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Utescu Mihai S - - 2009
BACKGROUND: The creation of arteriovenous fistulas (AVF) in patients with advanced chronic kidney disease (CKD) has been shown to have adverse effects on their central pulse wave profile suggesting a likely increase in arterial stiffness. The aim of the present study was to directly evaluate the effect of AVF on ...
Satoh Hiroyasu - - 2009
Treatment by manual acupuncture needling affects the vascular wall tone, and hemodynamic parameters for arterial stiffness may be characterized by treatment at the traditional acupuncture point (acupoint) of Baihui (GV20). The acute effects of acupuncture treatment on arterial stiffness and wave reflection were investigated and, simultaneously, an augmentation index (AI), ...
Ghiadoni Lorenzo - - 2009
Central blood pressure is dependent on the stiffness of large arteries and pulse wave reflection. These parameters are very important in the development of hypertensive target organ disease. Moreover, recent clinical studies have shown their independent predictive value for cardiovascular morbidity and mortality. Therefore, 2007 guidelines for the management of ...
Su Shan-Yu - - 2009
OBJECTIVES: The aim of this study was to investigate the effects of the menstrual cycle on the pulse pressure waveforms in women with regular biphasic cycles. METHODS: We recruited 36 biphasic healthy eumenorrheic volunteers. Pulse pressure waveforms from the radial artery were recorded by sphygmography in both hands, each with ...
Masugata Hisashi - - 2009
Cardio-ankle vascular index (CAVI) has been established as a marker of arterial stiffness, which is increased in hypertensive patients. CAVI reflects the stiffness of the aorta, femoral artery, and tibial artery. Sunitinib, multi-targeted tyrosine kinase inhibitor with both anti-angiogenic and anti-tumor activities, has been proved effective in patients with gastrointestinal ...
Feihl François - - 2009
Changes in vascular structure that accompany hypertension may contribute to hypertensive end-organ damage. Both the macrovascular and microvascular levels should be considered, as interactions between them are believed to be critically important. Regarding the macrocirculation, the article first reviews basic concepts of vascular biomechanics, such as arterial compliance, arterial distensibility, ...
Zhang Hongjun - - 2009
A frequency domain distributed 55 segment arterial model was constructed from the reflection perspective to predict pressure waveforms in the large systemic arteries. At any node, the predicted pressure waveform was the combination of a forward propagating waveform and a number of repeatedly reflected waveforms from any possible sites. This ...
Abu-Hilal Mohannad A - - 2010
Pulsus paradoxus or the paradoxical pulse is an exaggeration of the normal inspiratory decrease in systolic blood pressure. The current definition of pulsus paradoxus is an inspiratory drop in systolic blood pressure>10 mm Hg. This physical sign can occur in conditions like cardiac tamponade, constrictive pericarditis, asthma and several other ...
Castelpoggi Carlos H - - 2009
Increased arterial stiffness may be causally related to resistant hypertension. Our objective was to investigate the variables, particularly those derived from ambulatory blood pressure (BP) monitoring (ABPM), associated with increased aortic stiffness in resistant hypertensives. In a cross-sectional study, 600 resistant hypertensive patients without peripheral arterial disease were evaluated. Arterial ...
Swalen M J P - - 2009
It is well established that wave speed can be determined using the initial linear part of the pressure-velocity loop (PU-loop). However, the frequency response of most flow measuring devices is usually slower than that of solid-state pressure transducers; making flow waveforms lagging in time behind pressure waveforms. If this lag, ...
Al-Omari Malik A MA Division of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, - - 2009
African Americans with hypertension are prone to target-organ damage and adverse cardiovascular events. Biomarkers for early detection of target-organ damage in this ethnic group are needed. Adrenomedullin (ADM) is a circulating vasoactive peptide with vasodilatory and antiproliferative effects that has been reported to be elevated in adults with hypertension. We ...
Gole Yoann - - 2009
BACKGROUND: Acute hyperoxic exposure is known to modify cardiovascular parameters like a decrease in cardiac output, arterial vasoconstriction, and autonomic nervous system changes. We hypothesized that repeated hyperbaric hyperoxic exposures, as experienced by military oxygen divers, lead to long-term arterial alterations. METHODS: Arterial blood pressure measurements and pulse wave velocity ...
Takenaka Tsuneo - - 2009
Our previous data indicated that both home blood pressure and arterial stiffness predicted the progression of renal dysfunction in the patients with chronic kidney diseases. In the present study, we examined both home blood pressure and the parameters of arterial stiffness as the indicator to the progression of chronic kidney ...
