Department of Electrical Engineering, National Cheng Kung University, Tainan, Taiwan.
IEEE Trans Biomed Eng. 2011 Jun;58(6):1804-13. doi: 10.1109/TBME.2011.2118210. Epub 2011 Feb 22.
The conductance catheter technique was developed in the 1980s to measure instantaneous ventricular conductance. After converting measured conductance to volume signals by use of the classic Baan conductance-to-volume equation, real-time pressure-volume (PV) relations can be obtained. A nonlinear conductance-to-volume conversion equation was proposed by Wei in 2005 to improve the accuracy of the conductance catheter system. This study tested the in vivo applicability of the nonlinear conversion equation, particularly focusing on the effect of deviation in catheter position. By altering catheter position, PV loops obtained by using the classic Baan's equation and the nonlinear equation were compared. The comparison results show that the nonlinear equation indeed compensates for the errors introduced by catheter position deviation, and gives more consistent and reliable PV relations. Moreover, the effect of variations in blood resistivity was analyzed. To obtain consistent and reliable PV relations, the nonlinear equation is suggested for use, and changes in blood resistivity should be carefully monitored.
电导导管技术于 20 世纪 80 年代发展起来,用于测量瞬时心室电导。通过使用经典的 Baan 电导-容积方程将测量的电导转换为容积信号,可以获得实时压力-容积(PV)关系。Wei 于 2005 年提出了一种非线性电导-容积转换方程,以提高电导导管系统的准确性。本研究测试了非线性转换方程的体内适用性,特别是关注导管位置偏差的影响。通过改变导管位置,比较了使用经典 Baan 方程和非线性方程获得的 PV 环。比较结果表明,非线性方程确实补偿了导管位置偏差引入的误差,并给出了更一致和可靠的 PV 关系。此外,还分析了血液电阻率变化的影响。为了获得一致和可靠的 PV 关系,建议使用非线性方程,并应仔细监测血液电阻率的变化。