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Published in: Journal of Clinical Monitoring and Computing 4/2020

01-08-2020 | Stress Echocardiography | Original Research

Feasibility evaluation of non-invasive cardiac function technology during echocardiography-based cardiac stress testing

Authors: Davinder Ramsingh, Michael Ma, Jin Kyung Kim, Margaret Knoll, John W. Patton III, Maxime Cannesson

Published in: Journal of Clinical Monitoring and Computing | Issue 4/2020

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Abstract

Evaluation of cardiac function during periods of stress is of key importance for the perioperative setting. Non-invasive hemodynamic monitors provide markers of cardiac function. This pilot study sought to evaluate the ability of a non-invasive hemodynamic monitor to detect cardiac stress during formal stress echocardiography testing. The primary goal was to compare the change in hemodynamic values during the pre/during/post phases of stress echocardiography testing in patients who had results negative versus positive for myocardial ischemia. Adult patients scheduled for outpatient cardiac stress testing were screened. Only patients scheduled for stress-echocardiography testing were consented. Patients with history of arrhythmias were excluded. During the testing, patients wore a cuff-based hemodynamic sensor (Nexfin system, Edwards Lifesciences). Data from the hemodynamic sensor were compared to the findings of the stress study. A total of 37 patients were enrolled, with 31 patients included for analysis. Five patients had stress studies positive for coronary ischemia. Comparison of the hemodynamic variables between patients who had a positive stress study versus negative showed a significant reduction in the percentage change in dP/dt and stroke volume from baseline (p < 0.05). This pilot study indicates that patients who have abnormal stress echocardiograms also have significantly reduced values from a noninvasive hemodynamic monitor. Further evaluation of the clinical utility of this technology, to assist in the care of patients at risk for cardiac ischemia, should be carried out.
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Metadata
Title
Feasibility evaluation of non-invasive cardiac function technology during echocardiography-based cardiac stress testing
Authors
Davinder Ramsingh
Michael Ma
Jin Kyung Kim
Margaret Knoll
John W. Patton III
Maxime Cannesson
Publication date
01-08-2020
Publisher
Springer Netherlands
Published in
Journal of Clinical Monitoring and Computing / Issue 4/2020
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI
https://doi.org/10.1007/s10877-019-00354-4

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