Jung An Doc - - 2009
Several studies have shown that angiotensin II receptor blockers (ARBs) improve endothelial function and arterial stiffness. Telmisartan is a highly selective ARB that activates peroxisome proliferator-activated receptor gamma (PPARgamma). The purpose of this study was to evaluate the effects of telmisartan, such as endothelial function, arterial stiffness, and insulin sensitivity, ...
Namasivayam Mayooran - - 2009
Aortic systolic and pulse pressure rise with age because of aortic stiffening. Two factors are responsible: a larger incident wave because of increased aortic characteristic impedance and premature return of wave reflection from peripheral sites. This study aimed to determine the relative contribution of each factor before and after age ...
Wei Ching-Chuan - - 2009
This study analyzed the exponential decay characteristic of the harmonic peaks in the spectrum of blood pressure wave (BPW) from radial artery at wrist. Low-order harmonic deviation (LHD), high-order harmonic deviation (HHD), total harmonic deviation (THD) and exponent (alpha) were developed to assess the exponential decay feature of normal subjects ...
Morović Sandra - - 2009
Arterial beta stiffness index is a potential risk factor for increased stroke occurrence. Vascular component appears to be significant in both Alzheimer's disease (AD) and vascular dementia (VAD). We aimed to further explore vascular characteristics of patients with both types of cognitive decline using non-invasive neurosonological methods. There were 38 ...
Polónia Jorge - - 2009
BACKGROUND: Cigarette smoking is one important preventable cause of cardiovascular illness that has been associated with increased stiffness of large arteries and wave reflection, which are independent predictors of cardiovascular disease. METHODS: We investigated the effect of a 6-month quitting smoking programme on aortic stiffness, central pressure and wave reflections ...
Minami Junichi - - 2009
The influences of smoking habits on blood pressure (BP) may have been underestimated substantially on the basis of conventional measurements. We compared the radial augmentation index (AI), brachial and central pressures, and prevalence of the metabolic syndrome (MetS) among never smokers, former smokers, and current smokers in a population of ...
Stuart Reece Albert - - 2011
Pulse wave analysis (PWA) by radial arterial tonometry is receiving increasing attention for the assessment of central vascular compliance in younger patients. We present five PWA studies performed prospectively on a patient with severe coronary artery disease, and find that the measures of central augmented pressure and particularly the difference ...
Rice Sam P L - - 2009
CONTEXT: Patients with Addison's disease and hypopituitarism have increased mortality, chiefly related to vascular disease. Both diseases are characterized by dehydroepiandrosterone (DHEA) deficiency, yet this is not usually corrected. It is unclear whether treatment of these conditions with DHEA improves cardiovascular risk. OBJECTIVE: The aim of the study was to ...
Yildiz Mustafa - - 2009
AIM: The aim of our study was to investigate the effects of endogenous melatonin on arterial distensibility using measurements of the velocity of the aortic pulse wave between the carotid and femoral arteries in healthy young students assessed in the supine position. MATERIAL AND METHODS: We studied 29 healthy young ...
Kuo Hsu-Ko - - 2010
Arterial stiffness, an age-related feature and measured noninvasively by pulse wave velocity (PWV), is associated with a variety of cardiovascular diseases. Although white matter lesion (WML), representing cerebrovascular micro-angiopathy, is typically considered as a preclinical cardiovascular disease, little is know about the association between PWV and WML. The aim of ...
Fang Wei - - 2009
BACKGROUND: Pulse pressure has been shown to be associated with adverse outcomes in the general population and in patients on hemodialysis (HD). However, the significance of pulse pressure has not been studied in peritoneal dialysis (PD) patients. This study examined the association between pulse pressure and mortality in patients undergoing ...
Wang Kang-Ling - - 2009
To examine the relationship between brachial and central carotid pressures and target organ indices at baseline and their association with future mortality. We examined, cross-sectionally and longitudinally, the relations of baseline systolic and pulse pressures in central (calibrated tonometric carotid pulse) and peripheral (brachial, mercury sphygmomanometer) arteries to baseline left ...
Dursun Ismail - - 2009
BACKGROUND: Endothelial dysfunction is an important factor in the pathogenesis of atherosclerosis, and endothelial microparticles (EMPs) are considered as markers of endothelial dysfunction. In this study, we aimed to examine the relationship between EMPs and arterial stiffness and atherosclerosis in children with chronic kidney disease (CKD). METHODS: This cross-sectional study ...
