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1 Laboratoire de Pharmacologie et de Physiopathologie Cardiovasculaire, Faculté de Médecine, Université de Picardie Jules Vernes, 80054 Amiens, France; and 2 Research Division, Ochsner Clinic Foundation, New Orleans, Louisiana 70121
The
systematic evaluation of different transthoracic echocardiographic
(TTE) methods to determine cardiac output (CO) and the effect of
changes in intravascular volume on echocardiographically determined
indexes of cardiovascular structure in the rat has not been documented.
With the use of 11 Wistar rats, simultaneous echocardiographic and
thermodilution measurements of CO were compared at baseline and after
blood withdrawal or transfusion at 43 different levels of intravascular
volume and using 10 different echocardiographic approaches. The best
correlation (r = 0.93; P < 0.0001),
least bias (
3 ml/min), and best precision (16 ml/min) between
thermodilution and echocardiographic methods were obtained at the level
of aortic annulus using pulsed Doppler. In conclusion, CO could be
accurately assessed in rats using TTE and pulsed Doppler at the level
of the aortic annulus. This annulus was demonstrated to remain stable, but pulmonary annulus, thoracic aorta, mitral valve, and left ventricular diameters were found to be more modifiable during volumic changes.
Doppler; blood volume changes
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