Localisation of cardiac related impedance changes in the thorax.

Abstract

The existence of variations of normal human thoracic impedance, during the cardiac cycle to high frequency electrical current is well known. Since the impedance variations within the thorax are synchronous with the electrocardiogram (ECG), they are attributed to cardiac activity. They can arise from the change of either the rate of blood flow or the blood volume in the heart chambers, the great blood vessels and the lungs. However, their relative contribution is not known. Many investigators have worked on the non-invasive determination of some cardiac parameters using surface electrode impedance measurements on the thorax. Since the relationships between the measurement results and the pulsatile circulation of blood in various organs inside the chest are not well known, the information determined by surface impedance measurements is not as accurate as the results of invasive techniques. Recent advances in the clinical use of applied potential tomography (APT), or electrical impedance imaging, showed that the APT system gives a good soft-tissue contrast and has good sensitivity to resistivity changes. It is therefore concluded that the origin of thoracic impedance changes related to cardiac activity can be deduced from APT images. Our initial studies of ECG gated dynamic APT images of the thorax show that cardiac related thoracic impedance variations originating from different organs can be separated. Sequential APT images of the thorax during the cardiac cycle are presented. The movement of blood from the ventricles to the lungs and vascular system and back to the ventricles is observable in these images.(ABSTRACT TRUNCATED AT 250 WORDS)