Reliability of three-dimensional color flow Doppler and two-dimensional pulse wave Doppler transthoracic echocardiography for estimating cardiac output after cardiac surgery
Abstract Background Three-dimensional color flow Doppler (3DCF) is a new convenient technique for cardiac output (CO) measurement. However, to date, no one has evaluated the accuracy of 3DCF echocardiography for CO measurement after cardiac surgery. Therefore, this single-center, prospective study w...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-04-01
|
| Series: | Cardiovascular Ultrasound |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12947-019-0155-1 |
| _version_ | 1818444437136605184 |
|---|---|
| author | Guang-wei Hao Yang Liu Guo-guang Ma Jun-yi Hou Du-ming Zhu Lan Liu Ying Zhang Hua Liu Ya-min Zhuang Zhe Luo Guo-wei Tu Xiao-mei Yang Hai-yan Chen |
| author_facet | Guang-wei Hao Yang Liu Guo-guang Ma Jun-yi Hou Du-ming Zhu Lan Liu Ying Zhang Hua Liu Ya-min Zhuang Zhe Luo Guo-wei Tu Xiao-mei Yang Hai-yan Chen |
| author_sort | Guang-wei Hao |
| collection | DOAJ |
| description | Abstract Background Three-dimensional color flow Doppler (3DCF) is a new convenient technique for cardiac output (CO) measurement. However, to date, no one has evaluated the accuracy of 3DCF echocardiography for CO measurement after cardiac surgery. Therefore, this single-center, prospective study was designed to evaluate the reliability of three-dimensional color flow and two-dimensional pulse wave Doppler (2D-PWD) transthoracic echocardiography for estimating cardiac output after cardiac surgery. Methods Post-cardiac surgical patients with a good acoustic window and a low dose or no dose of vasoactive drugs (norepinephrine < 0.05 μg/kg/min) were enrolled for CO estimation. Three different methods (third generation FloTrac/Vigileo™ [FT/V] system as the reference method, 3DCF, and 2D-PWD) were used to estimate CO before and after interventions (baseline, after volume expansion, and after a dobutamine test). Results A total of 20 patients were enrolled in this study, and 59 pairs of CO measurements were collected (one pair was not included because of increasing drainage after the dobutamine test). Pearson’s coefficients were 0.260 between the CO-FT/V and CO-PWD measurements and 0.729 between the CO-FT/V and CO-3DCF measurements. Bland-Altman analysis showed the bias between the absolute values of CO-FT/V and CO-PWD measurements was − 0.6 L/min with limits of agreement between − 3.3 L/min and 2.2 L/min, with a percentage error (PE) of 61.3%. The bias between CO-FT/V and CO-3DCF was − 0.14 L/min with limits of agreement between − 1.42 L /min and 1.14 L/min, with a PE of 29.9%. Four-quadrant plot analysis showed the concordance rate between ΔCO-PWD and ΔCO-3FT/V was 93.3%. Conclusions In a comparison with the FT/V system, 3DCF transthoracic echocardiography could accurately estimate CO in post-cardiac surgical patients, and the two methods could be considered interchangeable. Although 2D-PWD echocardiography was not as accurate as the 3D technique, its ability to track directional changes was reliable. |
| first_indexed | 2024-12-14T19:15:55Z |
| format | Article |
| id | doaj.art-d5bda552cff841ba83bfb71de7c00b55 |
| institution | Directory Open Access Journal |
| issn | 1476-7120 |
| language | English |
| last_indexed | 2024-12-14T19:15:55Z |
| publishDate | 2019-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Cardiovascular Ultrasound |
| spelling | doaj.art-d5bda552cff841ba83bfb71de7c00b552022-12-21T22:50:37ZengBMCCardiovascular Ultrasound1476-71202019-04-011711910.1186/s12947-019-0155-1Reliability of three-dimensional color flow Doppler and two-dimensional pulse wave Doppler transthoracic echocardiography for estimating cardiac output after cardiac surgeryGuang-wei Hao0Yang Liu1Guo-guang Ma2Jun-yi Hou3Du-ming Zhu4Lan Liu5Ying Zhang6Hua Liu7Ya-min Zhuang8Zhe Luo9Guo-wei Tu10Xiao-mei Yang11Hai-yan Chen12Department of Critical Care Medicine, Zhongshan Hospital, Fudan UniversityDepartment of Echocardiography, Zhongshan Hospital, Fudan UniversityDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan UniversityDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan UniversityDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan UniversityDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan UniversityDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan UniversityDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan UniversityDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan UniversityDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan UniversityDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan UniversityDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan UniversityDepartment of Echocardiography, Zhongshan Hospital, Fudan UniversityAbstract Background Three-dimensional color flow Doppler (3DCF) is a new convenient technique for cardiac output (CO) measurement. However, to date, no one has evaluated the accuracy of 3DCF echocardiography for CO measurement after cardiac surgery. Therefore, this single-center, prospective study was designed to evaluate the reliability of three-dimensional color flow and two-dimensional pulse wave Doppler (2D-PWD) transthoracic echocardiography for estimating cardiac output after cardiac surgery. Methods Post-cardiac surgical patients with a good acoustic window and a low dose or no dose of vasoactive drugs (norepinephrine < 0.05 μg/kg/min) were enrolled for CO estimation. Three different methods (third generation FloTrac/Vigileo™ [FT/V] system as the reference method, 3DCF, and 2D-PWD) were used to estimate CO before and after interventions (baseline, after volume expansion, and after a dobutamine test). Results A total of 20 patients were enrolled in this study, and 59 pairs of CO measurements were collected (one pair was not included because of increasing drainage after the dobutamine test). Pearson’s coefficients were 0.260 between the CO-FT/V and CO-PWD measurements and 0.729 between the CO-FT/V and CO-3DCF measurements. Bland-Altman analysis showed the bias between the absolute values of CO-FT/V and CO-PWD measurements was − 0.6 L/min with limits of agreement between − 3.3 L/min and 2.2 L/min, with a percentage error (PE) of 61.3%. The bias between CO-FT/V and CO-3DCF was − 0.14 L/min with limits of agreement between − 1.42 L /min and 1.14 L/min, with a PE of 29.9%. Four-quadrant plot analysis showed the concordance rate between ΔCO-PWD and ΔCO-3FT/V was 93.3%. Conclusions In a comparison with the FT/V system, 3DCF transthoracic echocardiography could accurately estimate CO in post-cardiac surgical patients, and the two methods could be considered interchangeable. Although 2D-PWD echocardiography was not as accurate as the 3D technique, its ability to track directional changes was reliable.http://link.springer.com/article/10.1186/s12947-019-0155-1Three-dimensional color flow dopplerTwo-dimensional pulse wave dopplerCardiac outputCardiac surgery |
| spellingShingle | Guang-wei Hao Yang Liu Guo-guang Ma Jun-yi Hou Du-ming Zhu Lan Liu Ying Zhang Hua Liu Ya-min Zhuang Zhe Luo Guo-wei Tu Xiao-mei Yang Hai-yan Chen Reliability of three-dimensional color flow Doppler and two-dimensional pulse wave Doppler transthoracic echocardiography for estimating cardiac output after cardiac surgery Cardiovascular Ultrasound Three-dimensional color flow doppler Two-dimensional pulse wave doppler Cardiac output Cardiac surgery |
| title | Reliability of three-dimensional color flow Doppler and two-dimensional pulse wave Doppler transthoracic echocardiography for estimating cardiac output after cardiac surgery |
| title_full | Reliability of three-dimensional color flow Doppler and two-dimensional pulse wave Doppler transthoracic echocardiography for estimating cardiac output after cardiac surgery |
| title_fullStr | Reliability of three-dimensional color flow Doppler and two-dimensional pulse wave Doppler transthoracic echocardiography for estimating cardiac output after cardiac surgery |
| title_full_unstemmed | Reliability of three-dimensional color flow Doppler and two-dimensional pulse wave Doppler transthoracic echocardiography for estimating cardiac output after cardiac surgery |
| title_short | Reliability of three-dimensional color flow Doppler and two-dimensional pulse wave Doppler transthoracic echocardiography for estimating cardiac output after cardiac surgery |
| title_sort | reliability of three dimensional color flow doppler and two dimensional pulse wave doppler transthoracic echocardiography for estimating cardiac output after cardiac surgery |
| topic | Three-dimensional color flow doppler Two-dimensional pulse wave doppler Cardiac output Cardiac surgery |
| url | http://link.springer.com/article/10.1186/s12947-019-0155-1 |
| work_keys_str_mv | AT guangweihao reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery AT yangliu reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery AT guoguangma reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery AT junyihou reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery AT dumingzhu reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery AT lanliu reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery AT yingzhang reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery AT hualiu reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery AT yaminzhuang reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery AT zheluo reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery AT guoweitu reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery AT xiaomeiyang reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery AT haiyanchen reliabilityofthreedimensionalcolorflowdopplerandtwodimensionalpulsewavedopplertransthoracicechocardiographyforestimatingcardiacoutputaftercardiacsurgery |