Methods and systems for determining cardiac output based on a valve cross sectional area estimate

• US 7,789,835 B2
• Filed: 01/21/2004
• Issued: 09/07/2010
• Est. Priority Date: 01/22/2003
• Status: Active Grant

• Current Assignee: Uscom Ltd.
• Original Assignee: Uscom Ltd.
• Inventors: Phillips, Robert Allan
• Primary Examiner(s): Layno; Carl H
• Assistant Examiner(s): Lee; Yun Haeng
• Application Number:
  US10/761,899
• Publication Number:
  US 20040171949A1
• Time in Patent Office: 2,421 Days
• Field of Search: None
• US Class Current: 600/454
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/1075 for measuring dimensions by non-invasive methods, e.g. for determining thickness of tissue layer A61B8/0858 takes precedence
• CPC Class Codes: A61B 8/065 to determine blood output from the heart in general A61B5/029
• CPC Class Codes: A61B 8/08 Detecting organic movements or changes, e.g. tumours, cysts, swellings A61B8/02 - A61B8/06 take precedence

Abstract

Described herein are systems and methods for determining the cardiac output of a patient. One such method includes measuring the patient'"'"'s height and the velocity time integral or stroke distance of blood flowing from the heart of the patient, and subsequently utilising these measurements to determine the cardiac output of the patient based on a valve cross sectional area estimate.

Claims

1. A method of determining the cardiac output of a patient, the method comprising the steps of:

(a) measuring the patient'"'"'s height;

(b) measuring the patient'"'"'s heart rate;

(c) measuring the velocity time integral or stroke distance of blood flowing from the heart of the patient via the pulmonary valve;

(d) calculating, using a single variable formula, the diameter of the pulmonary valve of the patient wherein the single variable is the patient'"'"'s height, and thereby calculating the cross sectional area of the pulmonary valve;

(e) calculating a value for the cardiac output of the patient as the product of the heart rate, the velocity time integral and the cross sectional area of the pulmonary valve; and

f) measuring the correlation between the patient'"'"'s height and of the diameter of the pulmonary valve for a population of individuals, wherein said correlation is determined through the utilization of a first ratio of the relative speed of the flow velocity through the pulmonary artery and the flow velocity through the aortic annulus, and a second ratio of the patient'"'"'s height to the aortic annulus diameter.

2. A method as claimed in claim 1 wherein said population is selected having similar body characteristics to said patient.

3. A method as claimed in claim 1 wherein the single variable formula is:

pulmonary annular diameter=0.0106×

height(cms)+0.265 cm

4. A method as claimed in claim 1 wherein the first ratio is substantially equal to 1.126.

5. A method as claimed in claim 1, wherein measuring the velocity time integral or stroke distance of blood flowing from the heart of the patient via the pulmonary valve is performed with an ultrasonic transducer device.