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Updated: Dec 7, 2025

In Vitro Model of Physiological and Pathological Blood Flow with Application to Investigations of Vascular Cell Remodeling
Published on: November 3, 2015
Measurement, Analysis and Interpretation of Pressure/Flow Waves in Blood Vessels
Jonathan P Mynard1,2,3,4, Avinash Kondiboyina1,2, Remi Kowalski1,2,4
1Heart Research, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Insights
Wave analysis examines blood pressure and flow waveforms to understand cardiovascular biomechanics. This review introduces key concepts and practical applications of techniques like pulse wave analysis for disease insights.
Area of Science:
- Cardiovascular Biomechanics
- Physiology
- Medical Engineering
Background:
- Cardiovascular system function relies on complex biomechanical interactions.
- Disease impairs cardiovascular performance through disrupted interactions.
- 'Wave analysis' techniques scrutinize pressure and flow waveforms to reveal these interactions.
Purpose of the Study:
- To provide a comprehensive introduction to wave analysis techniques.
- Focus on key concepts and practical applications, not mathematical derivations.
- To review methods for signal acquisition and waveform decomposition.
Main Methods:
- Overview of invasive and non-invasive measurement techniques for signal acquisition.
- Review of pulse wave analysis, wave separation, and wave intensity analysis.
- Discussion of methods for estimating wave speed and characteristic impedance.
Main Results:
- Wave analysis offers insights into cardiovascular biomechanical interactions.
- Understanding wave generation and modulation is critical for interpreting patterns.
- Key techniques enable decomposition of waveforms into forward and backward components.
Conclusions:
- Wave analysis is a valuable tool for studying cardiovascular health and disease.
- The review covers fundamental concepts, practical applications, and emerging techniques.
- Further exploration of wave potential and reservoir-excess pressure approaches is noted.
Abstract:
The optimal performance of the cardiovascular system, as well as the break-down of this performance with disease, both involve complex biomechanical interactions between the heart, conduit vascular networks and microvascular beds. 'Wave analysis' refers to a group of techniques that provide valuable insight into these interactions by scrutinizing the shape of blood pressure and flow/velocity waveforms. The aim of this review paper is to provide a comprehensive introduction to wave analysis, with a focus on key concepts and practical application rather than mathematical derivations. We begin with an overview of invasive and non-invasive measurement techniques that can be used to obtain the signals required for wave analysis. We then review the most widely used wave analysis techniques-pulse wave analysis, wave separation and wave intensity analysis-and associated methods for estimating local wave speed or characteristic impedance that are required for decomposing waveforms into forward and backward wave components. This is followed by a discussion of the biomechanical phenomena that generate waves and the processes that modulate wave amplitude, both of which are critical for interpreting measured wave patterns. Finally, we provide a brief update on several emerging techniques/concepts in the wave analysis field, namely wave potential and the reservoir-excess pressure approach.
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