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Comparing spot electrode arrangements for electric impedance cardiography

A E Hoetink, Th J C Faes, E H Schuur, R Gorkink, H G Goovaerts, J H Meijer and R M Heethaar

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This study investigates whether an arrangement with nine spot electrodes, for thoracic bio-impedance cardiography, can be replaced by an arrangement with five spot electrodes. The study was conducted on 15 healthy subjects, six females and nine males, in supine rest. The variables obtained from the measurements were the mean of the impedance of the thorax segment between the recording electrodes, the maximum negative deflection of the first derivative of the thoracic impedance, the left ventricular ejection time and an estimate of left ventricular stroke volume. An analysis of variance for a randomized complete block design was used to determine whether significant differences exist in the group means of the observed variables between six different electrode arrangements. If no statistically significant differences were found in these group means between pairs of arrangements, Bland and Altman analyses were used to determine the differences in the observed variables between pairs of arrangements for individual subjects. This study concludes that reducing the number of spot electrodes from nine to five, does not yield significant differences in the group means of the observed variables, but it could result in large differences in the values of these variables for individual subjects.


PACS

87.63.Pn Electrical impedance tomography (EIT)

87.19.R- Mechanical and electrical properties of tissues and organs

87.63.-d Non-ionizing radiation equipment and techniques

87.19.Hh Cardiac dynamics

47.63.Cb Blood flow in cardiovascular system

87.19.U- Hemodynamics

Subjects

Fluid dynamics

Biological physics

Medical physics

Dates

Issue 2 (May 2002)

Received 17 January 2002, in final form 12 March 2002

Published 8 April 2002



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