Study of central aortic pressure in hypertensive patients and characteristic of radial artery pressure waveform in Traditional Chinese Medicine

Pulse diagnosis is one of important diagnosis methods in Traditional Chinese Medicine (TCM). In TCM, the pulse condition is closely related to the pulsation of heart, unobstructed blood vessels and abundance or shortage of Qi and blood. From a hemodynamic point of view, the arterial pulsation comes from the beating of the heart. The beating of heart results in the periodically circumferential and axial motions of the elastic blood vessel and in turn the oscillation of the vessel generates pressure and flow waves which propagate throughout the arterial system, which is called the pulse wave. Central pressure may better represent the load imposed on the coronary and cerebral arteries and thereby bear a stronger relationship to vascular damage and prognosis. This study is about central aortic pressure in hypertensive patients and characteristic of radial artery pressure waveform in Traditional Chinese Medicine.

[1]  M. Lindheimer,et al.  Chesley's Hypertensive Disorders in Pregnancy , 2009 .

[2]  S. Laurent,et al.  Aortic Stiffness Is an Independent Predictor of Primary Coronary Events in Hypertensive Patients: A Longitudinal Study , 2002, Hypertension.

[3]  Michael F. O'Rourke,et al.  Arterial vasodilation : mechanisms and therapy , 1993 .

[4]  J. Staessen,et al.  Clinical applications of arterial stiffness; definitions and reference values. , 2002, American journal of hypertension.

[5]  H. Struijker‐Boudier,et al.  Expert consensus document on arterial stiffness: methodological issues and clinical applications. , 2006, European heart journal.

[6]  Alastair Gillies,et al.  Better Management of Cardiovascular Diseases by Pulse Wave Velocity: Combining Clinical Practice with Clinical Research using Evidence-Based Medicine , 2007, Clinical Medicine & Research.

[7]  E. Lakatta,et al.  Elevated Aortic Pulse Wave Velocity, a Marker of Arterial Stiffness, Predicts Cardiovascular Events in Well-Functioning Older Adults , 2005, Circulation.

[8]  E H WOOD,et al.  Comparison of Simultaneously Recorded Central and Peripheral Arterial Pressure Pulses During Rest, Exercise and Tilted Position in Man , 1955, Circulation research.

[9]  Alun D. Hughes,et al.  Differential Impact of Blood Pressure–Lowering Drugs on Central Aortic Pressure and Clinical Outcomes: Principal Results of the Conduit Artery Function Evaluation (CAFE) Study , 2006 .

[10]  Albert Hofman,et al.  Arterial Stiffness and Risk of Coronary Heart Disease and Stroke: The Rotterdam Study , 2006, Circulation.

[11]  W. Nichols Clinical measurement of arterial stiffness obtained from noninvasive pressure waveforms. , 2005, American journal of hypertension.

[12]  D. Webb,et al.  Increased central pulse pressure and augmentation index in subjects with hypercholesterolemia. , 2002, Journal of the American College of Cardiology.

[13]  Wang Hui-fang Application of Wavelet Analysis on Pulse Figure Characters of Normal Pulse,Taut Pulse and Slippery Pulse , 2007 .

[14]  F. Turnbull Effects of different blood-pressure-lowering regimens on major cardiovascular events: results of prospectively-designed overviews of randomised trials , 2003, The Lancet.

[15]  E H WOOD,et al.  Beat-to-beat alterations in relationship of simultaneously recorded central and peripheral arterial pressure pulses during Valsalva maneuver and prolonged expiration in man. , 1956, Journal of applied physiology.

[16]  Rui Guo,et al.  Feature extraction and recognition for pulse waveform in Traditional Chinese Medicine based on hemodynamics principle , 2010, IEEE ICCA 2010.

[17]  Hideshi Kawakami,et al.  Aortic pulse wave velocity predicts cardiovascular mortality in middle-aged and elderly Japanese men. , 2009, Circulation journal : official journal of the Japanese Circulation Society.

[18]  Sanjeev G Shroff,et al.  Relaxin is essential for systemic vasodilation and increased global arterial compliance during early pregnancy in conscious rats. , 2006, Endocrinology.

