4
$\begingroup$

I could find a way which could find it by body oxygen consumption and there is another way to measure it by injecting drugs — measuring cardiac output by the so-called “indicator dilution method,” a small amount of indicator, such as a dye, is injected into a large systemic vein or, preferably,into the right atrium. I read about it but didn't understand it very well.

Can you explain it and Which one is mostly used in clinics to measure cardiac output?

$\endgroup$
  • 1
    $\begingroup$ I think this is a pretty broad question. Can you narrow it down to something that would take less that a book chapter to cover? There are more ways than you list. There is no one best method. It depends on a lot of factors. Have you checked Wikipedia? It's not perfect by any means, but it will give you the scope of what you're asking (which is very broad). $\endgroup$ – anongoodnurse Jan 14 '15 at 11:10
  • 1
    $\begingroup$ @Chris stronks Blood volume is different with cardiac output in order,we measure cardiac output in time. $\endgroup$ – user12874 Jan 14 '15 at 11:11
  • $\begingroup$ @anongoodnurse "Indicator Dilution Method"for measuring cardiac output. $\endgroup$ – user12874 Jan 14 '15 at 11:15
  • 5
    $\begingroup$ Please change your question to reflect the newly narrowed scope, and can you explain what, exactly, trips you up about dilution studies? $\endgroup$ – anongoodnurse Jan 14 '15 at 11:20
  • $\begingroup$ @Madscientist I didn't know about it at all, when i read about it.I edited my answer as it is acceptable. $\endgroup$ – user12874 Feb 18 '15 at 13:40
3
$\begingroup$

Drs. Swan and Ganz developed a direct method of measuring cardiac output by thermodilution. They invented a multilumen catheter with a thermal resistor on the end (a Swan Ganz catheter) which could be advanced into the pulmonary artery. Through another lumen, a cold saline solution of known temperature and volume is injected into the right atrium. Using a computer model, the temperature of the blood at the catheter tip is used to determine stroke volume. Stroke volume x heart rate = cardiac output.

The injectate mixes with the blood as it passes through the ventricle and into the pulmonary artery, thus cooling the blood. The blood temperature is measured by a thermistor at the catheter tip, which lies within the pulmonary artery, and a computer is used to acquire the thermodilution profile; that is, the computer quantifies the change in blood temperature as it flows over the thermistor surface. The cardiac output computer then calculates flow (cardiac output from the right ventricle) using the blood temperature information, and the temperature and volume of the injectate. The injection is normally repeated a few times and the cardiac output averaged.

enter image description here

The same principle is used with a dye study but measuring the concentration of dye downstream.

Although this is considered to be the "gold standard", because it is so invasive and carries a serious risk of complications, it has largely been replaced by echocardiography and Doppler techniques.

Measurement of blood flow by thermodilution
Measurement of Cardiac Output
Invasive and non-invasive methods for cardiac output measurement

$\endgroup$

Your Answer

By clicking “Post Your Answer”, you agree to our terms of service, privacy policy and cookie policy