The aim of this study was to validate in rats an alternative to the radioac
tive microspheres (RM) reference technique, the fluorescent microspheres (F
M), for the simultaneous determination of cardiac index (CI) and regional b
lood flows (RBF). Validation of the FM method was performed in three steps:
(a) comparison of CI and RBF values obtained simultaneously by FM and RM,
(b) determination of the repeatability of the measurements by using two suc
cessive injections of FM, and (c) evaluation of the ability of the FM metho
d to assess vasodilating effects (by using dipyridamole). CI values (range,
242-513 ml/min.kg; n = 20) obtained with FM correlated with those obtained
with RM (r = 0.82; p < 0.001), and agreement was found between FM and RM (
error 95% confidence interval for one pair, +/-125 ml/min.kg). FM RBF value
s, although smaller than corresponding RM RBF values, were correlated with
the latter (range, 0.1-7 ml/min.g; n = 71; r = 0.99; p < 0.001). Agreement
was dependent on RBF values, e.g., error 95% confidence intervals for one p
air were 0.08-0.13 and 3.86-6.48 for 0.1 and 5 ml/min.g, respectively. Two
successive FM injections at a 10-min interval (conscious rats) provided sim
ilar values (n = 14) for CI (306 +/- 24 vs. 346 +/- 18 ml/min.kg), and rena
l (5.1 +/- 0.2 vs. 6.2 +/- 0.3 ml/min.g), left (6.1 +/- 0.3 vs. 5.8 +/- 0.4
ml/min.g) and right (4.8 +/- 0.4 vs. 4.7 +/- 0.3 ml/min.g) myocardial RBE
Corresponding error 95% confidence intervals were +/-187 ml/min.kg, +/-2.8,
+/-2.2, and +/-2.0 ml/min.g, respectively. Dipyridamole (2, 4, 6, and 8 mg
/kg min for 10 min, i.v.; n = 9-13 per group, conscious rats) significantly
and dose dependently increased left and right myocardial blood flows, wher
eas renal blood flow was not affected. We conclude that the FM technique (a
) is reliable and in agreement with the RM method, (b) provides repeatable
measurements of systemic and regional hemodynamics, and (c) allows detectio
n and quantification of vasodilating effects in rats.