A method of blood flow monitoring for a patient, the method comprising the steps of: a) receiving a first signal indicative of the real time cardiac output for the patient; b) processing the continuous wave Doppler signal to provide an estimate of blood flow velocity as a function of time; c) receiving a pressure measurement indicative of the blood flow resistance through the patient; and d) calculating an Inotropy measure indicative of the potential and kinetic energy of the cardiac output of the patient.