🫀 Understanding Cardiac Index
The cardiac index (CI) is a measure of heart performance that evaluates how effectively the heart pumps blood relative to a patient’s body size. It is calculated using the amount of blood the heart ejects in one minute (cardiac output) and the patient’s body surface area (BSA). This metric is widely used in **intensive care medicine** and **cardiac monitoring** to determine whether the heart is supplying enough blood to meet the body's oxygen needs.
📊 How Is Cardiac Index Measured?
The cardiac index is derived by comparing the heart’s blood output to the patient’s body size. This allows for a more accurate assessment of heart function across individuals of different sizes.
✅ Normal Cardiac Index Range
- Healthy Range: 2.5 to 4.0 L/min/m² – Indicates normal heart function.
- Low Cardiac Index: Less than 2.0 L/min/m² – May suggest **cardiogenic shock** or heart dysfunction.
🔍 Why Is Cardiac Index Important?
The cardiac index is essential for several reasons:
- Personalized Heart Assessment: It adjusts cardiac output for body size, offering a precise measure of heart function.
- Early Detection: Helps identify heart failure, cardiogenic shock, or inadequate blood flow.
- Critical Care Management: Guides treatment decisions in **intensive care units (ICUs)**.
- Monitor Heart Efficiency: Evaluates how effectively the heart delivers oxygen-rich blood to the body.
Parameters in Cardiac Index Calculation
- Cardiac Index (CI): Measures heart efficiency, expressed in L/min/m² (liters per minute per square meter).
- Cardiac Output (CO): The total volume of blood the heart pumps in one minute, measured in L/min.
- Body Surface Area (BSA): The patient's body surface area, calculated based on height and weight, measured in m².
- Stroke Volume (SV): The amount of blood pumped by the heart per beat, measured in mL.
- Heart Rate (HR): The number of heartbeats per minute, measured in bpm (beats per minute).
📌 Factors Affecting Cardiac Index
- Heart Rate: A faster or slower heart rate impacts the total blood pumped.
- Stroke Volume: The amount of blood pushed out with each heartbeat.
- Body Surface Area (BSA): Varies based on patient height and weight.
- Medical Conditions: Heart disease, dehydration, or blood loss can lower cardiac index.
⚠️ Disclaimer
This information is intended for educational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider for medical assessments and decisions.