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Typically, blood flow velocities in the common carotid artery are measured as peak systolic velocity (PSV) and end diastolic velocity (EDV). In a study of normative men aged 20-29 years, the average PSV was 115 cm/sec and EDV was 32 cm/sec. In men 80 years and older, the average PSV was 88 cm/sec and EDV was 17 cm/sec. [7]
The mean velocity in the aorta varies over the cardiac cycle. During systole the mean velocity rises to a peak, then it falls during diastole. This pattern is repeated with each squeezing pulse of the heart. The highest velocities are found at the exit of the valve during systole.
One parameter to quantify this difference is the pulsatility index (PI), which is equal to the difference between the peak systolic velocity and the minimum diastolic velocity divided by the mean velocity during the cardiac cycle. This value decreases with distance from the heart. [20]
A Wiggers diagram modified from [1]. A Wiggers diagram, named after its developer, Carl Wiggers, is a unique diagram that has been used in teaching cardiac physiology for more than a century.
The E/A ratio is a marker of the function of the left ventricle of the heart. It represents the ratio of peak velocity blood flow from left ventricular relaxation in early diastole (the E wave) to peak velocity flow in late diastole caused by atrial contraction (the A wave). [1]
The slope of ESPVR (Ees) represents the end-systolic elastance, which provides an index of myocardial contractility. The ESPVR is relatively insensitive to changes in preload, afterload, and heart rate. This makes it an improved index of systolic function over other hemodynamic parameters like ejection fraction, cardiac output, and stroke volume.
In ultrasound it is usually measured from the velocity gradient SR = (v 2 - v 1)/L where v 2 and v 1 are the myocardial velocities at two different points, and L is the instantaneous distance between them. This is thus equivalent to the velocity difference per length unit (the spatial derivative of velocity) and has the unit s −1. Strain is ...
Typically internal carotid artery blood flow velocities are measured in peak systolic velocity (PSV) and end diastolic velocity (EDV) and according to Society of Radiologists in Ultrasound in healthy subjects without stenosis must be below 125 cm/sec at PSV and below 40 cm/sec at EDV. [10]
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