Non-invasive beat-to-beat cardiac output monitoring by an improved method of transthoracic bioimpedance measurement

被引:191
作者
Fortin, J.
Habenbacher, W.
Heller, A.
Hacker, A.
Gruellenberger, R.
Innerhofer, J.
Passath, H.
Wagner, Ch.
Haitchi, G.
Flotzinger, D.
Pacher, R.
Wach, P.
机构
[1] Graz Univ Technol, Inst Med Engn, A-8010 Graz, Austria
[2] Karl Franzens Univ Graz, Teaching Hosp Barmherzige Brueder, Dept Internal Med, A-8020 Graz, Austria
[3] Univ Vienna, Dept Cardiol, A-1090 Vienna, Austria
基金
奥地利科学基金会;
关键词
non-invasive cardiac output; non-invasive stroke volume; impedance cardiography; Kubicek principle; transthoracic bioimpedance;
D O I
10.1016/j.compbiomed.2005.06.001
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
The report describes a method of impedance cardiography using an improved estimate of thoracic volume. The formulas and their implementation in hardware and software are explained and new shortband electrodes are described which generate a good homogeneous thoracic field. Examples of stroke volume and cardiac output curves underline the capabilities of the monitoring system "Task Force (R) Monitor". In several experiments, results are compared to thermodilution as well as to BioZ measurements: the new method excels in comparison with thermodilution and is comparable to the BioZ device. Compared to traditional electrodes, the new shorthand electrodes are shown to provide better reproducibility. (c) 2005 Published by Elsevier Ltd.
引用
收藏
页码:1185 / 1203
页数:19
相关论文
共 31 条
[11]   Real-time, monitor for hemodynamic beat-to-beat parameters and power spectra analysis of the biosignals [J].
Fortin, J ;
Habenbacher, W ;
Gruellenberger, R ;
Wach, P ;
Skrabal, F .
PROCEEDINGS OF THE 20TH ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY, VOL 20, PTS 1-6: BIOMEDICAL ENGINEERING TOWARDS THE YEAR 2000 AND BEYOND, 1998, 20 :360-363
[12]  
FORTIN J, 1997, MED BIOL ENG COMP S1, V35, P466
[13]  
FORTIN J, 2005, IN PRESS COMPUT BIOL
[14]   A software package for non-invasive, real-time beat-to-beat monitoring of stroke volume, blood pressure, total peripheral resistance and for assessment of autonomic function [J].
Gratze, G ;
Fortin, J ;
Holler, A ;
Grasenick, K ;
Pfurtscheller, G ;
Wach, P ;
Schonegger, J ;
Kotanko, P ;
Skrabal, F .
COMPUTERS IN BIOLOGY AND MEDICINE, 1998, 28 (02) :121-142
[15]   FUNCTIONAL ABNORMALITIES IN ISOLATED LEFT-BUNDLE BRANCH-BLOCK - THE EFFECT OF INTERVENTRICULAR ASYNCHRONY [J].
GRINES, CL ;
BASHORE, TM ;
BOUDOULAS, H ;
OLSON, S ;
SHAFER, P ;
WOOLEY, CF .
CIRCULATION, 1989, 79 (04) :845-853
[16]  
HOLZER W, 1946, VERFAHREN KREISLAUFF
[17]  
Krämer LI, 2001, Z KARDIOL, V90, P522, DOI 10.1007/s003920170143
[18]  
KUBICEK WG, 1974, BIOMED ENG, V9, P410
[19]  
KUBICEK WG, 1966, AEROSPACE MED, V37, P1208
[20]  
Lamberts R., 1984, IMPEDANCE CARDIOGRAP