Real-time doppler-based arterial vascular impedance and peripheral pressure-flow loops: A pilot study

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 28, Issue 1, 2014, Pages 36-41

  Thiele, Robert H ^a   Bartels, Karsten ^b   Esper, Stephen ^c   Ikeda, Keita ^d   Gan, Tong Joo ^d  

^a UNIVERSITY OF VIRGINIA   (United States)

^b UNIVERSITY OF COLORADO SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

^d DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

arterial waveforms, monitoring; doppler; hemodynamics; impedance; pressure flow loops

Indexed keywords

ADULT; ANALOG DIGITAL CONVERTER; ANESTHESIST; ARTERIAL PRESSURE; ARTERIAL VASCULAR IMPEDANCE; ARTERY CATHETER; ARTICLE; BLOOD PRESSURE TRANSDUCER; CARDIOPULMONARY HEMODYNAMICS; CARDIOVASCULAR MONITORING DEVICE; COHORT ANALYSIS; COMPUTER PROGRAM; DOPPLER DEVICE; DOPPLER FLOWMETER; FEASIBILITY STUDY; HEMODYNAMIC MONITORING; HUMAN; IMPEDANCE; INTERVENTION STUDY; INTRAOPERATIVE PERIOD; NON INVASIVE MEASUREMENT; PATIENT MONITORING; PERIPHERAL PRESSURE FLOW; PILOT STUDY; PRIORITY JOURNAL; PROSPECTIVE STUDY; RADIAL ARTERY; SURGICAL PATIENT; THORACIC AORTA; WAVEFORM;

ARTERIAL WAVEFORMS, MONITORING; DOPPLER; HEMODYNAMICS; IMPEDANCE; PRESSURE FLOW LOOPS;

AORTA, THORACIC; ARTERIAL PRESSURE; COHORT STUDIES; ELECTRIC IMPEDANCE; HUMANS; MONITORING, INTRAOPERATIVE; PILOT PROJECTS; PROSPECTIVE STUDIES; RADIAL ARTERY; REGIONAL BLOOD FLOW;

EID: 84892591521     PISSN: 10530770     EISSN: 15328422     Source Type: Journal    
DOI: 10.1053/j.jvca.2013.04.021     Document Type: Article

References (37)

