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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.
In medicine, the mean arterial pressure (MAP) is an average calculated blood pressure in an individual during a single cardiac cycle. [1] Although methods of estimating MAP vary, a common calculation is to take one-third of the pulse pressure (the difference between the systolic and diastolic pressures), and add that amount to the diastolic pressure.
A pulse pressure is considered abnormally low if it is less than 25% of the systolic value. [2] If the pulse pressure is extremely low, i.e. 25 mmHg or less, it may indicate low stroke volume, as in congestive heart failure. [3] The most common cause of a low (narrow) pulse pressure is a drop in left ventricular stroke volume.
A minimum systolic value can be roughly estimated by palpation, most often used in emergency situations, but should be used with caution. [10] It has been estimated that, using 50% percentiles, carotid, femoral and radial pulses are present in patients with a systolic blood pressure > 70 mmHg, carotid and femoral pulses alone in patients with systolic blood pressure of > 50 mmHg, and only a ...
This short sharp change in pressure is rapidly attenuated down the arterial tree. The pulse wave form is also reflected from branches in the arterial tree and gives rise to a dicrotic notch in main arteries. The summation of the reflected pulse wave and the systolic wave may increase pulse pressure and help tissue perfusion.
Pulse Decomposition Analysis (PDA), which is a pulse contour analysis approach, [18] is based on the concept that five individual component pulses constitute the peripheral arterial pressure pulse of the upper body. These component pulses are due to the left ventricular ejection and the reflections and re-reflections of the first component ...
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 ...
The Frank-Starling mechanism allows the cardiac output to be synchronized with the venous return, arterial blood supply and humoral length, [2] without depending upon external regulation to make alterations. The physiological importance of the mechanism lies mainly in maintaining left and right ventricular output equality.