Peng-Lin Yang - - 2009
Pulse pressure (PP) is emerging as a major pressure predictor of cardiac disease. However, there are two major limitations for PP as an evaluation index. First, PP has alterability in the same individual. Second, PP is "floating", it has no relation to an absolute BP level. In order to overcome ...
Amoh-Tonto Comfort A CA George Washington University School of Medicine, Washington DC, - - 2009
Impaired functional capacity predicts morbidity and increased mortality in patients with PAD. We hypothesized that brachial-ankle pulse wave velocity (baPWV), a measure of arterial stiffness, is associated with functional capacity in patients undergoing noninvasive evaluation for peripheral arterial disease (PAD). We studied 114 patients (age 68+/-10 years) referred to Mayo ...
Bernjak Alan - - 2009
The pulse transit time (PTT) of a wave over a specified distance along a blood vessel provides a simple non-invasive index that can be used for the evaluation of arterial distensibility. Current methods of measuring the PTT determine the propagation times of pulses only in the larger arteries. We have ...
Montalcini Tiziana - - 2009
Pulse pressure, the difference between systolic blood pressure and diastolic blood pressure, is associated with cardiovascular diseases. Several studies showed that a large pulse pressure is an independent predictor of cardiovascular mortality since the increased stiffness augment ascending aortic pulse pressure that, in turn, produce wall stress and development of ...
Weng C-H - - 2009
BACKGROUND: In addition to pulse wave velocity (PWV), serum aluminum level is predictive of mortality in haemodialysis (HD) patients. This cross-sectional study evaluated the correlations between serum aluminum and brachial-ankle PWV (baPWV). METHODS: One hundred twenty-seven HD patients (average age 58.46 +/- 9.95 years) were enrolled. Medical data were obtained ...
Walcott Gregory G University of Alabama at Birmingham, Birmingham, AL, USA. - - 2009
Although return of spontaneous circulation (ROSC) is frequently achieved during resuscitation for sudden cardiac arrest, systolic blood pressure can then decrease, requiring additional myocardial support. Previous studies have shown that a series of 1-ms electrical pulses delivered through the defibrillation patches during ventricular fibrillation (VF) can stimulate the autonomic nervous ...
Seo Jeehye - - 2009
This study evaluated arterial wall stiffness independent of variant background blood pressure. A new technique-arterial wall stiffness index (AWSI)-was developed and its use verified. Intraluminal pressure and luminal volume were measured on eight swine descending aortas. AWSI was formulated to evaluate absolute arterial wall stiffness independent of variable blood pressure ...
Rizzoni Damiano - - 2009
Macrovasculature and microvasculature are deeply interrelated, since microvascular structure is not only the site of vascular resistance but probably also the origin of most of the wave reflections generating increased central systolic blood pressure. In fact, preliminary data suggest that some index of large artery stiffness is related with the ...
Corona Giovanni - - 2009
INTRODUCTION: Pulse pressure (PP; i.e., the arithmetic difference between systolic and diastolic blood pressure) reflects arterial stiffness and has been suggested to be an independent cardiovascular risk factor. AIM: The aim of the present study is to asses the possible contribution of PP to arteriogenic erectile dysfunction (ED) and ED-associated ...
Klinge Annette - - 2009
BACKGROUND: Arterial hypertension and premature coronary artery disease are poorly understood complications of cardiac transplantation in children. Arterial stiffness is associated with cardiovascular risk in adults. Pulse wave velocity (PWV) may be used as a surrogate for arterial rigidity. In this study we investigate PWV in children after cardiac transplantation. ...
Tahvanainen Anna - - 2009
OBJECTIVE: To non-invasively measure central haemodynamics, arterial stiffness, cardiac function and vascular resistance, with the subject in the supine position and during head-up tilt, in order to examine the haemodynamic changes associated with alterations in the augmentation index, and to investigate repeatability and reproducibility of the measurement protocol. MATERIAL AND ...
Salt Alun M - - 2009
Despite its appearing to be a simple question to answer, there has been no consensus as to whether or not the alignments of ancient Greek temples reflect astronomical intentions. Here I present the results of a survey of archaic and classical Greek temples in Sicily and compare them with temples ...
