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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1984-9-19
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pubmed:abstractText |
Two methods of measuring stroke volume and cardiac output with pulsed Doppler two-dimensional echocardiography were developed and validated against the thermodilution technique in 39 patients, 33 of which were in an intensive care unit. With the use of the apical four-chamber view, a mitral inflow method combined the velocity of left ventricular inflow at the mitral anulus with the cross-sectional area of the anulus calculated from its diameter at middiastole (area = pi r2). From the apical five-chamber view a left ventricular outflow method combined the velocity of left ventricular outflow with the cross-sectional area of the aortic anulus calculated from its diameter during early systole (parasternal long-axis view). Measurements with the mitral inflow and left ventricular outflow methods were obtained in 35 of 39 (90%) and 39 of 39 (100%) patients, respectively. Validation of the mitral method excluded patients with mitral regurgitation (n = 11) and validation of the left ventricular outflow method excluded those with aortic regurgitation (n = 4). Good correlations were observed between thermodilution and Doppler measurements of stroke volume and cardiac output for both the mitral anulus method (R = .96 and .87, respectively) and the left ventricular outflow method (R = .95 and .91, respectively). The results of the two methods correlated well with each other in patients without regurgitant valve lesions. A greater interobserver variability was observed with the mitral anulus method, which was related solely to greater variability in measuring the annular diameter.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0009-7322
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
70
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
425-31
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:6744546-Adult,
pubmed-meshheading:6744546-Aged,
pubmed-meshheading:6744546-Aortic Valve Insufficiency,
pubmed-meshheading:6744546-Cardiac Output,
pubmed-meshheading:6744546-Cardiomyopathies,
pubmed-meshheading:6744546-Coronary Disease,
pubmed-meshheading:6744546-Echocardiography,
pubmed-meshheading:6744546-Female,
pubmed-meshheading:6744546-Heart,
pubmed-meshheading:6744546-Heart Diseases,
pubmed-meshheading:6744546-Humans,
pubmed-meshheading:6744546-Male,
pubmed-meshheading:6744546-Middle Aged,
pubmed-meshheading:6744546-Mitral Valve Insufficiency,
pubmed-meshheading:6744546-Stroke Volume,
pubmed-meshheading:6744546-Thermodilution,
pubmed-meshheading:6744546-Ultrasonography
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pubmed:year |
1984
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pubmed:articleTitle |
Pulsed Doppler echocardiographic determination of stroke volume and cardiac output: clinical validation of two new methods using the apical window.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.
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