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Hypertension
Article
Data sources: UnpayWall
Hypertension
Article . 1998 . Peer-reviewed
Data sources: Crossref
Hypertension
Article . 1998
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Determinants of Pulse Pressure

Authors: Nikos Stergiopulos; Nico Westerhof;

Determinants of Pulse Pressure

Abstract

Abstract —We have searched to define the major arterial parameters that determine aortic systolic (P s ) and diastolic (P d ) pressure in the dog. Measured aortic flows were used as input to the 2-element windkessel model of the arterial system, with peripheral resistance calculated as mean pressure divided by mean flow and total arterial compliance calculated from the decay time in diastole. The windkessel model yielded an aortic pressure wave from which we obtained the predicted systolic (P s,wk ) and diastolic (P d,wk ) pressures. These predicted pressures were compared with the measured systolic and diastolic pressures. The measurements and calculations were performed for 7 dogs under control conditions during aortic occlusion at 4 locations (the trifurcation, between the trifurcation and diaphragm, the diaphragm, and the proximal descending thoracic aorta) and during occlusion of both carotid arteries. Under all conditions studied, the predicted systolic and diastolic pressures matched the experimental ones very well: P s,wk =(1.000±0.0055) P s with r =0.958 and P d,wk =(1.024±0.0035) P d with r =0.995. Linear regression for pulse pressure (PP) resulted in PP wk =(0.99±0.016) PP with r =0.911. We found the accuracy of prediction equally good under control conditions and in the presence of aortic or carotid artery occlusion. Multiple regression between pulse pressure and arterial resistance and total arterial compliance yielded a poor regression constant ( R 2 =0.19), suggesting that the 2 arterial parameters alone cannot explain pulse pressure and that flow is an important determinant as well. We conclude that for a given ejection pattern (aortic flow), 2 arterial parameters, total arterial resistance and total arterial compliance, are sufficient to accurately describe systolic and diastolic aortic pressure.

Keywords

Systole, Models, Cardiovascular, Blood Pressure, Blood Pressure Determination, Arteries, Dogs, Diastole, Predictive Value of Tests, Linear Models, Animals, Vascular Resistance, Cardiac Output, Compliance

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    73
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    Top 10%
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
73
Top 10%
Top 1%
Top 10%
bronze