A non-invasive cardiovascular index for the quantification of arterial load.
OBJECTIVE
Our aim is to quantify steady and pulsatile components of arterial load in a concise and sensitive way by means of a new non-invasive cardiovascular index (NICI).


RESULTS
NICI is based on non-invasively measured pressure (sphygmomanometer), stroke volume index and cardiac index (Doppler echocardiography and ECG) and yields a numerical value (in mm Hg). It expresses the difference between the actual arterial load and reference loading conditions as determined in a control group (29 M/35 F, age 34 +/- 13 yr.) of healthy subjects, with blood pressure 116/61 mm Hg (systolic/diastolic), stroke volume index (SVI) 34 +/- 18 ml.m-2 and cardiac index (CI) 2.1 +/- 0.5 l.min-1.m-2. NICI was calculated in the control group and in 23 borderline hypertensive subjects (10 M/13 F, age 65 +/- 12 yr.) with blood pressure 156/79 mm Hg, SVI 36 +/- 10 ml.m-2 and CI 2.4 +/- 0.6 l.min-1.m-2. NICI was higher in borderline hypertensives (33 +/- 51 vs. 0 +/- 34 mm Hg; P < 0.001) and was strongly correlated with total peripheral resistance index (r = 0.89; P < 0.001) and with the ratio of SVI and pulse pressure (r = -0.89; P < 0.001), expressing the combined effect of both known determinants of cardiac load. NICI was also correlated with effective arterial elastance index (r = 0.89; P < 0.001).


CONCLUSIONS
NICI quantifies, within a logical biomechanical framework, the arterial load as seen by the ejecting ventricle. It combines steady and pulsatile components of arterial load and has a single control value of zero mm Hg.
Segers
P
P
Hydraulics Laboratory, IBITECH, University of Gent, Belgium. patrick.segers@navier.rug.ac.be
De Buyzere
M
M
De Backer
T
T
Duprez
D A
DA
Clement
D L
DL
Verdonck
P R
PR
D000328:Adult; D000368:Aged; D001795:Blood Pressure Determination; D016022:Case-Control Studies; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000503:physiopathology; D008297:Male; D019722:Sphygmomanometers; D013318:Stroke Volume; D014655:Vascular Resistance