[A comparative study of finger plethysmography and aortic pressure for monitoring the effect of external counterpulsation].
Invasive pressure detecting and monitoring of aortic root was conducted in 20 volunteers so as to study the effect of Enhanced External Counterpulsation (EECP) on aortic pressure and finger plethysmography. The results demonstrated that the changes of aortic diastolic pressure linearly related to the counterpusation's bladder pressure, and the aortic augmentation increased to the top of 168.56 mmHg with a D/S ratio of 2.75(amplitude ratio of diastolic waveform and systolic waveform, D/S ratio) following the bladder pressure of 0.45 Kg/cm2. With the increase of bladder pressure, the dp/dt of aortic augmentation elevated gradually, but a down-regulating trend was seen in systolic waveform. During EECP, the starting time of plethysmographic augmentation had a mean delay of 108.20 +/- 25.70 ms comparing with that of aortic augmentation. The duration between the starting time of aortic systolic waveform and that of finger plethysmogram was arround 96.69 +/- 38.70 ms. When the bladder pressure changed, no significant difference was observed among them. The D/S ratio of finger plethysmographic waveform changed in concord with that of aortic pressure with the promotion of bladder pressure. Therefore, a relationship between aortic D/S ratio (Y) and plethysmographic D/S ratio (x) was constructed by the linear regression analysis: Y = 0.376 + 0.457X. It can be concluded that EECP has significant effects on aortic D/S ratio, aortic peak augmentation and its dp/dt value. Finger plethysmography, to date, still plays important roles in monitoring and controlling EECP work safely and effectively.
Wu
G
G
Department of Cardiology, First Affiliated Hospital, Sun Yat-sen University of Medical Sciences, Guangzhou 510080.
Zheng
Z
Z
Du
Z
Z
Zhang
M
M
Hu
C
C
Liao
Y
Y
Zhao
S
S
Yang
S
S
Wu
F
F
D000293:Adolescent; D000328:Adult; D001011:Aorta / Q000502:physiology*; D001794:Blood Pressure; D001795:Blood Pressure Determination / Q000379:methods; D015908:Counterpulsation; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods*; D010991:Plethysmography / Q000379:methods*