The haemodynamic correlations of the cardiopulmonary flow index, a relatively non-invasive technique for diagnosis of myocardial pump insufficiency

Autor: J J, van der Walt, M N, van Aarde, J M, van Rooyen, R N, Millar, I W, Obel, J, Levin
Rok vydání: 1996
Předmět:
Zdroj: South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde. 86
ISSN: 0256-9574
Popis: The cardiopulmonary flow index (CPFI) is the ratio of cardiopulmonary blood volume to stroke volume. OBJECTIVE. To compare the CPFI derived from a first-pass radiocardiogram and electrocardiogram with the usual haemodynamic measurements obtained by bedside catheterisation. DESIGN. Sixty-one patients in a coronary care unit who had flow-directed pulmonary artery catheterisation for clinical indications had a CPFI recorded together with the usual haemodynamic measurements and calculations. RESULTS. In patients with myocardial pump failure without significant pulmonary disease, linear regression analysis indicated that the best fit for the CPFI could be obtained with a model that used the inverse of stroke index and pulmonary capillary wedge pressure as independent variables. Ninety-six per cent of the variation in CPFI can be explained by variations in pulmonary capillary wedge pressure and stroke index. The CPFI correlated less well with these variables in patients with concomitant lung disease. CONCLUSION. The CPFI is a potentially useful and relatively non-invasive index of haemodynamic function in acutely ill patients without significant pulmonary disease.
Databáze: OpenAIRE