用非侵入性方法测量动脉硬度参数的评估-系统性审查
Marta Maria Niwińska1, Sławomir Chlabicz1
1Department of Family Medicine, Medical University of Białystok, Podlaskie Voivodeship, 15-054 Białystok, Poland.
Cardiology research and practice
|December 30, 2024
概括
测量动脉硬性的非侵入性设备显示了不同的准确性. 平度计比振荡计优越,但需要更大的研究来临床整合这些脉冲波速度工具.
科学领域:
- 心血管生理学心血管生理学
- 生物医学工程 生物医学工程
- 医学诊断 医学诊断 医学诊断
背景情况:
- 通过脉冲波速度 (PWV) 测量的动脉硬是心血管风险的关键标志物.
- 非侵入性PWV评估对于可访问的心血管风险评估至关重要.
- 动脉协会的指导方针推用于测量带带PWV (cfPWV) 的平平度计.
研究的目的:
- 为了比较非侵入性动脉硬度测量方法:Mobil-O-Graph和SphygmoCor/SphygmoCor XCEL.
- 为了评估这些设备与动脉协会准则的准确性和可靠性对齐.
主要方法:
- 系统地搜索PubMed和Scopus数据库中的文献,寻找比较和验证非侵入性PWV测量的研究.
- 包括23项研究 (21项来自搜索,2项其他相关研究).
- 专注于血液动力学稳定的慢性疾病群体,不包括怀孕,冲击或压力测试条件.
主要成果:
- 平度计仪器 (SphygmoCor,SphygmoCor XCEL) 与侵袭方法的一致性比振荡计仪器 (Mobil-O-Graph) 更好.
- 斯菲格莫科尔XCEL表现出与斯菲格莫科尔的良好一致性以及对验证标准的卓越遵守.
- 振荡计设备依赖于算法,可能低估慢性疾病人群中的PWV,尽管短期变异性较低.
结论:
- 与振荡计相比,对cfPWV的评估来说,平面化度法比振荡计优越.
- 目前的验证研究往往缺乏足够的样本大小和根据指导方针的人口多样性.
- 在广泛采用非侵入性PWV设备之前,需要进行进一步的大规模研究.
相关概念视频
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The Brachial Artery: Primary Site for Blood Pressure Measurement
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01:23Assessment of blood pressure in brachial artery(two-step method)
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01:15Assessment of blood pressure in brachial artery(one-step method)
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This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
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01:10Pre-Procedural Guidelines for Assessing Blood Pressure
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01:28Special considerations while measuring blood pressure
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When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
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Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
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01:30Equipments Used To Measure Blood Pressure
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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...
762