title: Clinical Use of Pulse Wave Analysis: Proceedings From a Symposium Sponsored by North American Artery.
abstract: The use of pulse wave analysis may guide the provider in making choices about blood pressure treatment in prehypertensive or hypertensive patients. However, there is little clinical guidance on how to interpret and use pulse wave analysis data in the management of these patients. A panel of clinical researchers and clinicians who study and clinically use pulse wave analysis was assembled to discuss strategies for using pulse wave analysis in the clinical encounter. This manuscript presents an approach to the clinical application of pulse waveform analysis, how to interpret central pressure waveforms, and how to use existing knowledge about the pharmacodynamic effect of antihypertensive drug classes in combination with brachial and central pressure profiles in clinical practice. The discussion was supplemented by case-based examples provided by panel members, which the authors hope will provoke discussion on how to understand and incorporate pulse wave analysis into clinical practice.
authors.affiliation: Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
authors.forename: Raymond R
authors.initials: RR
authors.lastname: Townsend
authors.affiliation: Center for the Prevention of Cardiovascular Disease, New York University School of Medicine, New York, NY.
authors.forename: Henry R
authors.initials: HR
authors.lastname: Black
authors.affiliation: Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
authors.forename: Julio A
authors.initials: JA
authors.lastname: Chirinos
authors.affiliation: Weill Cornell Medical College, New York, NY.
authors.forename: Peter U
authors.initials: PU
authors.lastname: Feig
authors.affiliation: Tulane University School of Medicine, New Orleans, LA.
authors.forename: Keith C
authors.initials: KC
authors.lastname: Ferdinand
authors.affiliation: Baystate Medical Center and Tufts University, Springfield, MA.
authors.forename: Michael
authors.initials: M
authors.lastname: Germain
authors.affiliation: Icahn School of Medicine at Mount Sinai, New York, NY.|The James J. Peters V.A. Medical Center, Bronx, NY.
authors.forename: Clive
authors.initials: C
authors.lastname: Rosendorff
authors.affiliation: St Clair Specialty Physicians, Detroit, MI.
authors.forename: Susan P
authors.initials: SP
authors.lastname: Steigerwalt
authors.affiliation: Division of Preventive, Occupational & Aerospace Medicine, Mayo Clinic, Scottsdale, AZ.
authors.forename: Jan A
authors.initials: JA
authors.lastname: Stepanek
mesh_terms: D000328:Adult; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure / Q000502:physiology*; D001795:Blood Pressure Determination; D001916:Brachial Artery / Q000502:physiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D011673:Pulsatile Flow / Q000502:physiology; D063177:Pulse Wave Analysis / Q000379:methods* / Q000706:statistics & numerical data / Q000639:trends
chemical_list: D000959:Antihypertensive Agents