Noninvasive Cardiac Output Measurement by Transthoracic Electrical Bioimpedence: Influence of Age and Gender

Overview

Journal J Clin Monit Comput

Publisher Springer

Specialties Anesthesiology
General Medicine
Medical Informatics

Date 2008 Nov 14

PMID 19005768

Citations 7

Authors

Talakad N Sathyaprabha

Cauchy Pradhan

G Rashmi

Kandavel Thennarasu

Trichur R Raju

Affiliations

Soon will be listed here.

Abstract

Background: Thoracic electrical bioimpedance (TEB) as a method of measuring cardiac output (CO) is being explored increasingly over the last two decades, as a non-invasive alternative to the pulmonary artery catheter. The objective of this study was to establish normative data for measurement of CO by TEB and define the effect of age and gender on CO.

Method: Stroke volume (SV) of 397 normal individuals (203 men, 194 women) in the age range of 10-77 years was determined using Kubisek and Bernstein formulae by TEB method. Derived cardiac parameters including CO, cardiac index (CI), systemic vascular resistance and resistance index were calculated and analyzed.

Results: We found significant difference in CO among age groups and between gender. CO between Kubicek formula and Bernstein formula correlated well, but their means differed significantly. Cardiac indices peak in the third and seventh decade and were comparable between genders.

Conclusion: A comprehensive data set of normalized values expressed as 95% confidence interval and mean +/- SD in different age groups and different gender was possible for cardiac parameters using TEB.

Citing Articles

The patient's sex determines the hemodynamic profile in patients with Cushing disease.

Jurek A, Krzesinski P, Uzieblo-Zyczkowska B, Witek P, Zielinski G, Kazimierczak A Front Endocrinol (Lausanne). 2023; 14:1270455.

PMID: 37886640 PMC: 10598757. DOI: 10.3389/fendo.2023.1270455.

Baik-Schneditz N, Schwaberger B, Mileder L, Holler N, Avian A, Koestenberger M Cardiovasc Diagn Ther. 2021; 11(2):342-347.

PMID: 33968613 PMC: 8102255. DOI: 10.21037/cdt-20-844.

Evaluation of inert gas rebreathing for determination of cardiac output: influence of age, gender and body size.

Middlemiss J, Cocks A, Paapstel K, Maki-Petaja K, Sunita , Wilkinson I Hypertens Res. 2018; 42(6):834-844.

PMID: 30560890 PMC: 8076049. DOI: 10.1038/s41440-018-0179-1.

Derivation of baseline lung impedance in chronic heart failure patients: use for monitoring pulmonary congestion and predicting admissions for decompensation.

Shochat M, Shotan A, Blondheim D, Kazatsker M, Dahan I, Asif A J Clin Monit Comput. 2014; 29(3):341-9.

PMID: 25193676 DOI: 10.1007/s10877-014-9610-6.

Non-invasive measurement of cardiac output in obese children and adolescents: comparison of electrical cardiometry and transthoracic Doppler echocardiography.

Rauch R, Welisch E, Lansdell N, Burrill E, Jones J, Robinson T J Clin Monit Comput. 2012; 27(2):187-93.

PMID: 23179019 DOI: 10.1007/s10877-012-9412-7.

References

Deshpande A, Jindal G, Jagasia P, Murali K, Bharadwaj P, Tahilkar K . Impedance plethysmography of thoracic region: impedance cardiography. J Postgrad Med. 1990; 36(4):207-12. View

Critchley L, Critchley J . A meta-analysis of studies using bias and precision statistics to compare cardiac output measurement techniques. J Clin Monit Comput. 2003; 15(2):85-91. DOI: 10.1023/a:1009982611386. View

Bhuta A, Babu J, Jindal G, PARULKAR G . Technical aspects of impedance plethysmography. J Postgrad Med. 1990; 36(2):64-70. View

KINNEN E, KUBICEK W, WITSOE D . THORACIC CAGE IMPEDANCE MEASUREMENTS; IMPEDANCE PLETHYSMOGRAPHIC DETERMINATION OF CARDIAC OUTPUT. (AN INTERPRETIVE STUDY). TECHN DOCUM REP NO. SAM-TDR-64-23. AMD TR Rep. 1964; :1-12. View

