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July 1, 1980Circulation

Aortic input impedance in normal man: relationship to pressure wave forms.

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Population

18 patients who underwent elective cardiac catheterization but in whom no heart disease was found.

Design

Cross-sectional

Authors

JMJoseph P. MurgoThe University of Texas Health Science Center at San AntonioNWNicolaas WesterhofBrooke Army Medical CenterJGJ P GiolmaBrooke Army Medical Center

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Implication

Offers reference impedance values in normal hearts; leaves open clinical or prognostic utility in disease states.

Key Points

  • The study aims to examine how the shape of the ascending aortic pressure wave form correlates with aortic input impedance in individuals without heart disease.
  • 18 patients underwent elective cardiac catheterization to assess aortic pressure and flow dynamics.
  • A multisensor catheter simultaneously recorded ascending aortic flow velocity and pressure for impedance analysis.
  • Input impedance was calculated using 10 harmonics of pressure and flow, averaged over 15 beats during steady state.
  • Peripheral resistance was measured at 1137 ± 39 dyn-sec-cm (4 SEM).
  • Characteristic impedance was found to be 474 dyn-sec-cm; pulse-wave velocity averaged 6.68 ± 0.32 m-sec.
  • Patients were categorized into three groups based on systolic pressure dynamics, influencing impedance behaviors.

Structured PICO

P
Population
18 patients who underwent elective cardiac catheterization but in whom no heart disease was found.
I
Intervention
Simultaneous recording of ascending aortic flow velocity and pressure using a multisensor catheter to calculate aortic input impedance.
O
Outcome
Relationship between the shape of the ascending aortic pressure wave form and aortic input impedance.surrogate

In patients with normal hearts, aortic input impedance patterns correlate with the shape of the ascending aortic pressure waveform, specifically the relationship between early and late systolic pressures.

Cite This Study

Murgo et al. (1980) studied this question.

synapsesocial.com/papers/69fa8969aa3ec536f251201dhttps://doi.org/10.1161/01.cir.62.1.105
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Input impedance of the systemic circulation in man.1977 · 296 citations
  2. 2Aortic input impedance in heart failure.1978 · 143 citations
  3. 3Blood Pressure and Flow in the Ascending Aorta of Conscious Dogs1967 · 84 citations
  4. 4Reflection in the systemic arterial system: effects of aortic and carotid occlusion1976 · 75 citations
  5. 5Left ventricular load, arterial impedance and their interrelationship1979 · 72 citations