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Pressure Waveform (pressure + waveform)

Distribution by Scientific Domains

Medical Sciences	87%

Selected Abstracts

Analysis of the Arterial Blood Pressure Waveform Using Fast Fourier Transform Technique During Left Ventricular Nonpulsatile Assistance: In Vitro Study

ARTIFICIAL ORGANS, Issue 7 2000
Shinji Kawahito
Abstract: The arterial blood pressure waveform is variable during left ventricular assistance. The aim of this study is to examine the correlation between the left ventricular assist device (LVAD) condition and the arterial blood pressure waveform in a fixed cardiac output condition using a mock circuit. This mock circulation loop was composed of an aortic compliance chamber, a left atrial compliance chamber, a pneumatic pulsatile pump as a native heart, and a rotary blood pump representing the LVAD with left atrial drainage. The Fast Fourier Transform technique was utilized to analyze the arterial blood pressure waveform and calculate the pulsatility index (PI) and the pulse power index (PPI). The PI and PPI decreased with the increase of the LVAD rotational speed, exponentially. There was a significant negative correlation between the PI, PPI, and the LVAD rotational speed, flow rate, and assist ratio. The best correlation was observed between the PPI and the assist ratio (r = 0.986). From this viewpoint, an ideal LVAD condition may be estimated from the pulsatility change of the arterial blood pressure waveform. [source]

Comparison of in vivo effects of nitroglycerin and insulin on the aortic pressure waveform

EUROPEAN JOURNAL OF CLINICAL INVESTIGATION, Issue 1 2004
J. Westerbacka
Abstract Background, Individuals whose platelets are resistant to the antiaggregatory effects of insulin in vitro are also resistant to the antiaggregatory effects of nitroglycerin (GTN). We have previously shown that insulin acutely diminishes central wave reflection in large arteries and that this action of insulin is blunted in insulin-resistant subjects. However, as yet, no studies have compared the haemodynamic effects of insulin and GTN on large arterial function in the same group of subjects. The aim of this study was to determine whether resistance to the haemodynamic effects of insulin is a defect specific to insulin or whether individuals resistant to the vascular actions of insulin are also resistant to GTN. Design and results, Dose,response characteristics of insulin and GTN on the aortic waveform were determined using applanation tonometry and pulse wave analysis (PWA) in seven healthy men (age 26 ± 1 year, BMI 25 ± 2 kg m,2). Three doses of sublingual GTN (500 µg for 1, 3 or 5 min) and insulin (0·5, 1 or 2 mU kg,1 min,1 for 120 min) were administered on three separate occasions. Both agents dose-dependently decreased central pulse pressure and the augmentation index (AIx) without changing brachial artery blood pressure. We next compared responses to insulin (2 mU kg,1 min,1 for 120 min) and sublingual GTN (500 µg for 5 min) in 20 nondiabetic subjects (age 50 ± 2 year, BMI 21·0,36·3 kg m,2). Again, both agents significantly decreased AIx. Although the vascular effects of insulin and GTN vascular were positively correlated [Spearman's r = 0·92 (95% confidence interval 0·81,0·97), P < 0·0001], the time-course for the action GTN was faster than that of insulin. Brachial systolic blood pressure remained unchanged during the insulin infusion (122 ± 3 vs. 121 ± 3 mmHg, 0 vs. 120 min) but aortic systolic blood pressure decreased significantly by 30 min (111 ± 3 vs. 107 ± 3 mmHg, 0 vs. 30 min, P < 0·01). Similarly, GTN decreased aortic systolic blood pressure from 119 ± 4 to maximally 112 ± 3 mmHg (P < 0·001) without significantly decreasing systolic blood pressure in the brachial artery. Conclusions, The effects of insulin and GTN on large arterial haemodynamics are dose-dependent and significantly correlated. The exact mechanisms and sites of action of insulin and GTN in subjects with insulin resistance remain to be established. [source]

Socioeconomic status and hemodynamic recovery from mental stress

PSYCHOPHYSIOLOGY, Issue 2 2003
Andrew Steptoe
Abstract We assessed the changes in cardiac index and total peripheral resistance underlying blood pressure reactions and recovery from acute mental stress, in relation to socioeconomic status. A sample of 200 men and women aged 47,59 years was divided on the basis of occupation into higher, intermediate, and lower socioeconomic status groups. Blood pressure was monitored using the Portapres, and hemodynamic measures were derived by Modelflow processing of the arterial pressure waveform. Blood pressure increases during two stressful behavioral tasks were sustained by increases in cardiac index and total peripheral resistance. During the 45-min posttask recovery period, cardiac index fell below baseline levels, whereas peripheral resistance remained elevated. Peripheral resistance changes during recovery varied with socioeconomic status and blood pressure stress reactivity, with particularly high levels in reactive low status participants. Results are consistent with the hypothesis that disturbances of stress-related autonomic processes are relevant to the social gradient in cardiovascular disease risk. [source]

Effects of Cyclic Stretch Waveform on Endothelial Cell Morphology Using Fractal Analysis

