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Faculty of Pharmacy, Department of Physiology and Clinical Pharmacology, Centre National de la Recherche Scientifique UMR 5014, 69373 Lyon Cedex 08, France
Several
methods for estimating stroke volume (SV) were tested in
conscious, freely moving rats in which ascending aortic pressure and
cardiac flow were simultaneously (beat-to-beat) recorded. We compared
two pulse-contour models to two new statistical models including eight
parameters extracted from the pressure waveform in a multiple linear
regression. Global as well as individual statistical models gave higher
correlation coefficients between estimated and measured SV (model
1, r = 0.97; model 2, r = 0.96) than pulse-contour models (model 1,
r = 0.83; model 2, r = 0.91). The latter models as well as statistical model 1 used
the pulsatile systolic area and thus could be applied to only 47 ± 17% of the cardiac beats. In contrast, statistical model
2 used the pressure-increase characteristics and was therefore
established for all of the cardiac beats. The global statistical
model 2 applied to data sets independent of those used to
establish the model gave reliable SV estimates: r = 0.54 ± 0.07, a small bias between
8% to +10%, and a mean precision of 7%. This work demonstrated the limits of pulse-contour models to estimate SV in conscious, unrestrained rats. A multivariate statistical model using eight parameters easily extracted from the
aortic waveform could be applied to all cardiac beats with good precision.
cardiac output; hemodynamics; statistical model
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