Pulse wave analysis Sample Clauses

Pulse wave analysis. The clear advantages of using bSBP and bDBP values in clinical practice are their established use and relative ease with which they may be derived using modern oscillometric methods. However bSBP and bDBP values alone provide an incomplete characterisation of haemodynamics as they represent the peak and nadir of the pressure at the brachial artery.56 The introduction of commercially available high fidelity tonometers has advanced the field of pulse wave analysis (PWA) a great deal as they allow non-invasive recording of an arterial pressure waveform, which can then be calibrated from bSBP and bDBP. Tonometry is usually performed at the radial artery and it has been shown that a generalised transfer function (GFT) can be applied to a radial waveform to obtain a central aortic waveform with reasonable precision. Alternatively, tonometry can be performed at the carotid artery which, because of its close proximity to the aorta, provides a waveform that closely resembles the aortic waveform. A number of indices to describe the central aortic pulse contour are shown in figure 1.
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