Artery Research

Volume 1, Issue S1, June 2006, Pages S44 - S44

P.070 NON-INVASIVE QUANTITATIVE EVALUATION OF SYSTOLIC CARDIOVASCULAR INTERACTION BY CAROTID ARTERY ULTRASONOGRAPHY

Authors
K.D. Reesink*, E. Hermeling, M.C. Hoeberigs, A.P.G. Hoeks
Cardiovascular Research Institute, Maastricht, Netherlands
Available Online 13 June 2007.
DOI
10.1016/S1872-9312(07)70093-5How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Introduction: We investigated non-invasive quantification of the systolic interaction between left ventricle and central arterial system by carotid artery distension waveform analysis.

Methods: ECG, finger-cuff pressure, and common carotid artery distension waveforms (M-mode ultrasound) were obtained in 14 young healthy volunteers in supine and sitting position.

Results: Distension waveform analysis enabled determination of isovolumic contraction period (ICP), ejection period (EP), aorta-carotid (TTa-c) and aorta-femoral (TTa-f) transit times with a precision of 3.2, 4.5, 3.1, and 7.9ms, respectively. From supine to sitting position, diastolic arterial pressure (DAP) increased by 7±4 mmHg (p < 0.001, paired t-test) and the R-R interval decreased by 70±87 ms (p < 0.05) due to the baroreflex response. The decrease in carotid transmural pressure in sitting position was reflected by an increase in TTa-c of 15±9ms (p < 0.001). ICP increased from 42±7 to 49±5ms (p < 0.001) while DAP/ICP, a load-independent measure of left ventricular contractility, decreased by 7% (p = 0.058). This implies that the cardiac response to the postural intervention is predominantly based on an increase in heart rate. EP decreased from 303±18 to 267±19 ms (p < 0.001) as a result of the earlier arrival of the lower body reflection wave (TTa-f decreased by 57±25 ms, p < 0.001). The ejection period and the peripheral transit time exhibited a clear correlation (R2 = 0.66).

Conclusions: Modest postural changes affect systolic cardiovascular interaction through changes in arterial transmural pressure and the baroreflex but leave left ventricular contractility unaltered. Carotid artery ultrasonography enables precise quantitative evaluation of systolic cardiovascular interaction. The application of this non-invasive method in patients appears promising.

Journal
Artery Research
Volume-Issue
1 - S1
Pages
S44 - S44
Publication Date
2007/06/13
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.1016/S1872-9312(07)70093-5How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

TY  - JOUR
AU  - K.D. Reesink*
AU  - E. Hermeling
AU  - M.C. Hoeberigs
AU  - A.P.G. Hoeks
PY  - 2007
DA  - 2007/06/13
TI  - P.070 NON-INVASIVE QUANTITATIVE EVALUATION OF SYSTOLIC CARDIOVASCULAR INTERACTION BY CAROTID ARTERY ULTRASONOGRAPHY
JO  - Artery Research
SP  - S44
EP  - S44
VL  - 1
IS  - S1
SN  - 1876-4401
UR  - https://doi.org/10.1016/S1872-9312(07)70093-5
DO  - 10.1016/S1872-9312(07)70093-5
ID  - Reesink*2007
ER  -