |
VET determination | VET is determined by BR (first and second zero crossing of the dφ/dt signal) and electrocardiographic signals (peak of the QRS complex) | VET is determined by the distance between QRS complexes |
Modified from Jakovljevic et al., (17) dZ0/dt, impedance change over time; VET, ventricular ejection time; Z0, impedance; dφ/dtmax, peak rate of change od change of phase shift.