Sex-related differences in first-stage impedance cardiographic variables

Impedance cardiography (ZCG), a noninvasive technique used to determine stroke volume and ventricular performance, is currently being utilized more extensively in psychophysiological research and may also prove a useful tool in the control of hypertension. To date, most studies employing ZCG have tested male subjects or patients. However, women and men differ on two important parameters used to calculate stroke volume: thoracic impedance (Zo), and the first derivative of change in impedance over time (dZ/dt_min). Examination of the clinical records of 19 females and 19 males, all nonmedicated, indicated that women had higher Zo levels (F(1, 36)=46.2,p<.0001) and higher dZ/dt_min levels (F(1, 36)=51.8, p<.0001), although calculated stroke volume indexes did not differ. A second sample of 10 women and 8 men, all healthy and nonmedicated, confirmed these findings. The differences in Zo are not due entirely to sex differences in height, weight, percent body fat, and subscapula skin-fold thickness, although these factors differ across sexes. It is important for researchers and clinicians utilizing ZCG with female subjects to be aware of these differences.