ARTIFICIAL ORGANS, Issue 6 2010
Nooshin Haghighipour
Abstract Endothelial cells are remodeled when subjected to cyclic loading. Previous in vitro studies have indicated that frequency, strain amplitude, and duration are determinants of endothelial cell morphology, when cells are subjected to cyclic strain. In addition to those parameters, the current study investigated the effects of strain waveform on morphology of cultured endothelial cells quantified by fractal and topological analyses. Cultured endothelial cells were subjected to cyclic stretch by a designed device, and cellular images before and after tests were obtained. Fractal and topological parameters were calculated by development of an image-processing code. Tests were performed for different load waveforms. Results indicated cellular alignment by application of cyclic stretch. By alteration of load waveform, statistically significant differences between cell morphology of test groups were observed. Such differences are more prominent when load cycles are elevated. The endothelial cell remodeling was optimized when the applied cyclic load waveform was similar to blood pressure waveform. Effects of load waveform on cell morphology are influenced by alterations in load amplitude and frequency. It is concluded that load waveform is a determinant of endothelial morphology in addition to amplitude and frequency, and such effect is elevated by increase of load cycles. Due to high correlation between fractal and topological analyses, it is recommended that fractal analysis can be used as a proper method for evaluation of alteration in cell morphology and tissue structure caused by application of external stimuli such as mechanical loading. [source]

Analysis of the Arterial Blood Pressure Waveform Using Fast Fourier Transform Technique During Left Ventricular Nonpulsatile Assistance: In Vitro Study

Elevated augmentation index derived from peripheral arterial tonometry is associated with abnormal ventricular,vascular coupling

CLINICAL PHYSIOLOGY AND FUNCTIONAL IMAGING, Issue 5 2010
Kevin S. Heffernan
Summary Background:, Although typically derived from the contour of arterial pressure waveform, augmentation index (AIx) may also be derived from the digital pulse volume waveform using finger plethysmography (peripheral arterial tonometry, PAT). Little is known regarding the physiologic correlates of AIx derived from PAT. In this study, we investigated the relation of PAT-AIx with measures of ventricular,vascular coupling. Methods:, Pulse volume waves were measured via PAT and used to derive AIx. Using 2-dimensional echocardiography, effective arterial elastance index (EaI) was estimated as end-systolic pressure/stroke volume index. Left ventricular (LV) end-systolic elastance index (ELVI) was calculated as end-systolic pressure/end-systolic volume index. Ventricular,vascular coupling ratio was defined as EaI/ELVI. Results:, Given the bi-directional nature of ventricular,vascular uncoupling as measured by echocardiography, patients were separated into three groups: low EaI/ELVI (<0·6, n = 21), optimal EaI/ELVI (mean 0·6,1·2, n = 16) and high EaI/ELVI (>1·2, n = 10). Adjusting for potential confounders (age, mean arterial pressure, height and heart rate), patients with optimal EaI/ELVI had lower AIx (1 ± 4%, P<0·05) compared to those with low EaI/ELVI (13 ± 4%) and high EaI/ELVI (19 ± 5%). Conclusions:, Abnormal ventricular,vascular coupling, arising from either increased effective arterial elastance or increased ventricular elastance, is associated with increased AIx as measured by PAT. Additional research is needed to examine other vascular correlates of PAT-AIx. [source]

Performance of neonatal ventilators in volume targeted ventilation mode

ACTA PAEDIATRICA, Issue 2 2007
Atul Sharma
Abstract Aim: To test the hypothesis that in volume targeted ventilation modes, ventilator performance would vary according to ventilator type. Methods: Four neonatal ventilators: Draeger Babylog 8000 (Draeger Medical, Germany), SLE 5000 infant ventilator (SLE systems, UK), Stephanie paediatric ventilator (F. Stephan Biomedical, German) and V.I.P. Bird gold (Viasys Healthcare, USA) were assessed using a lung model. Delivered peak pressure, inflation time, mean airway pressure (MAP) and volume were measured. Results: At the same preset ventilator settings, the Stephanie and V.I.P. Bird ventilators delivered significantly lower peak pressures and tended to deliver lower MAPs than the other two ventilators. At a volume targeted ventilation level of 5 mL, the SLE and the V.I.P. Bird delivered significantly shorter inflation times. The above differences related to differences in the airway pressure waveforms delivered by the four ventilators. The V.I.P. Bird had a less variable volume delivery, but this was always significantly lower than the preset volume guarantee level but higher than the volume displayed by the ventilator. Conclusion: In volume targeted ventilation modes, performance differs between neonatal ventilator types; these results may have implications for clinical practise. [source]

FLUID FLOW IN DISTENSIBLE VESSELS

CLINICAL AND EXPERIMENTAL PHARMACOLOGY AND PHYSIOLOGY, Issue 2 2009
CD Bertram
SUMMARY 1Flow in single vascular conduits is reviewed, divided into distended and deflated vessels. 2In distended vessels with pulsatile flow, wave propagation and reflection dominate the spatial and temporal distribution of pressure, determining the shape, size and relative timing of measured pressure waveforms, as well as the instantaneous pressure gradient everywhere. Considerable research has been devoted to accessing the information on pathological vascular malformations contained in reflected waves. Slow waves of contraction of vessel wall muscle, responsible for transport of oesophageal, ureteral and gut contents, have also been modelled. 3The pressure gradient in a vessel drives the flow. Flow rate can be predicted both analytically and numerically, but analytical theory is limited to idealized geometry. The complex geometry of biological system conduits necessitates computation instead. Initially limited to rigid boundaries, numerical methods now include fluid,structure interaction and can simultaneously model solute transport, thus predicting accurately the environment of the mechanosensors and chemosensors at vessel surfaces. 4Deflated vessels display all phenomena found in distended vessels, but have additional unique behaviours, especially flow rate limitation and flow-induced oscillation. Flow rate limitation is widespread in the human body and has particular diagnostic importance in respiratory investigation. Because of their liquid lining, the pulmonary airways are also characterized by important two-phase flows, where surface tension phenomena create flows and determine the patency and state of collapse of conduits. 5Apart from the vital example of phonation, sustained self-excited oscillation is largely avoided in the human body. Where it occurs in snoring, it is implicated in the pathological condition of sleep apnoea. [source]