학술논문

Cardiac output assessment using oxygen consumption estimated from the left ventricular pressure-volume area
Document Type
Conference
Source
2010 Annual International Conference of the IEEE Engineering in Medicine and Biology Engineering in Medicine and Biology Society (EMBC), 2010 Annual International Conference of the IEEE. :2545-2548 Aug, 2010
Subject
Bioengineering
Signal Processing and Analysis
Robotics and Control Systems
Communication, Networking and Broadcast Technologies
Computing and Processing
Estimation
Heart rate
Hospitals
Correlation
Cardiology
Predictive models
Language
ISSN
1094-687X
1558-4615
Abstract
Use of a majority of structural variables (age, sex, height) to estimate oxygen consumption in the calculation of cardiac output (CO) by the Fick principle does not account for changes in physiological conditions. To improve this limitation, oxygen consumption was estimated based on the left ventricular pressure-volume area. A pilot study with 10 patients undergoing right cardiac catheterization showed that this approach was successful to estimate CO (r=0,73, vs. thermodilution measured CO). Further essays changing end-diastolic-volume in the pressure-volume area formula by body weight or body surface area showed that this last yielded the best correlation with the thermodilution measured CO (slope=1, ordinate =0.01 and r=0.93). These preliminary results indicate that use of a formula originated from the pressure-volume-area concept is a good alternative to estimate oxygen consumption for CO calculation.