1. J.V. Tyberg, J.S. Forrester, and H.L. Wyatt et al. An analysis of segmental ischemic dysfunction utilizing the pressure-length loop Circulation 49 1974 748 754
2. J. Vinten-Johansen, P.A. Gayheart, and W.E. Johnston et al. Regional function, blood flow, and oxygen utilization relations in repetitively occluded-reperfused canine myocardium Am J Physiol 261 1991 H538 H547
3. A. Safwat, B.J. Leone, and R.M. Norris et al. Pressure-length loop area: Its components analyzed during graded myocardial ischemia J Am Coll Cardiol 17 1991 790 796
4. H.L. Wyatt, J.S. Forrester, and J.V. Tyberg et al. Effect of graded reductions in regional coronary perfusion on regional and total cardiac function Am J Cardiol 36 1975 185 192
5. J.S. Forrester, J.V. Tyberg, and H.L. Wyatt et al. Pressure-length loop: A new method for simultaneous measurement of segmental and total cardiac function J Appl Physiol 37 1974 771 775
6. H. Suga, O. Yamada, and Y. Goto Energetics of ventricular contraction as traced in the pressure-volume diagram Fed Proc 43 1984 2411 2413
7. H. Suga, T. Hayashi, and M. Shirahata Ventricular systolic pressure-volume area as predictor of cardiac oxygen consumption Am J Physiol 240 1981 H39 H44
8. F. Khalafbeigui, H. Suga, and K. Sagawa Left ventricular systolic pressure-volume area correlates with oxygen consumption Am J Physiol 237 1979 H566 H569
9. D. Burkhoff, D.T. Yue, and R.Y. Oikawa et al. Influence of ventricular contractility on non-work-related myocardial oxygen consumption Heart Vessels 3 1987 66 72
10. H. Suga, Y. Igarashi, and O. Yamada et al. Cardiac oxygen consumption and systolic pressure volume area Basic Res Cardiol 81 Suppl 1 1986 39 50
11. G. Benzing 3rd, J. Helmsworth, and J.T. Schreiber et al. Cardiac performance and oxygen consumption during intracardiac operations in children Ann Thorac Surg 22 1976 176 181
12. W.R. Milnor, D.H. Bergel, and J.D. Bargainer Hydraulic power associated with pulmonary blood flow and its relation to heart rate Circ Res 19 1966 467 480
13. W.W. Nichols, M.F. O'Rourke, and A.P. Avolio et al. Ventricular/vascular interaction in patients with mild systemic hypertension and normal peripheral resistance Circulation 74 1986 455 462
14. H.A. Leather, K. Ver Eycken, and P. Segers et al. Effects of levosimendan on right ventricular function and ventriculovascular coupling in open chest pigs Crit Care Med 31 2003 2339 2343
15. T. Nozawa, Y. Yasumura, and S. Futaki et al. Efficiency of energy transfer from pressure-volume area to external mechanical work increases with contractile state and decreases with afterload in the left ventricle of the anesthetized closed-chest dog Circulation 77 1988 1116 1124
16. M.F. O'Rourke, and R.P. Kelly Wave reflection in the systemic circulation and its implications in ventricular function J Hypertens 11 1993 327 337
17. S. Essler, M.J. Schroeder, and V. Phaniraj et al. Fast estimation of arterial vascular parameters for transient and steady beats with application to hemodynamic state under variant gravitational conditions Ann Biomed Eng 27 1999 486 497
18. R.M. Lang, K.M. Borow, and A. Neumann et al. Systemic vascular resistance: an unreliable index of left ventricular afterload Circulation 74 1986 1114 1123
19. M.F. O'Rourke, and M.G. Taylor Vascular Impedance of the Femoral Bed Circ Res 18 1966 126 139
20. W.R. Milnor Arterial impedance as ventricular afterload Circ Res 36 1975 565 570
21. J.P. Murgo, and N. Westerhof Input impedance of the pulmonary arterial system in normal man. Effects of respiration and comparison to systemic impedance Circ Res 54 1984 666 673
22. G. Elzinga, and N. Westerhof Pressure and flow generated by the left ventricle against different impedances Circ Res 32 1973 178 186
23. B. Kleinman Understanding natural frequency and damping and how they relate to the measurement of blood pressure J Clin Monit 5 1989 137 147
24. A. Kono, W.L. Maughan, and K. Sunagawa et al. The use of left ventricular end-ejection pressure and peak pressure in the estimation of the end-systolic pressure-volume relationship Circulation 70 1984 1057 1065
25. C.J. Pepine, and W.W. Nichols Aortic input impedance in cardiovascular disease Prog Cardiovasc Dis 24 1982 307 318
26. R. Kelly, and D. Fitchett Noninvasive determination of aortic input impedance and external left ventricular power output: a validation and repeatability study of a new technique J Am Coll Cardiol 20 1992 952 963
27. L.G. Deneault, M.J. Kancel, and A. Denault et al. A system for the on-line acquisition, visualization, and analysis of pressure-area loops Comput Biomed Res 27 1994 61 67
28. J. Gorcsan 3rd, A. Denault, and T.A. Gasior et al. Rapid estimation of left ventricular contractility from end-systolic relations by echocardiographic automated border detection and femoral arterial pressure Anesthesiology 81 1994 553 562 discussion 527A
29. W.A. Mandarino, M.R. Pinsky, and J. Gorcsan 3rd Assessment of left ventricular contractile state by preload-adjusted maximal power using echocardiographic automated border detection J Am Coll Cardiol 31 1998 861 868
30. C. Declerck, Z. Hillel, and H. Shih et al. A comparison of left ventricular performance indices measured by transesophageal echocardiography with automated border detection Anesthesiology 89 1998 341 349
31. H. Shih, Z. Hillel, and C. Declerck et al. An algorithm for real-time, continuous evaluation of left ventricular mechanics by single-beat estimation of arterial and ventricular elastance J Clin Monit 13 1997 157 170
32. F. Hatib, J.R. Jansen, and M.R. Pinsky Peripheral vascular decoupling in porcine endotoxic shock J Appl Physiol 111 2011 853 860
33. C.H. Chen, E. Nevo, and B. Fetics et al. Estimation of central aortic pressure waveform by mathematical transformation of radial tonometry pressure. Validation of generalized transfer function Circulation 95 1997 1827 1836
34. M. Karamanoglu, M.F. O'Rourke, and A.P. Avolio et al. An analysis of the relationship between central aortic and peripheral upper limb pressure waves in man Eur Heart J 14 1993 160 167
35. L.M. Bojanowski, A.D. Timmis, and Y.C. Najm et al. Pulsed Doppler ultrasound compared with thermodilution for monitoring cardiac output responses to changing left ventricular function Cardiovasc Res 21 1987 260 268
36. R.M. Steingart, J. Meller, and J. Barovick et al. Pulsed doppler echocardiographic measurement of beat-to-beat changes in stroke volume in dogs Circulation 62 1980 542 548
37. X. Monnet, D. Chemla, and D. Osman et al. Measuring aortic diameter improves accuracy of esophageal Doppler in assessing fluid responsiveness Crit Care Med 35 2007 477 482