Noninvasive Doppler ultrasonography for assessing cardiac function: can it replace the Swan-Ganz catheter? - 20/08/11
, Ali Salim, M.D., Amir Vafa, M.D., Matthew T. Wilson, M.D., Daniel R. Margulies, M.D.
Corresponding author. Tel.: +1-310-423-3799; fax: +1-310-425-3523Abstract |
Background |
Cardiac function, including cardiac index (CI), traditionally has been measured by a pulmonary artery catheter (PAC). A noninvasive alternative for measuring cardiac function would offer obvious advantages.
Methods |
A prospective study of trauma and nontrauma patients was performed in a surgical intensive care unit over a 3-month period. CI was determined using both a standard PAC and a continuous-wave Doppler ultrasound (UTS). The study had 2 phases: phase I was nonblinded and phase II was blinded; the correlation between UTS- and PAC-derived CI was assessed.
Results |
A total of 120 paired measurements of CI were observed in 31 patients. The UTS-derived CI measurements showed agreement with PAC measurements in both phase I and phase II of the study with a bias of .06 L/min/m2 ± .4 L/min/m2. Paired measurements correlated well in both phase I (r = .97, R2 = .95, P < .0001) and phase II (r = .93, R2 = .86, P < .0001) of the study.
Conclusions |
Doppler UTS correlates well with PAC measurements of CI. This noninvasive modality is an accurate and safe alternative to PAC.
Le texte complet de cet article est disponible en PDF.Keywords : Cardiac index, Pulmonary artery catheter, Cardiac function, Noninvasive, Doppler ultrasound
Plan
Vol 196 - N° 6
P. 961-968 - décembre 2008 Retour au numéro
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