کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2999306 | 1180283 | 2010 | 13 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Noninvasive Measurement of Central Vascular Pressures With Arterial Tonometry: Clinical Revival of the Pulse Pressure Waveform?
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
کلمات کلیدی
HLDSHSAIXSBPPWVABIARBCIMTobstructive sleep apnea - آپنه خواب انسدادیDiastolic dysfunction - اختلال عملکرد دیاستولیکaugmentation pressure - افزایش فشارOsa - بخشLeft ventricular - بطن چپcoronary artery disease - بیماری عروق کرونرApplanation tonometry - تونومتر applanationejection time - زمان خروجPulse wave velocity - سرعت موج پالسAugmentation index - شاخص تقویتankle brachial index - شاخص پروگزیمال مچ پاCarotid intima-media thickness - ضخامت intima-carotide mediaHeart rate - ضربان قلبCAD - طراحی به کمک رایانه یا کَدsystolic blood pressure - فشار خون سیستولیکPulse pressure - فشار نبضangiotensin II receptor blocker - مسدود کننده گیرنده آنژیوتانسین IIStrong heart study - مطالعه قلب قویHyperlipidemia - هیپرلیپیدمی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
The arterial pulse has historically been an essential source of information in the clinical assessment of health. With current sphygmomanometric and oscillometric devices, only the peak and trough of the peripheral arterial pulse waveform are clinically used. Several limitations exist with peripheral blood pressure. First, central aortic pressure is a better predictor of cardiovascular outcome than peripheral pressure. Second, peripherally obtained blood pressure does not accurately reflect central pressure because of pressure amplification. Lastly, antihypertensive medications have differing effects on central pressures despite similar reductions in brachial blood pressure. Applanation tonometry can overcome the limitations of peripheral pressure by determining the shape of the aortic waveform from the radial artery. Waveform analysis not only indicates central systolic and diastolic pressure but also determines the influence of pulse wave reflection on the central pressure waveform. It can serve as a useful adjunct to brachial blood pressure measurements in initiating and monitoring hypertensive treatment, in observing the hemodynamic effects of atherosclerotic risk factors, and in predicting cardiovascular outcomes and events. Radial artery applanation tonometry is a noninvasive, reproducible, and affordable technology that can be used in conjunction with peripherally obtained blood pressure to guide patient management. Keywords for the PubMed search were applanation tonometry, radial artery, central pressure, cardiovascular risk, blood pressure, and arterial pulse. Articles published from January 1, 1995, to July 1, 2009, were included in the review if they measured central pressure using radial artery applanation tonometry.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Mayo Clinic Proceedings - Volume 85, Issue 5, May 2010, Pages 460-472
Journal: Mayo Clinic Proceedings - Volume 85, Issue 5, May 2010, Pages 460-472
نویسندگان
Matthew R. MD, MS, Jan MD, MPH, Michael PhD, Michael MD, MPH, R. Todd MD, A. Jamil MD,