Cardiac index is defined as
## Core Concept
The cardiac index is a measure used to relate the cardiac output (CO) from left ventricle in one minute to body surface area (BSA), thus relating heart performance to body size. It is an important parameter in assessing cardiac function, especially in critical care and cardiology. The formula for cardiac index (CI) is: CI = CO / BSA.
## Why the Correct Answer is Right
The correct answer, , directly corresponds to the definition of cardiac index, which is the cardiac output (usually measured in liters per minute, L/min) divided by the body surface area (measured in square meters, m^2). This normalization for body surface area allows for a more accurate comparison of cardiac function across individuals of different sizes.
## Why Each Wrong Option is Incorrect
- **Option A:** This option is incorrect because it does not accurately represent the formula for cardiac index. It lacks the division by body surface area, which is crucial for the calculation.
- **Option B:** This option is incorrect as it suggests stroke volume (the volume of blood pumped by the left ventricle of the heart in one contraction) divided by body surface area, which does not account for heart rate and is therefore not a measure of cardiac output or index.
- **Option D:** This option incorrectly states cardiac output divided by diastolic pressure, which does not relate to the definition of cardiac index and involves an irrelevant parameter (diastolic pressure).
## Clinical Pearl / High-Yield Fact
A normal cardiac index ranges from 2.6 to 4.2 L/min/m^2. This value is crucial in assessing the adequacy of cardiac function, particularly in critically ill patients or those with heart failure. Remembering that cardiac index takes into account the body surface area helps in understanding its utility in comparing cardiac performance across different body sizes.
## Correct Answer: .