Doppler Echo Cardiac Output Calculator

Created by Łucja Zaborowska, MD, PhD candidate
Reviewed by Dominika Miszewska, MD, PhD candidate and Steven Wooding
Based on research by
Labovitz AJ, Buckingham TA, Habermehl K, Nelson J, Kennedy HL, Williams GA. The effects of sampling site on the two-dimensional echo-Doppler determination of cardiac output. American Heart Journal (1985)See 3 more sources
Lewis JF, Kuo LC, Nelson JG, Limacher MC, Quinones MA. Pulsed Doppler echocardiographic determination of stroke volume and cardiac output: clinical validation of two new methods using the apical window. Circulation (1984)Oren-Grinberg A, Lerner A Manual - Echocardiographic Determination of Cardiac OutputMosteller RD. Simplified Calculation of Body-Surface Area The New England Journal of Medicine (1987)
Last updated: Jul 29, 2022

Welcome to the Doppler echo cardiac output calculator for professionals. The guide below will lead you through the functionalities of a tool and remind you of a few crucial definitions connected to the subject.

Keep on reading to expand your knowledge on:

  • Non-invasive cardiac output estimations;
  • Computing the Doppler cardiac index; and
  • Defining properties of LVOT, cardiac output, stroke volume, and cross-sectional area (LVOT CSA).

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

Left ventricle hemodynamics measured with echo Doppler

Echocardiography Doppler is a non-invasive method of heart imagining. Echo uses a typical ultrasound machine connected to a probe of a different shape. While the heart structures can be easily visible in us, a physician needs to use the Doppler effect if they want to visualize the blood flow and measure its velocity.

Echo Doppler function allows us to measure:

  • LVOT diameter (left ventricular outflow tract diameter) – LVOT is the region of a left ventricle that further turns into the aorta; and

  • LVOT VTI (left ventricular outflow tract velocity time integral) – velocity measured during the ejection phase, aka the stroke distance.

These values are needed to compute the stroke volume, the cross-sectional area of LVOT, cardiac output, and cardiac index of a left ventricle. You may calculate them by hand or make your life easier by trying the Doppler echo cardiac output calculator on your left.

How to calculate stroke volume with echocardiography Doppler?

Let's compute it step by step.

  1. Measure the LVOT diameter and LVOT VTI using Doppler echocardiography.

  2. Find the cross-sectional area (CSA) with:

    CSA = π × (LVOT diameter/2)²

  3. Calculate stroke volume using:

    Stroke volume (mL) = CSA × LVOT VTI

Units:

  • LVOT diameter is given in cm;
  • CSA is given in cm²; and
  • LVOT VTI is given in cm.

💡 Why do we use the equation for the circle area?

It's easier to understand if you imagine LVOT as a cylinder (see diagram below); its base is equal to the area of CSA, while its height is approximate to LVOT VTI (which describes the stroke distance measured with the echo-Doppler).

LVOT visualized as a cylinder
LVOT - left ventricular outflow tract diameter, CSA - cross-sectional area.

How to calculate cardiac output with echocardiography Doppler?

Follow the simple guide:

  1. Measure the LVOT diameter and LVOT VTI using Doppler echo.

  2. Using the following formula, find the cross-sectional area (CSA):

    CSA = π × (LVOT diameter/2)²

  3. Find the stroke volume using:

    Stroke volume = CSA × LVOT VTI

  4. And finally, compute the cardiac output.

    Cardiac output (L/min) = Stroke volume × Heart rate /1000

Units:

  • LVOT diameter is given in cm;
  • CSA is given in cm²;
  • LVOT VTI is given in cm; and
  • Stroke volume is given in mL.

How to use the Doppler echo cardiac output calculator?

Our hemodynamics echo calculator requires exactly 5 tasks to complete:

  1. Enter your patient's height.
  2. Choose your patient's weight.
    The tool needs both these values to execute the Mosteller's equation for body surface area.
  3. Input the heart rate.
    In beats per minute.
  4. Measure LVOT VTI.
    Left ventricular outflow tract velocity time integral.
  5. Enter the LVOT diameter.

That's all you need – your CO and CI results will be automatically displayed.

💡 Click on the Advanced mode button at the bottom of the Doppler echo cardiac output calculator to show computed values of:

  • Stroke volume;
  • Cross-sectional area of LVOT (CSA); and
  • Calculated body surface area.

Normal values of Doppler echo cardiac output calculator

Have you been wondering what the physiological values for the variables used in our calculator are? Look no further!

  • Heart rate: 60-100 bpm
  • LVOT VTI: >18 cm
  • LVOT diameter: 18-22 mm
  • Cardiac output: 4-8 L/min
  • Cardiac index: 2.5-4.0 L/min/m²
  • Stroke volume: 50-100 mL
  • Cross-sectional area of LVOT: 2.5-3.8 cm²

FAQ

What is cardiac output?

Cardiac output (CO) describes the amount of blood pumped by the heart during exactly one minute. We compute it by multiplying the amount of blood pumped during one contraction by the number of heart contractions (heart beats):

CO = Stroke volume (ml) × Heart rate (beats per minute)

What is LVOT?

LVOT stands for the left ventricular outflow tract. LVOT represents the cylindrical region of the left ventricle that leads to the aorta. Its volume is determined by the anterior cusps of the mitral valve and ventricular septum.

  • LVOT can be visualized with the use of echocardiography Doppler.

  • We may use LVOT to compute Doppler cardiac output, stroke volume, and Doppler cardiac index.

What's the difference between CO and CI?

Cardiac index (CI) is equal to cardiac output (CO) divided by the body surface area:

Cardiac index = Cardiac output / Body Surface Area

Cardiac output/ cardiac index can be computed using non-invasive echocardiography Doppler methods.

Łucja Zaborowska, MD, PhD candidate
Height
ft
Weight
lb
Heart rate
bmp
LVOT VTI
cm
LVOT diameter
mm
Cardiac output
L/
min
Cardiac index
L/min/m²
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