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Velocity Time Integral is a clinical Doppler ultrasound measurement of blood flow, equivalent to the area under the velocity time curve. The product of VTI (cm/stroke) and the cross sectional area of a valve (cm2) yields a stroke volume (cm3/stroke), which can be used to calculate cardiac output.
Because of this, the valve area may be erroneously calculated as stenotic if the flow across the valve is low (i.e. if the cardiac output is low). The measurement of the true gradient is accomplished by temporarily increasing the cardiac output by the infusion of positive inotropic agents, such as dobutamine.
Major factors influencing cardiac output – heart rate and stroke volume, both of which are variable. [1]In cardiac physiology, cardiac output (CO), also known as heart output and often denoted by the symbols , ˙, or ˙, [2] is the volumetric flow rate of the heart's pumping output: that is, the volume of blood being pumped by a single ventricle of the heart, per unit time (usually measured ...
In the determination of cardiac output, the substance most commonly measured is the oxygen content of blood thus giving the arteriovenous oxygen difference, and the flow calculated is the flow across the pulmonary system. This gives a simple way to calculate the cardiac output: [citation needed]
Stroke volume is an important determinant of cardiac output, which is the product of stroke volume and heart rate, and is also used to calculate ejection fraction, which is stroke volume divided by end-diastolic volume. Because stroke volume decreases in certain conditions and disease states, stroke volume itself correlates with cardiac function.
Numerical manipulation of Doppler parameters obtain during routine Echocardiography has been extensively utilized to non-invasively estimate intra-cardiac pressures, in many cases removing the need for invasive cardiac catheterization. [1] Echocardiography uses ultrasound to create real-time anatomic images of the heart and its structures.
Perfusionists, also called cardiac or cardiopulmonary perfusionists, specialize in operating and recording the output of a cardiopulmonary bypass machine, also known as a heart-lung machine.
The cardiac index (CI) is a hemodynamic measure that represents the cardiac output (CO) of an individual divided by their body surface area (BSA), expressed in liters per minute per square meter (L/min/m²). This parameter provides a more accurate assessment of heart function relative to the size of the individual, as opposed to absolute ...
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