Pulse arrival time: Measurement and clinical applications
Pulse arrival time is the time elapsed between the R-wave of electrocardiogram and systolic peak in peripheral pulse obtained by any of the plethysmographic methods. Similarly, differential pulse arrival time, also known as pulse transit time, is the time elapsed between systolic peaks of proximal a...
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Wolters Kluwer Medknow Publications
2022-01-01
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Series: | MGM Journal of Medical Sciences |
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Online Access: | http://www.mgmjms.com/article.asp?issn=2347-7946;year=2022;volume=9;issue=1;spage=103;epage=111;aulast=Deshmukh |
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author | Chaitali A Deshmukh Ghanshyam D Jindal Uttam R Bagal Gajanan D Nagare |
author_facet | Chaitali A Deshmukh Ghanshyam D Jindal Uttam R Bagal Gajanan D Nagare |
author_sort | Chaitali A Deshmukh |
collection | DOAJ |
description | Pulse arrival time is the time elapsed between the R-wave of electrocardiogram and systolic peak in peripheral pulse obtained by any of the plethysmographic methods. Similarly, differential pulse arrival time, also known as pulse transit time, is the time elapsed between systolic peaks of proximal and distal peripheral pulse recordings in an extremity. Distance between the proximal and distal site in the extremity (in meters) divided by differential pulse arrival time (in seconds) gives arterial pulse wave velocity in the limb segment. Differential pulse arrival time has been used to discriminate between an aortic or arterial block from generalized atherosclerosis in aortic and arterial occlusive diseases for nearly four decades. All along there have been efforts to monitor beat-to-beat blood pressure with the help of these time intervals and other pulse parameters. Encouraging correlation has been observed with that obtained by Finapres. Recently pulse arrival time has been explored for the prompt detection of sudden hypertensive episodes during laryngeal microsurgery, for detection of mental stress, monitoring of baroreflex sensitivity, and real-time monitoring of blood pressure. This paper briefly describes the measurement technique of pulse arrival time and an overview of its clinical applications. |
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institution | Directory Open Access Journal |
issn | 2347-7946 2347-7962 |
language | English |
last_indexed | 2024-04-12T22:28:21Z |
publishDate | 2022-01-01 |
publisher | Wolters Kluwer Medknow Publications |
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series | MGM Journal of Medical Sciences |
spelling | doaj.art-737ac51105fb435fa271fe3f12b61ca22022-12-22T03:14:03ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622022-01-019110311110.4103/mgmj.mgmj_23_22Pulse arrival time: Measurement and clinical applicationsChaitali A DeshmukhGhanshyam D JindalUttam R BagalGajanan D NagarePulse arrival time is the time elapsed between the R-wave of electrocardiogram and systolic peak in peripheral pulse obtained by any of the plethysmographic methods. Similarly, differential pulse arrival time, also known as pulse transit time, is the time elapsed between systolic peaks of proximal and distal peripheral pulse recordings in an extremity. Distance between the proximal and distal site in the extremity (in meters) divided by differential pulse arrival time (in seconds) gives arterial pulse wave velocity in the limb segment. Differential pulse arrival time has been used to discriminate between an aortic or arterial block from generalized atherosclerosis in aortic and arterial occlusive diseases for nearly four decades. All along there have been efforts to monitor beat-to-beat blood pressure with the help of these time intervals and other pulse parameters. Encouraging correlation has been observed with that obtained by Finapres. Recently pulse arrival time has been explored for the prompt detection of sudden hypertensive episodes during laryngeal microsurgery, for detection of mental stress, monitoring of baroreflex sensitivity, and real-time monitoring of blood pressure. This paper briefly describes the measurement technique of pulse arrival time and an overview of its clinical applications.http://www.mgmjms.com/article.asp?issn=2347-7946;year=2022;volume=9;issue=1;spage=103;epage=111;aulast=Deshmukhbaroreflex sensitivityblood pressure variabilityplethysmographypulse arrival timepulse transit time |
spellingShingle | Chaitali A Deshmukh Ghanshyam D Jindal Uttam R Bagal Gajanan D Nagare Pulse arrival time: Measurement and clinical applications MGM Journal of Medical Sciences baroreflex sensitivity blood pressure variability plethysmography pulse arrival time pulse transit time |
title | Pulse arrival time: Measurement and clinical applications |
title_full | Pulse arrival time: Measurement and clinical applications |
title_fullStr | Pulse arrival time: Measurement and clinical applications |
title_full_unstemmed | Pulse arrival time: Measurement and clinical applications |
title_short | Pulse arrival time: Measurement and clinical applications |
title_sort | pulse arrival time measurement and clinical applications |
topic | baroreflex sensitivity blood pressure variability plethysmography pulse arrival time pulse transit time |
url | http://www.mgmjms.com/article.asp?issn=2347-7946;year=2022;volume=9;issue=1;spage=103;epage=111;aulast=Deshmukh |
work_keys_str_mv | AT chaitaliadeshmukh pulsearrivaltimemeasurementandclinicalapplications AT ghanshyamdjindal pulsearrivaltimemeasurementandclinicalapplications AT uttamrbagal pulsearrivaltimemeasurementandclinicalapplications AT gajanandnagare pulsearrivaltimemeasurementandclinicalapplications |