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March 1, 2019Critical Care and ResuscitationOpen Access

The normal cardiac index in older healthy individuals: a scoping review

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Key result

Healthy adults over 60 show a progressive annual decline in resting cardiac index.

Why the study?

The normal resting values for the cardiac index in older patients remain unclear despite the growing number of older patients undergoing major surgery.

Design

Scoping review

Authors

LCLuca CioccariUniversity of BernNLNora LuethiUniversity Children's Hospital ZurichNGNeil J. GlassfordMonash Medical Centre

Discussion

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Implication

Updates reference ranges for cardiac index in healthy adults >60; leaves open whether lower values warrant revised clinical thresholds.

Structured PICO

P
Population
29 studies reporting measured values of cardiac output or cardiac index in healthy humans over 60 years of age at rest.
O
Outcome
Measured values of cardiac output or cardiac index at restsurrogate

The normal resting cardiac index in healthy individuals over 60 years of age ranges from 2.1 to 3.2 L/min/m2, which may be lower than previously reported.

Limitations

  • Data on the normal cardiac index in people older than 80 years are scant.
  • Data on the normal cardiac index in people older than 80 years are scant

Cite This Study

Cioccari et al. (2019) conducted a review in Healthy older humans. Older age was evaluated on Mean cardiac index. In healthy volunteers over 60 years of age, the mean cardiac index was between 2.1 and 3.2 L/min/m2, with a likely yearly decline between 3.5 and 8 mL/min/m2.

synapsesocial.com/papers/6aaf5d9848ed457171dcaba8https://doi.org/10.1016/s1441-2772(23)00584-7
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hemodynamic Studies of Patients with Myocardial Infarction1954 · 105 citations
  2. 2Association of gender with outcomes in critically ill patients2012 · 134 citations
  3. 3Inotropic agents and vasodilator strategies for acute myocardial infarction complicated by cardiogenic shock or low cardiac output syndrome2014 · 58 citations