Department of Anesthesiology

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Inaccuracy of cardiac output by thermodilution during acute tricuspid regurgitation.

TitleInaccuracy of cardiac output by thermodilution during acute tricuspid regurgitation.
Publication TypeJournal Article
Year of Publication1992
AuthorsHeerdt PM, Pond CG, Blessios GA, Rosenbloom M
JournalAnn Thorac Surg
Volume53
Issue4
Pagination706-8
Date Published1992 Apr
ISSN0003-4975
KeywordsAcute Disease, Blood Flow Velocity, Cardiac Output, Coronary Artery Bypass, Coronary Disease, Echocardiography, Doppler, Electromagnetic Phenomena, Humans, Male, Middle Aged, Pulmonary Artery, Regional Blood Flow, Thermodilution, Tricuspid Valve Insufficiency
Abstract

We have been comparing cardiac output measured with a novel Doppler pulmonary artery catheter to that measured by thermodilution and aortic electromagnetometry in cardiac surgical patients. We report here our observation of a nearly twofold increase in thermodilution cardiac output after the acute intraoperative onset of tricuspid regurgitation that was not confirmed by the novel catheter or direct measurement of aortic blood flow. We conclude that in some patients, acute tricuspid regurgitation may lessen the reliability of thermodilution cardiac output.

Alternate JournalAnn. Thorac. Surg.
PubMed ID1554289