[19]  P. Ducimetiere,et al.  Aortic Stiffness Is an Independent Predictor of All-Cause and Cardiovascular Mortality in Hypertensive Patients , 2001, Hypertension.

[20]  C. H. Chen,et al.  Estimation of central aortic pressure waveform by mathematical transformation of radial tonometry pressure. Validation of generalized transfer function. , 1997, Circulation.

[21]  Richard B. Devereux,et al.  Central Pressure More Strongly Relates to Vascular Disease and Outcome Than Does Brachial Pressure: The Strong Heart Study , 2007, Hypertension.

[22]  Tine Willum Hansen,et al.  Prognostic Value of Aortic Pulse Wave Velocity as Index of Arterial Stiffness in the General Population , 2006, Circulation.

[23]  R S Reneman,et al.  Arterial distensibility and compliance in hypertension. , 1995, The Netherlands journal of medicine.

[24]  L. Wurfel Mcdonald S Blood Flow In Arteries Theoretical Experimental And Clinical Principles , 2016 .

[25]  Ling Y. Wei,et al.  Spectrum Analysis of Human Pulse , 1983, IEEE Transactions on Biomedical Engineering.

[26]  J. Blacher,et al.  Impact of aortic stiffness on survival in end-stage renal disease. , 1999, Circulation.

[27]  Li Fu-feng Application of the HHT method to the wrist-pulse-signal analysis , 2006 .

[28]  M. Karamanoglu,et al.  An analysis of the relationship between central aortic and peripheral upper limb pressure waves in man. , 1993, European heart journal.

[29]  Kuan-Quan Wang,et al.  A wavelet packet based pulse waveform analysis for cholecystitis and nephrotic syndrome diagnosis , 2008, 2008 International Conference on Wavelet Analysis and Pattern Recognition.

[30]  M. E. Safar,et al.  Aortic Pulse Wave Velocity Predicts Cardiovascular Mortality in Subjects >70 Years of Age , 2001, Arteriosclerosis, thrombosis, and vascular biology.

[31]  Cai Kun-bao The Pulse Signals Pattern Identification Method Based on Short-time Fourier Transform , 2007 .

[32]  M. O'Rourke,et al.  Prospective Evaluation of a Method for Estimating Ascending Aortic Pressure From the Radial Artery Pressure Waveform , 2001, Hypertension.

[33]  M. Safar,et al.  Stiffness of Capacitive and Conduit Arteries: Prognostic Significance for End-Stage Renal Disease Patients , 2005, Hypertension.

[34]  M. O'Rourke,et al.  Influence of ventricular ejection on the relationship between central aortic and brachial pressure pulse in man. , 1970, Cardiovascular research.

[35]  D. Levy,et al.  Changes in Arterial Stiffness and Wave Reflection With Advancing Age in Healthy Men and Women: The Framingham Heart Study , 2004, Hypertension.

[36]  D. Kass,et al.  Parametric model derivation of transfer function for noninvasive estimation of aortic pressure by radial tonometry , 1999, IEEE Transactions on Biomedical Engineering.

[37]  Pei-Yong Zhang,et al.  A Framework for Automatic Time-Domain Characteristic Parameters Extraction of Human Pulse Signals , 2008, EURASIP J. Adv. Signal Process..

[38]  A P Avolio,et al.  Nitroglycerin has more favourable effects on left ventricular afterload than apparent from measurement of pressure in a peripheral artery. , 1990, European heart journal.

[39]  W Riley,et al.  Hypertension and arterial stiffness: the Atherosclerosis Risk in Communities Study. ARIC Investigators. , 2000, American journal of hypertension.

[40]  L. Rowell,et al.  Disparities Between Aortic and Peripheral Pulse Pressures Induced by Upright Exercise and Vasomotor Changes in Man , 1968, Circulation.

[41]  A P Avolio,et al.  Effects of age on ventricular-vascular coupling. , 1985, The American journal of cardiology.

[42]  B. Fetics,et al.  Estimation of Central Aortic Pressure Waveform by Mathematical Transformation of Radial Tonometry Pressure Data , 1998 .

[43]  Cai Kun-bao Pulse Signal Identification Based on Parameterized Bispectrum Estimation , 2007 .