Journal of Clinical Monitoring and Computing

, Volume 29, Issue 4, pp 435–441 | Cite as

Agreement between stroke volume measured by oesophageal Doppler and uncalibrated pulse contour analysis during fluid loads in severe aortic stenosis

  • Lars Øivind HøisethEmail author
  • Ingrid Elise Hoff
  • Ove Andreas Hagen
  • Svein Aslak Landsverk
  • Knut Arvid Kirkebøen
Original Research


The purpose of this analysis was to study agreement and trending of stroke volume measured by oesophageal Doppler and 3rd generation Vigileo during fluid loads in patients with severe aortic stenosis. Observational study in 32 patients (30 analyzed) scheduled for aortic valve replacement due to severe aortic stenosis. After induction of anesthesia and before start of surgery, hemodynamic registrations for 1 min were obtained before and after a fluid load. Agreement between stroke volume measured by oesophageal Doppler (SVOD) and Vigileo (SVVig) was evaluated in Bland–Altman plot and trending in four-quadrant and polar plots. Bias ± limits of agreement (LOA) between SVOD and SVVig was 24 ± 37 ml (percentage error 45 %). Concordance of the two methods from before to after a fluid load was 100 %. Angular bias ± LOA was 12° ± 28°. Absolute values of SVOD and SVVig agreed poorly, but changes were highly concordant during fluid loads in aortic stenosis patients. The angular agreement indicated acceptable trending. The two measurement methods are not interchangeable in patients with aortic stenosis.


Stroke volume Aortic valve stenosis Diagnostic techniques Cardiovascular 


Conflict of interest

The authors declare no conflicts of interest.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Lars Øivind Høiseth
    • 1
    • 2
    Email author
  • Ingrid Elise Hoff
    • 2
    • 3
  • Ove Andreas Hagen
    • 2
  • Svein Aslak Landsverk
    • 2
  • Knut Arvid Kirkebøen
    • 1
    • 2
  1. 1.Faculty of MedicineUniversity of OsloOsloNorway
  2. 2.Department of AnesthesiologyOslo University HospitalOsloNorway
  3. 3.Norwegian Air Ambulance FoundationDrøbakNorway

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