Analysis Of Your Arterial Pulse Waveform printable pdf download

Analysis of your Arterial Pulse Waveform

For a long time the consideration of blood pressure was based exclusively on measurements of peripheral (brachial) blood

pressure. Understanding arterial stiffness, elevated central blood pressure and pulse pressure patterns gives us more

information into the mechanisms of target organ damage such as the heart, etc. For this reason, measuring arterial

stiffness and central blood pressure, and not just peripheral pressure from an arm cuff, gives added insights into the

pathophysiology of cardiovascular disorders associated with aging, hypertension, diabetes, as well as end-stage renal

disease.

SBP (Central Aortic Systolic Blood Pressure) is the pressure in your blood vessels when your heart contracts.

Higher values indicate the need for greater heart force to pump the blood through the body.

Your value is ___________ (an optimal range is estimated to be 105-120).

DBP (Central Aortic Diastolic Blood Pressure) is the pressure in your blood vessels when your heart relaxes. If the

pressure is too low it will not have enough force to enter the blood vessels of the heart.

Your value is ___________ (an optimal range is estimated to be 70-80).

PP (Central Aortic Pulse Pressure) is the difference between SBP and DBP represents the force that your heart

generates each time it contracts and thus is an indicator of stress placed on the left ventricle of the heart. Because the

conventional BP cuff provides only a poor estimate of LV load, pulse wave analysis is a better indicator of the systemic

blood pressure and therefore the actual benefit of medications designed to lower blood pressure. Several studies have

shown that high PP causes arterial damage and atrial fibrillation.

Your value is ___________ (an optimal range is estimated to be 30-40).

CASP (Central Aortic Systolic Pressure) is the pressure at the root of the

aorta, the largest artery of the body as the blood is being pumped out of the

heart. CASP may more accurately predict cardiovascular structural damage and

cardiovascular outcomes when compared to brachial pressures taken at the arm.

The CASP becomes closer to the brachial pressure if there is aortic stiffness,

hypertension, uncontrolled diabetes, etc. and correlates 99.17% to an angiogram.

It has also been shown that certain class of drugs used in the treatment of high

blood pressure can also have an adverse effect on the CASP, increasing it instead

of reducing. By reducing the CASP of the patient, we are reducing the risks of

stroke and heart events. The BPro has been validated in more than 10,000

patient waveforms.

Your value is __________ (an optimal range is ~80-120 with higher values associated with age).

MAP2 (Mean Arterial Pressure) is defined as the average arterial pressure during a single cardiac cycle. MAP is the

perfusion pressure seen by organs in the body. Conditions associated with inflammation have higher MAP2.

Your value is ___________ (an optimal range is ~65-80 while 90+ reflects inflammation/infection).

rAI (Radial Augmentation Index)

reflects arterial stiffing or atherosclerosis

index (AI) in the central arteries, including

the aorta and carotid arteries. The rAI

obtained from the radial artery is an index

for vascular aging or stiffness. Body

height, heart rate, postural change, and

gender influence the results with men

having lower RAI than women.

Your value is ___________ (an optimal level is estimated to 100%; i.e.- the “a” is low and late).

Patient Name:____________________________________________________

Date:________________

Analysis Of Your Arterial Pulse Waveform

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