Document Detail


Dynamic measurement of human capillary blood pressure.
MedLine Citation:
PMID:  3370917     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
1. Capillary blood pressure was measured in man using a dynamic servo-nulling system and direct micropuncture. This enabled assessments of the normal variations in pressure which influence fluid filtration and reabsorption. 2. Seventy-eight capillaries in 19 subjects were punctured in one of three positions around the capillary loop with the hand at the level of the sternal angle. Mean pressure around the loop fell from 37.7 +/- 3.7 mmHg (arteriolar limb, mean +/- SEM, n = 12) to 19.4 +/- 1.0 mmHg (apex, n = 25) to 14.6 +/- 0.5 mmHg (venular limb, n = 41) at skin temperatures of 18.7-33.1 degrees C. These values agree closely with Landis' original studies in 1930 [E. Landis (1930) Heart, 15, 209-228]. 3. The mean filtration/reabsorption state of any particular capillary limb was not static because of cardiac, vasomotor and respiratory fluctuations in capillary pressure. From a total of 38 capillaries in which recordings were analysed for 30 s, the fluctuations in pressure were such that 27 capillaries probably had periods of both filtration and reabsorption. 4. Computerized superimposition and coherent averaging of trains of capillary pulses enabled an accurate description of the pulse waveform to be made in three capillaries. This was remarkably similar to waveforms from the radial artery, albeit at reduced amplitude (average 3.6 +/- 3.4 mmHg, mean +/- SD overall). The time for the pulse to travel between the radial artery and the finger capillary was approximately 10 ms, which implies a propagation velocity of several metres per second.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
S A Williams; S Wasserman; D W Rawlinson; R I Kitney; L H Smaje; J E Tooke
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical science (London, England : 1979)     Volume:  74     ISSN:  0143-5221     ISO Abbreviation:  Clin. Sci.     Publication Date:  1988 May 
Date Detail:
Created Date:  1988-07-08     Completed Date:  1988-07-08     Revised Date:  2009-09-29    
Medline Journal Info:
Nlm Unique ID:  7905731     Medline TA:  Clin Sci (Lond)     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  507-12     Citation Subset:  IM    
Affiliation:
Department of Physiology, Charing Cross and Westminster Medical School, London.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Pressure
Blood Pressure Determination / methods*
Capillaries / physiology*
Female
Humans
Male
Middle Aged
Pulsatile Flow
Respiration
Skin / blood supply
Skin Temperature
Vasomotor System / physiology
Grant Support
ID/Acronym/Agency:
//Wellcome Trust

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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