Measurement of Ventricular Volume by Intracardiac Impedance: Theoretical and Empinrcal Approaches

The most widely used equation, V = pL2/R, is developed for the computation of ventricular volume from catheter based impedance measurements. The assumptions implicit in this derivation are examined and found to be generally invalid. An empirical discrete resistor model is described which includes the impedance of the myocardial tissue and the adjoining ventricular blood volume. Once the parameters of this model are determined for individual canine hearts, the model predicts stroke volume from measured impedances. Due to the difficulty involved in determining the parameters of the empirical model, a numerical model is developed which solves the equation V σa V U + F = 0 in a three-dimensional volume. This model is then used to determine the effect of parallel tissue resistance, catheter position, and contraction of the other ventricle on volumes computed by intracardiac impedance. Parallel tissue resistance is found to have the greatest impact on absolute volume measurements. However, stroke volume computations are relatively unaffected by any of the three factors.