Document Detail

The physiological impact of intermittent sequential pneumatic compression (ISPC) leg sleeves on cardiac activity.
MedLine Citation:
PMID:  21440888     Owner:  NLM     Status:  Publisher    
BACKGROUND:: Pneumatic sleeves are widely used in surgery to prevent venous stasis and to improve cardiac function. The aim of this study was to assess the underlying cardiovascular mechanism induced by the activation of intermittent sequential pneumatic compression (ISPC) in healthy volunteers. METHODS:: Twenty male subjects underwent transthoracic echocardiographic and tissue Doppler imaging evaluation before and during the activation ISPC devices. Each patient served as his own control. RESULTS:: Following ISPC activation, there were significant increases in cardiac output (from 5.1 to 5.5 L/min, P < .05) and stroke volume (from 72 to 78 mL, P < .002), as well as ejection fraction, the velocity-time integral of aortic flow, and fractional shortening of the left ventricle. There was no increase in heart rate. Tissue Doppler imaging was compatible with normal cardiac responses. Total peripheral resistance was significantly reduced during ISPC activation. CONCLUSIONS:: The activation of ISPC devices in normal volunteers augmented cardiac output because of increased preload as well as decreased afterload.
Amitai Bickel; Alexander Shturman; Ilia Grevtzev; Nathan Roguin; Arieh Eitan
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-25
Journal Detail:
Title:  American journal of surgery     Volume:  -     ISSN:  1879-1883     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011. Published by Elsevier Inc.
Department of Surgery, Western Galilee Hospital, Nahariya, Israel; Department of Cardiology, Western Galilee Hospital, Nahariya, Israel; Faculty of Medicine, the Technion, Israel Institute of Technology, Haifa, Israel.
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