Ng H, Coleman N, Walley T, Mostafa S, Breckenridge A . Reproducibility and comparison of cardiac output measurement by transthoracic bioimpedance and thermodilution methods in critically ill patients. Clin Intensive Care. 1992; 4(5):217-21. View

Lababidi Z, EHMKE D, Durnin R, Leaverton P, Lauer R . The first derivative thoracic impedance cardiogram. Circulation. 1970; 41(4):651-8. DOI: 10.1161/01.cir.41.4.651. View

Clancy T, Norman K, Reynolds R, Covington D, Maxwell J . Cardiac output measurement in critical care patients: Thoracic Electrical Bioimpedance versus thermodilution. J Trauma. 1991; 31(8):1116-20; discussion 1120-1. View

Mosteller R . Simplified calculation of body-surface area. N Engl J Med. 1987; 317(17):1098. DOI: 10.1056/NEJM198710223171717. View

Van de Water J, Miller T, Vogel R, Mount B, Dalton M . Impedance cardiography: the next vital sign technology?. Chest. 2003; 123(6):2028-33. DOI: 10.1378/chest.123.6.2028. View

10.

Zacek P, Kunes P, Kobzova E, Dominik J . Thoracic electrical bioimpedance versus thermodilution in patients post open-heart surgery. Acta Medica (Hradec Kralove). 1999; 42(1):19-23. View

11.

Jewkes C, Sear J, Verhoeff F, Sanders D, Foex P . Non-invasive measurement of cardiac output by thoracic electrical bioimpedance: a study of reproducibility and comparison with thermodilution. Br J Anaesth. 1991; 67(6):788-94. DOI: 10.1093/bja/67.6.788. View

12.

Hirschl M, Kittler H, Woisetschlager C, Siostrzonek P, Staudinger T, Kofler J . Simultaneous comparison of thoracic bioimpedance and arterial pulse waveform-derived cardiac output with thermodilution measurement. Crit Care Med. 2000; 28(6):1798-802. DOI: 10.1097/00003246-200006000-00017. View

13.

Rackow E . Pulmonary Artery Catheter Consensus Conference. Crit Care Med. 1997; 25(6):901. DOI: 10.1097/00003246-199706000-00001. View

14.

Wong K, HOU P . The accuracy of bioimpedance cardiography in the measurement of cardiac output in comparison with thermodilution method. Acta Anaesthesiol Sin. 1996; 34(2):55-9. View

15.

Jindal G, Babu J . Calibration of dZ/dt in impedance plethysmography. Med Biol Eng Comput. 1985; 23(3):279-80. DOI: 10.1007/BF02446872. View

16.

Raaijmakers E, Faes T, Scholten R, Goovaerts H, Heethaar R . A meta-analysis of three decades of validating thoracic impedance cardiography. Crit Care Med. 1999; 27(6):1203-13. DOI: 10.1097/00003246-199906000-00053. View

17.

Gujjar A, Muralidhar K, Banakal S, Gupta R, Sathyaprabha T, Jairaj P . Non-invasive cardiac output by transthoracic electrical bioimpedence in post-cardiac surgery patients: comparison with thermodilution method. J Clin Monit Comput. 2008; 22(3):175-80. DOI: 10.1007/s10877-008-9119-y. View

18.

Sandham J, Hull R, Brant R, Knox L, Pineo G, Doig C . A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. N Engl J Med. 2003; 348(1):5-14. DOI: 10.1056/NEJMoa021108. View

19.

Afessa B, Spencer S, Khan W, LaGatta M, Bridges L, Freire A . Association of pulmonary artery catheter use with in-hospital mortality. Crit Care Med. 2001; 29(6):1145-8. DOI: 10.1097/00003246-200106000-00010. View

20.

Shoemaker W, Wo C, BISHOP M, Appel P, van de Water J, Harrington G . Multicenter trial of a new thoracic electrical bioimpedance device for cardiac output estimation. Crit Care Med. 1994; 22(12):1907-12. View