Non-invasive stroke volume estimation by transthoracic electrical bioimpedance versus Doppler echocardiography in healthy volunteers

J Med Eng Technol. 2019 Jan;43(1):33-37. doi: 10.1080/03091902.2019.1599074. Epub 2019 Apr 15.

Abstract

Thoracic electrical bioimpedance (TEB) and transthoracic echocardiography (TTE) are non-invasive methods to estimate stroke volume (SV) and cardiac output (CO). Thoracic electrical bioimpedance is not in widespread clinical use with reports of inaccurate cardiac output estimation compared to invasive monitors, particularly in non-healthy populations. We explore its use as a trend monitor by comparing it against thoracic echocardiography in fifteen healthy volunteers undergoing two physical challenges designed to vary cardiac output. Of all paired values, 54.6% showed gross trend agreement and only 1.9% showed direct disagreement between the two monitors. Our results show thoracic bioimpedance may have a role as a non-invasive cardiac output trend monitor in healthy volunteer studies.

Keywords: Stroke volume; echocardiography; thoracic bioimpedance.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Adult
  • Echocardiography, Doppler*
  • Electric Impedance*
  • Exercise / physiology
  • Healthy Volunteers
  • Humans
  • Male
  • Stroke Volume*
  • Young Adult