PRESSURE-BASED SYSTEM AND METHOD FOR DETERMINING CARDIAC STROKE VOLUME
First Claim
1. A method for determining cardiac stroke volume of a subject comprising:
- sensing arterial blood pressure;
converting the sensed arterial blood pressure to a pressure signal;
detecting a maximum value of the first time derivative of the pressure value during a measurement interval; and
calculating an estimate of the stroke volume as a function of the maximum value.
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Abstract
Cardiac stroke volume (SV) of a subject is estimated as a function of a value derived from a measured arterial pressure waveform. The value may be the standard deviation, or a function of the difference between maximum and minimum pressure values, or a function of either the maximum value of the first time derivative or the absolute value of the minimum of the first time derivative of the pressure waveform, or both, or a function of the magnitude of one or more spectral components of the pressure waveform at a frequency corresponding to the heart rate. Cardiac output is then estimated as the product of the subject'"'"'s heart rate and SV, scaled by a calibration constant. Arterial pressure may be measured invasively or non-invasively.
74 Citations
4 Claims
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1. A method for determining cardiac stroke volume of a subject comprising:
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sensing arterial blood pressure;
converting the sensed arterial blood pressure to a pressure signal;
detecting a maximum value of the first time derivative of the pressure value during a measurement interval; and
calculating an estimate of the stroke volume as a function of the maximum value.
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2. A method for determining cardiac stroke volume of a subject comprising:
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sensing arterial blood pressure;
converting the sensed arterial blood pressure to a pressure signal;
detecting a minimum value of the first time derivative of the pressure value during a measurement interval; and
calculating an estimate of the stroke volume as a function of the minimum value.
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3. A method for determining cardiac stroke volume of a subject comprising:
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sensing arterial blood pressure;
converting the sensed arterial blood pressure to a pressure signal;
detecting a maximum value and a minimum value of the first time derivative of the pressure value during a measurement interval; and
calculating an estimate of the stroke volume as a function of the maximum and minimum values.
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4. A method for determining cardiac stroke volume of a subject comprising:
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sensing arterial blood pressure;
converting the sensed arterial blood pressure to a pressure signal;
determining the heart rate of the subject;
determining the amplitude of a spectral component of the pressure signal for a frequency corresponding to a multiple of the heart rate;
calculating an average value of the pressure signal; and
calculating an estimate of the stroke volume as a function of the ratio of the amplitude of the spectral component and the average value of the pressure signal.
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Specification