Kirton Adam - - 2009
BACKGROUND: Neurovascular compression (NVC) may cause cranial mononeuropathy but lacks a definitive diagnostic investigation. We hypothesized that the arterial pressure wave (APW) would interact at the neurovascular interface in NVC to inhibit transmission of transcranial magnetic stimulation (TMS) stimuli to affected muscles. METHODS: We report a novel neurophysiological method coupling ...
Zheng Danxia - - 2009
BACKGROUND: In this study, we focused on whether volume overload plays a role in the development of arterial stiffness. METHODS: Seventy-three prevalent hemodialysis patients were enrolled in a cross-sectional study. Arterial stiffness was assessed by carotid-femoral pulse wave velocity (PWV), and volume overload was assessed by bioimpedance analysis. RESULTS: Patients ...
Sabovic Miso - - 2009
For a long time the consideration of blood pressure was based exclusively on measurements of peripheral (brachial) blood pressure. However, there is now a growing interest in the investigation of central (aortic) pressure. There is increasing awareness that the central hemodynamics, reflected by central pressure wave forms and arterial stiffness, ...
Nichols Wilmer W - - 2009
The large conduit arteries of the thorax and abdomen are elastic while those in the arms and legs are muscular. Alterations in wall properties of elastic arteries occur over time and are usually permanent in nature; acute changes can, however, occur is response to a change in transmural pressure. Chronic ...
Cagirci Goksel - - 2009
BACKGROUND: Prolongation of P-wave durations and increased P-wave dispersion are independent predictors of atrial fibrillation (AF). AF is the most common arrhythmia of the general population. Prehypertension, including those with systolic blood pressure ranging from 120-139 mmHg or diastolic blood pressure ranging from 80-89 mmHg was described by JNC7. Prehypertension ...
Karatzi Kalliopi - - 2009
Red wine is considered to reduce cardiovascular risk and decrease peripheral systolic and diastolic blood pressure. Central aortic pressures are often more sensitive clinical and prognostic factors than peripheral pressures, while arterial stiffness is an independent prognostic factor for cardiovascular events. Great efforts are being made to find natural sources ...
Othmane Taha El Hadj Tel - - 2009
In previous studies, different parameters of arterial stiffness were related to cardiovascular mortality in hemodialysis patients, but their relative prognostic value has not previously been evaluated in 1 cohort. Carotid-femoral pulse wave velocity (PWV), the carotid augmentation index, carotid pulse pressure (CPP) and carotid-brachial pulse pressure amplification (AMP) were measured ...
Schmidt Gregory A - - 2009
Dynamic predictors are clearly superior to static pressures in predicting whether a patient will respond to a fluid bolus. Hand-carried ultrasound (HCUS) can measure changes in blood flow velocity in the brachial artery that parallel arterial pulse pressure variation. The potential for HCUS to guide fluid therapy non-invasively must overcome ...
Westphal Glauco A - - 2009
To compare variations of plethysmographic wave amplitude (DeltaPpleth) and to determine the percent difference between inspiratory and expiratory pulse pressure (DeltaPp) cutoff values for volume responsiveness in a homogenous population of postoperative cardiac surgery patients. Intra-thoracic pressure variations interfere with stroke volume variation. Pulse pressure variations through arterial lines during ...
Swamy Gokul G Department of Electrical and Computer Engineering, Michigan State University, East Lansing, MI 48824, USA. - - 2009
We previously proposed a new technique to estimate the physiologically and clinically more relevant central aortic pressure (AP) waveform from a conveniently and safely measured peripheral artery pressure (PAP) waveform distorted by wave reflections. In contrast to conventional generalized transfer function (GTF) techniques, the technique is able to adapt the ...
Kim Sunghan S Biomedical Signal Processing Laboratory at Portland State University, Oregon, USA. - - 2009
We describe a novel automatic algorithm to continuously estimate the pulse pressure variation (PPV) index from arterial blood pressure (ABP) signals. The algorithm utilizes our recently developed sequential Monte Carlo method (SMCM) based on a maximum A-Posterior adaptive marginalized particle filter (MAM-PF). The PPV index is one of most specific ...
Wu Hsien-Tsai HT Department of Electrical Engineering, National Dong Hwa University, Hualien, Taiwan. - - 2009
This study proposes a method of measuring vasodilatation via air pressure sensing to assess the function of endothelium cells. The vasodilatation index is calculated according to the change of area of waveform caused by stimulation to the blood vessels, and uses this index to reflect the function of endothelium cells; ...
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