侵入性测量中央大动脉脉压与上升大动脉直径之间的关联
Hack-Lyoung Kim1, Hyun Sung Joh2, Woo-Hyun Lim2
1Division of Cardiology, Department of Internal Medicine, Boramae Medical Center, Seoul National University College of Medicine, 5 Boramae-Ro, Dongjak-Gu, Seoul, 07061, Republic of Korea. khl2876@gmail.com.
Scientific reports
|November 30, 2023
概括
侵入性测量显示大动脉脉冲压与上升大动脉直径之间存在强烈联系. 这一发现增强了对中央血动力学和大动脉根几何学的理解.
科学领域:
- 心血管生理学心血管生理学
- 医疗成像医学成像
- 血液动力学 血液动力学
背景情况:
- 关于侵入性血液动力学测量和大动脉根几何学的数据有限.
- 了解脉动性血液动力学和大动脉尺寸之间的关系对于心血管健康至关重要.
研究的目的:
- 评估侵入性测量的大动脉脉压 (aPP) 和上升大动脉直径 (AoD) 之间的关系.
- 为了研究中枢大动脉血动力学和大动脉根几何学之间的相关性.
主要方法:
- 对665名接受入侵冠状动脉血管造影的受试者的分析.
- 测量大动脉直径 (AoD) 通过 transthoracic心声谱.
- 使用猪尾导管侵入性测量大动脉压力,以计算aPP.
主要成果:
- 在aPP和身体表面积调整后的AoD (AoD/BSA) 之间发现了显著的正相关性.
- aPP和AOD/BSA之间的相关性比大动脉缩压或手臂脉冲压的相关性更强.
- 多变量分析证实aPP是AoD/BSA的重要预测因素.
结论:
- 侵入性测量的aPP与AoD/BSA有显著的关联.
- 这项研究提供了强有力的证据,将中央大动脉脉动性血液动力学与大动脉根几何联系起来.
- 这些发现有助于更深入地了解由血液动力学力量影响的大动脉重塑.
相关概念视频
Blood Pressure
3.1K
The movement of blood in a human body, commonly referred to as blood flow, is determined by the volume of blood that traverses a certain section of the bodily system per unit time. It is the rhythmic contraction of the heart's ventricles that primarily instigates this movement. As the ventricles contract, blood is forced into the prominent arteries, which then flow from areas of greater pressure to lower pressure areas. This movement continues into smaller arteries and arterioles and...
3.1K
Sites for measruring blood pressure
1.8K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.8K
Measurement of Blood Pressure
950
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
950
Pulse
531
When the heart pumps blood out, arterial elastic fibers play a crucial role in sustaining a high-pressure gradient. They expand to accommodate the received blood and then recoil - a process known as the pulse that can be either manually palpated or electronically quantified. Despite a reduction in its effect with increased distance from the heart, elements of the pulse's systolic and diastolic components persist, observable even at the arteriole level.
The pulse serves as a clinical...
The pulse serves as a clinical...
531
Assessment of blood pressure in brachial artery(two-step method)
715
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
715
Equipments Used To Measure Blood Pressure
976
Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
976


