The Transactions of The Korean Institute of Electrical Engineers (전기학회논문지)

The Korean Institute of Electrical Engineers (대한전기학회)
권호 표지
DOI QR코드

DOI QR Code

Development and Verification of a Hand-held Typed Monitoring System for Cardiac Output Measurement using Electrical Impedance Technique

전기적 임피던스 방법을 통한 hand-held 타입의 심박출량 모니터링 시스템 개발 및 검증

  • Received : 2012.06.20
  • Accepted : 2012.11.08
  • Published : 2012.12.01
Download PDF
⟨ Previous Next ⟩

Abstract

The impedance cardiogram has been proposed as a non-invasive, continuous, operator independent, and cost-effective method for cardiac output monitoring. However, it can not be completely considered as non-restrictive method because of attached spot and band type electrodes. Therefore, we developed a improved convenient hand-held typed measurement system for cardiac output by electrical impedance technique. 80 subjects from Yonsei University and the surrounding areas, participated. All subjects measured stroke volume and cardiac output through Physioflow and developed system. To verify the developed system, statistical methods such as correlation, Wilcoxon signed ranks test, and the Bland-Altman analysis were used. The proposed system showed significant correlation in both male and female stroke volume(r=0.715, r=0.704) and cardiac output(r=0.826; r=0.804). From these results, it can be concluded that stroke volume and cardiac output could be improved convenient measurement using the both hands without the help of a specialist.

Keywords

References

  1. M.A. Silve, P. Cianci, S. Brennan, H. Longeran Thomas, F. Ahmad, "Evaluation of impedance cardiography as an alternative to pulmonary artery catheterization in critically ill patients" Congestive Heart Failure, vol.10, pp.17-21, 2004. https://doi.org/10.1111/j.1527-5299.2004.03410.x
  2. R.L Summers, C.W. Parrott, C. Quale, D.L. Lewis, "Case Report" Congestive Heart Failure, vol.10, pp.28-31, 2004. https://doi.org/10.1111/j.1527-5299.2004.03552.x
  3. R.F. Wright, J. Gilbert, "Clinical decision making in patients with congestive heart failure: the role of thoracic electrical bioimpedance" Congestive Heart Failure, vol.6, pp.81-85, 2000. https://doi.org/10.1111/j.1527-5299.2000.80148.x
  4. P. Sullivan, R. Martineau, K. Hull, D. Miller, "Comparison of bioimpedance and thermodilution measurements of cardiac output during aortic surgery" Candian journal of anaesthesia, vol.37, pp.S78, 1990.
  5. J. Conway, P. Lund-Johansen, "Thermodilution method for measuring cardiac output" European Heart Journal, vol.11, pp.17, 1990.
  6. J.M. Levett, R.L. Replogle, "Thermodilution cardiac output: a critical analysis and review of the literature" Journal of Surgical Research, vol.27, pp.392-404, 1979. https://doi.org/10.1016/0022-4804(79)90159-8
  7. M. Muzi, T.J. Ebert, F.E. Tristani, D.C. Jeutter, J.A. Barney, J.J Smith, "Determination of cardiac output using ensemble-averaged impedance cardiograms" Journal of Applied Physiology, vol.58, pp.200-205, 1985.
  8. W.C. Shoemaker, C. Wo, M.H. Bishop, R.L. Appel, J.M. Van de Water, G.R. Harrington, X. Wang, R.S. Patil, "Multicenter trial of a new thoracic electrical bioimpedance device for cardiac output estimation" Critical care medicine, vol.22, pp.1907, 1994. https://doi.org/10.1097/00003246-199412000-00004
  9. X. Wang, H.H. Sun, D. Adamson, J.M. Van De Water, "An impedance cardiography system: a new design" Annals of Biomedical Engineering, vol.17, pp.535-556, 1989. https://doi.org/10.1007/BF02368072
  10. T. Kööbi, S. Kaukinen, T. Ahola, V.M.H. Turjanmaa, "Non-invasive measurement of cardiac output: whole-body impedance cardiography in simultaneous comparison with thermodilution and direct oxygen Fick methods" Intensive care medicine, vol.23, pp.1132-1137, 1997. https://doi.org/10.1007/s001340050469
  11. G.S.H. Chan, P.M. Middleton, B.G. Celler, L. Wang, N.H. Lovell, "Automatic detection of left ventricular ejection time from a finger photoplethysmographic pulse oximetry waveform: comparison with Doppler aortic measurement" Physiological measurement, vol.28, pp.439, 2007. https://doi.org/10.1088/0967-3334/28/4/009
  12. W.G. Kubicek, J.N. Karnegis, R.P. Patterson, D.A. Witsoe, R.H. Mattson, "Development and evaluation of an impedance cardiac output system" Aerospace medicine, vol.37, pp.1208-1212, 1966.
  13. W. Kubicek, R. Patterson, D. Witsoe, "Impedance cardiography as a noninvasive method of monitoring cardiac function and other parameters of the cardiovascular system*" Annals of the NewYork Academy of Sciences, vol.170, pp.724-732, 1970. https://doi.org/10.1111/j.1749-6632.1970.tb17735.x
  14. Charloux A, Lonsdorfer-Wolf E, Richard R, Lampert E, Oswald-Mammosser M, Mettauer B, Geny, J. Lonsdorfer, "A new impedance cardiograph device for the non-invasive evaluation of cardiac output at rest and during exercise: comparison with the "direct" Fick method" European journal of applied physiology, vol.82, pp.313-320, 2000. https://doi.org/10.1007/s004210000226
  15. P. Lepretre, J.P. Koralsztein, V.L. Billat, "Effect of Exercise Intensity on Relationship between [latin capital V with dot above] O2max and Cardiac Output" Medicine & Science Sports & Exercise, vol.36, pp.1357, 2004. https://doi.org/10.1249/01.MSS.0000135977.12456.8F
  16. N. Tordi, L. Mourot, B. Matusheski, R. Hughson, "Measurements of cardiac output during constant exercises: comparison of two non-invasive techniques" International journal of sports medicine, vol.25, pp.145-149, 2004. https://doi.org/10.1055/s-2004-819949
  17. J. Martin Bland, D.G. Altman, "Statistical methods for assessing agreement between two methods of clinical measurement" The lancet, vol.327, pp.307-310, 1986. https://doi.org/10.1016/S0140-6736(86)90837-8