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Am J Physiol Heart Circ Physiol 281: H1148-H1155, 2001;
0363-6135/01 $5.00
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Vol. 281, Issue 3, H1148-H1155, September 2001

Beat-to-beat stroke volume estimation from aortic pressure waveform in conscious rats: comparison of models

C. Cerutti, M. P. Gustin, P. Molino, and C. Z. Paultre

Faculty of Pharmacy, Department of Physiology and Clinical Pharmacology, Centre National de la Recherche Scientifique UMR 5014, 69373 Lyon Cedex 08, France

Several methods for estimating stroke volume (SV) were tested in conscious, freely moving rats in which ascending aortic pressure and cardiac flow were simultaneously (beat-to-beat) recorded. We compared two pulse-contour models to two new statistical models including eight parameters extracted from the pressure waveform in a multiple linear regression. Global as well as individual statistical models gave higher correlation coefficients between estimated and measured SV (model 1, r = 0.97; model 2, r = 0.96) than pulse-contour models (model 1, r = 0.83; model 2, r = 0.91). The latter models as well as statistical model 1 used the pulsatile systolic area and thus could be applied to only 47 ± 17% of the cardiac beats. In contrast, statistical model 2 used the pressure-increase characteristics and was therefore established for all of the cardiac beats. The global statistical model 2 applied to data sets independent of those used to establish the model gave reliable SV estimates: r = 0.54 ± 0.07, a small bias between -8% to +10%, and a mean precision of 7%. This work demonstrated the limits of pulse-contour models to estimate SV in conscious, unrestrained rats. A multivariate statistical model using eight parameters easily extracted from the aortic waveform could be applied to all cardiac beats with good precision.

cardiac output; hemodynamics; statistical model





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