# Cardiac Index Calculator

*“Cardiac output and cardiac index measured with cardiovascular magnetic resonance in healthy subjects, elite athletes and patients with congestive heart failure“*Journal of Cardiovascular Magnetic Resonance (July 2012)See 1 more source

*“Physiology, Cardiac Index“*StatPearls Publishing (2021)

The cardiac index calculator **estimates cardiac function based on the cardiac output** from the left ventricle in one minute, **and the body surface area** of the patient. We frequently measure the patient's cardiac index (CI) and use it in intensive care medicine and cardiac intensive care. Read the article below to find out what is cardiac index, how to calculate it, and what the cardiac index formula looks like.

Here are other **cardiovascular system calculators** you might be interested in:

- QTc calculator - perform a correction of QT interval for your patient’s heart rate;
- CVD risk calculator - calculate 10-year risk for cardiovascular disease;
- CHA2DS2 vasc calculator - assess the risk of stroke in patients with atrial fibrillation;
- TIMI score - determine the 14 day risk of death or major health complications in patients with UA or NSTEMI; and
- Duke treadmill score - predict the risk of ischemia or infraction in the heart for your patient.

*We try our best to make our Omni Calculators as precise and reliable as possible. However, this tool can never replace professional medical advice.*

## What is cardiac index?

**Cardiac index (CI)** is an important parameter that **assesses if the patient's heart is pumping enough blood** and therefore delivering enough oxygen to the cells. It relates the cardiac output (CO) from left ventricle in one minute to body surface area (BSA), and therefore it takes into account the body size of the patient.

So, in general, we can say that the **CI's function is to create a normalized value for the cardiac function, which effectively corrects for the patient's body size.**

## Cardiac index formula and normal cardiac index range

So you know the answer to the question: "What is cardiac index?", but what does the **cardiac index formula** look like? We present the equation below:

`CI = CO / BSA`

where:

`CI`

- cardiac index, expressed in L/min/m²;

`CO`

- cardiac output, expressed in L/min; and

`BSA`

- body surface area, expressed in m².

**The normal cardiac index range is between 2.5 L/min/m² to 4.0 L/min/m²**. A value **under 2.0 L/min/m²** is highly indicative of **cardiogenic shock**.

**Is there any other way to calculate the cardiac index and cardiac output?**

The answer is yes. We may use **echocardiography** and perform measurements using the Doppler effect.

## How to calculate cardiac output and body surface area?

You may be familiar with the values of the parameters mentioned in the previous paragraph, but what if you don't know them? Let's find out **how to calculate cardiac output**.

In the simplest terms, **cardiac output is the volume of blood the heart pumps per minute**. The CO formula is as follows:

`CO = SV * HR`

where:

`CO`

- cardiac output, expressed in L/min;

`SV`

- stroke volume (the blood volume ejected by one heartbeat), expressed in mL; and

`HR`

- heart rate, expressed in beats per minute.

So now you know how to calculate cardiac output, but what about BSA? **Our cardiac index calculator uses the Haycock formula**, which is:

`BSA = 0.024265 * height`

^{0.3964} * weight^{0.5378}

where:

- BSA is expressed in m²;
- height is expressed in cm; and
- weight is expressed in kg.

## How to calculate cardiac index? - a practical example

You just found out how to calculate cardiac index, but let's use a practical example to make sure that everything is clear. Here are some details of our exemplary patient:

- Cardiac output: unknown;
- Stroke volume: 70 mL;
- Heart rate: 64 beats per minute;
- Weight: 71 kg; and
- Height: 169 cm.

*Don't worry about the units! Out calculator has a built-in unit converter.*

- We will start the calculation by
**estimating the cardiac output**of our patient:

`CO = SV * HR`

`CO = 70 * 64`

`CO = 4480 mL = 4.48 L`

- Now, we will
**calculate BSA**:

`BSA = 0.024265 * height`

^{0.3964}* weight^{0.5378}

`BSA = 0.024265 * 169`

^{0.3964}* 70^{0.5378}

`BSA = 0.024265 * 7.64 * 9.82`

`BSA = 1.835 m²`

- Finally, we can
**calculate the patient's cardiac index**using the cardiac index formula:

`CI = CO / BSA`

`CI = 4.48 / 1.835`

`CI = 2.44 L/min/m²`

Our patient's result **is equal to 2.46 L/min/m²**, so it is within the **normal cardiac index range**.

**from 2.5 to 4 L/min/m²**.