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Left to Right Shunts and their Calculation Ghada ... - CardioEgypt.com

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3/18/2013<br />

Cardiac Output Measurement<br />

Thermodilution Method<br />

CO =<br />

V I (T B -T I ) (S I x C I / S B x C B ) x 60<br />

<br />

<br />

0<br />

T B dt<br />

V I = volume of injectate<br />

S I , S B = specific gravity of injectate <strong>and</strong> blood<br />

C I , C B = specific heat of injectate <strong>and</strong> blood<br />

T I = temperature of injectate<br />

T B = change in temperature measured downstream<br />

Baim DS: Grossman’s Cardiac Catheterization, Angiography, <strong>and</strong> Intervention. 7 th Edition. Lippincot Williams<br />

<strong>and</strong> Wilkins, 2007.<br />

Cardiac Output Measurement<br />

Thermodilution Method<br />

• Advantages<br />

– Withdrawal of blood not necessary<br />

– Arterial puncture not required<br />

– Indica<strong>to</strong>r (saline or D5W)<br />

– Virtually no recirculation, simplifying <strong>com</strong>puter<br />

analysis of primary curve sample<br />

Baim DS: Grossman’s Cardiac Catheterization, Angiography, <strong>and</strong> Intervention. 7 th Edition. Lippincot Williams<br />

<strong>and</strong> Wilkins, 2007.<br />

35

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