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The arterial resistivity index (also called as Resistance index, abbreviated as RI), developed by Léandre Pourcelot , is a measure of pulsatile blood flow that reflects the resistance to blood flow caused by microvascular bed distal to the site of measurement.
Arterial waveform. Pulsus alternans is diagnosed by first palpating the radial or femoral arteries, feeling for a regular rhythm but alternating strong and weak pulses. Next, a blood pressure cuff is used to confirm the finding: the cuff is elevated past systolic pressure and then slowly lowered cuff towards the systolic level.
Applying spectral Doppler to the renal artery and selected interlobular arteries, peak systolic velocities, resistive index, and acceleration curves can be estimated (Figure 4) (e.g., peak systolic velocity of the renal artery above 180 cm/s is a predictor of renal artery stenosis of more than 60%, and a resistive index, which is a calculated ...
An ABPI between and including 0.90 and 1.29 considered normal (free from significant PAD), while a lesser than 0.9 indicates arterial disease. [14] An ABPI value of 1.3 or greater is also considered abnormal, and suggests calcification of the walls of the arteries and incompressible vessels, reflecting severe peripheral vascular disease .
Pulse wave velocity (PWV) is the velocity at which the blood pressure pulse propagates through the circulatory system, usually an artery or a combined length of arteries. [1] PWV is used clinically as a measure of arterial stiffness and can be readily measured non-invasively in humans, with measurement of carotid to femoral PWV (cfPWV) being ...
Pseudonormalisation shows a transmitral profile that appears normal. However, with the use of pulmonary vein pulsed wave Doppler, it can be shown that the relaxation pattern is abnormal (systolic blunting, a decrease in the height of the S wave). In addition, performance of a Valsalva manoeuvre will result in unmasking of the pseudonormal state.
The Windkessel analogy illustrated. Windkessel effect (German: Windkesseleffekt) is a term used in medicine to account for the shape of the arterial blood pressure waveform in terms of the interaction between the stroke volume and the compliance of the aorta and large elastic arteries (Windkessel vessels) and the resistance of the smaller arteries and arterioles.
The ultrasound probe emits a high-frequency sound wave (usually a multiple of 2 MHz) that bounces off various substances in the body. These echoes are detected by a sensor in the probe. In the case of blood in an artery, the echoes have different frequencies depending on the direction and speed of the blood because of the Doppler effect. [2]