Tracking of brachial and central aortic systolic pressure over the normal human lifespan: insight from the arterial pulse waveforms.
adolescents
ageing
brachial systolic pressure
central aortic systolic pressure
children
pressure amplification
Journal
Internal medicine journal
ISSN: 1445-5994
Titre abrégé: Intern Med J
Pays: Australia
ID NLM: 101092952
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
28
10
2019
revised:
02
03
2020
accepted:
09
03
2020
pubmed:
17
3
2020
medline:
1
6
2021
entrez:
17
3
2020
Statut:
ppublish
Résumé
Despite multiple studies, it has not been possible to account for the normal changes of blood pressure that occur from infancy to old age. We sought a comprehensive explanation, by linking brachial pressure with the well documented changes in the arterial pulse waveform, whose peak and nadir determine systolic, diastolic and pulse pressure in brachial arteries. Changes in humans arterial pulse wave contour from birth to old age can be readily explained on (i) growth, with increasing length of the body from birth to adolescence, and adult height maintained thereafter, and (ii) degeneration and dilation of the aorta from elastic fibre fracture throughout life, causing progressive increase in aortic pressure wave amplitude from early return of wave reflection, and summation of incident with reflected waves in systole. These changes throughout life complement arterial pulse waveform analysis and explain brachial cuff pressure values, with optimal pulse wave pattern for cardiac interaction apparent in adolescence.
Identifiants
pubmed: 32175664
doi: 10.1111/imj.14815
pmc: PMC8653346
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
13-19Informations de copyright
© 2020 Royal Australasian College of Physicians.
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