Reliability of three-dimensional color flow Doppler and two-dimensional pulse wave Doppler transthoracic echocardiography for estimating cardiac output after cardiac surgery

被引:6
作者
Hao, Guang-wei [1 ]
Liu, Yang [2 ]
Ma, Guo-guang [1 ]
Hou, Jun-yi [1 ]
Zhu, Du-ming [1 ]
Liu, Lan [1 ]
Zhang, Ying [1 ]
Liu, Hua [1 ]
Zhuang, Ya-min [1 ]
Luo, Zhe [1 ]
Tu, Guo-wei [1 ]
Yang, Xiao-mei [1 ]
Chen, Hai-yan [2 ]
机构
[1] Fudan Univ, Zhongshan Hosp, Dept Crit Care Med, 180 Fenglin Rd, Shanghai 200032, Peoples R China
[2] Fudan Univ, Zhongshan Hosp, Dept Echocardiog, 180 Fenglin Rd, Shanghai 200032, Peoples R China
关键词
Three-dimensional color flow doppler; Two-dimensional pulse wave doppler; Cardiac output; Cardiac surgery; VENTRICULAR OUTFLOW TRACT; AORTIC-VALVE; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; STROKE VOLUMES; MITRAL INFLOW; TASK-FORCE; CARE; QUANTIFICATION; ECCENTRICITY; METAANALYSIS;
D O I
10.1186/s12947-019-0155-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundThree-dimensional color flow Doppler (3DCF) is a new convenient technique for cardiac output (CO) measurement. However, to date, no one has evaluated the accuracy of 3DCF echocardiography for CO measurement after cardiac surgery. Therefore, this single-center, prospective study was designed to evaluate the reliability of three-dimensional color flow and two-dimensional pulse wave Doppler (2D-PWD) transthoracic echocardiography for estimating cardiac output after cardiac surgery.MethodsPost-cardiac surgical patients with a good acoustic window and a low dose or no dose of vasoactive drugs (norepinephrine <0.05g/kg/min) were enrolled for CO estimation. Three different methods (third generation FloTrac/Vigileo [FT/V] system as the reference method, 3DCF, and 2D-PWD) were used to estimate CO before and after interventions (baseline, after volume expansion, and after a dobutamine test).ResultsA total of 20 patients were enrolled in this study, and 59 pairs of CO measurements were collected (one pair was not included because of increasing drainage after the dobutamine test). Pearson's coefficients were 0.260 between the CO-FT/V and CO-PWD measurements and 0.729 between the CO-FT/V and CO-3DCF measurements. Bland-Altman analysis showed the bias between the absolute values of CO-FT/V and CO-PWD measurements was -0.6L/min with limits of agreement between -3.3L/min and 2.2L/min, with a percentage error (PE) of 61.3%. The bias between CO-FT/V and CO-3DCF was -0.14L/min with limits of agreement between -1.42L /min and 1.14L/min, with a PE of 29.9%. Four-quadrant plot analysis showed the concordance rate between CO-PWD and CO-3FT/V was 93.3%.ConclusionsIn a comparison with the FT/V system, 3DCF transthoracic echocardiography could accurately estimate CO in post-cardiac surgical patients, and the two methods could be considered interchangeable. Although 2D-PWD echocardiography was not as accurate as the 3D technique, its ability to track directional changes was reliable.
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页数:9
相关论文
共 28 条
[11]   Does the Use of a Pulmonary Artery Catheter Make a Difference During or After Cardiac Surgery? [J].
Joseph, Corey ;
Garrubba, Marie ;
Smith, Julian A. ;
Melder, Angela .
HEART LUNG AND CIRCULATION, 2018, 27 (08) :952-960
[12]   Direct measurement of left ventricular outflow tract by transthoracic real-time 3D-echocardiography increases accuracy in assessment of aortic valve stenosis [J].
Khaw, Alexander V. ;
von Bardeleben, Ralph Stephan ;
Strasser, Christina ;
Mohr-Kahaly, Susanne ;
Blankenberg, Stefan ;
Espinola-Klein, Christine ;
Muenzel, Thomas ;
Schnabel, Renate .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2009, 136 (01) :64-71
[13]  
Kusumoto F, 1995, J Am Soc Echocardiogr, V8, P647, DOI 10.1016/S0894-7317(05)80378-5
[14]  
Margale S, 2017, INDIAN J ANAESTH, V61, P7, DOI 10.4103/0019-5049.198407
[15]   Comparison of Aortic Root Dimensions and Geometries Before and After Transcatheter Aortic Valve Implantation by 2-and 3-Dimensional Transesophageal Echocardiography and Multislice Computed Tomography [J].
Ng, Arnold C. T. ;
Delgado, Victoria ;
van der Kley, Frank ;
Shanks, Miriam ;
van de Veire, Nico R. L. ;
Bertini, Matteo ;
Nucifora, Gaetano ;
van Bommel, Rutger J. ;
Tops, Laurens F. ;
de Weger, Arend ;
Tavilla, Giuseppe ;
de Roos, Albert ;
Kroft, Lucia J. ;
Leung, Dominic Y. ;
Schuijf, Joanne ;
Schalij, Martin J. ;
Bax, Jeroen J. .
CIRCULATION-CARDIOVASCULAR IMAGING, 2010, 3 (01) :94-102
[16]   Recommendations for quantification of Doppler echocardiography:: A report from the Doppler quantification task force of the nomenclature and standards committee of the American Society of Echocardiography [J].
Quiñones, MA ;
Otto, CM ;
Stoddard, M ;
Waggoner, A ;
Zoghbi, WA .
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2002, 15 (02) :167-184
[17]   Pulmonary artery catheter monitoring in 2011 [J].
Richard, Christian ;
Monnet, Xavier ;
Teboul, Jean-Louis .
CURRENT OPINION IN CRITICAL CARE, 2011, 17 (03) :296-302
[18]   Comparison of Left Ventricular Outflow Geometry and Aortic Valve Area in Patients With Aortic Stenosis by 2-Dimensional Versus 3-Dimensional Echocardiography [J].
Saitoh, Takeji ;
Shiota, Maiko ;
Izumo, Masaki ;
Gurudevan, Swaminatha V. ;
Tolstrup, Kirsten ;
Siegel, Robert J. ;
Shiota, Takahiro .
AMERICAN JOURNAL OF CARDIOLOGY, 2012, 109 (11) :1626-1631
[19]   Quantitative Assessment of Mitral Inflow and Aortic Outflow Stroke Volumes by 3-Dimensional Real-time Full-Volume Color Flow Doppler Transthoracic Echocardiography [J].
Shimada, Eriko ;
Zhu, Meihua ;
Kimura, Sumito ;
Streiff, Cole ;
Houle, Helene ;
Datta, Saurabh ;
Sahn, David J. ;
Ashraf, Muhammad .
JOURNAL OF ULTRASOUND IN MEDICINE, 2015, 34 (01) :95-103
[20]  
Son Jang-Won, 2013, J Cardiovasc Ultrasound, V21, P81, DOI 10.4250/jcu.2013.21.2.81