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Excess pressure as an analogue of blood flow velocity


Armstrong, MK and Schultz, MG and Hughes, AD and Picone, DS and Black, JA and Dwyer, N and Roberts-Thomson, P and Sharman, JE, Excess pressure as an analogue of blood flow velocity, Journal of Hypertension, 38 pp. 1-7. ISSN 0263-6352 (2020) [Refereed Article]

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Copyright 2020 Wolters Kluwer Health, Inc. Unauthorized reproduction of this article is prohibited.

DOI: doi:10.1097/HJH.0000000000002662


Introduction: Derivation of blood flow velocity from a blood pressure waveform is a novel technique, which could have potential clinical importance. Excess pressure, calculated from the blood pressure waveform via the reservoir-excess pressure model, is purported to be an analogue of blood flow velocity but this has never been examined in detail, which was the aim of this study.

Methods: Intra-arterial blood pressure was measured sequentially at the brachial and radial arteries via fluid-filled catheter simultaneously with blood flow velocity waveforms recorded via Doppler ultrasound on the contralateral arm (n = 98, aged 61 10 years, 72% men). Excess pressure was derived from intra-arterial blood pressure waveforms using pressure-only reservoir-excess pressure analysis.

Results: Brachial and radial blood flow velocity waveform morphology were closely approximated by excess pressure derived from their respective sites of measurement (median cross-correlation coefficient r = 0.96 and r = 0.95 for brachial and radial comparisons, respectively). In frequency analyses, coherence between blood flow velocity and excess pressure was similar for brachial and radial artery comparisons (brachial and radial median coherence = 0.93 and 0.92, respectively). Brachial and radial blood flow velocity pulse heights were correlated with their respective excess pressure pulse heights (r = 0.53, P < 0.001 and r = 0.43, P < 0.001, respectively).

Conclusion: Excess pressure is an analogue of blood flow velocity, thus affording the opportunity to derive potentially important information related to arterial blood flow using only the blood pressure waveform.

Item Details

Item Type:Refereed Article
Keywords:hemodynamics, invasive, pulse wave analysis
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Cardiology (incl. cardiovascular diseases)
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Armstrong, MK (Mr Matthew Armstrong)
UTAS Author:Schultz, MG (Dr Martin Schultz)
UTAS Author:Picone, DS (Dr Dean Picone)
UTAS Author:Black, JA (Dr Andrew Black)
UTAS Author:Sharman, JE (Professor James Sharman)
ID Code:141301
Year Published:2020
Deposited By:Menzies Institute for Medical Research
Deposited On:2020-10-13
Last Modified:2020-11-11

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