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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Main Authors: Chaitali A Deshmukh, Ghanshyam D Jindal, Uttam R Bagal, Gajanan D Nagare
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:MGM Journal of Medical Sciences
Subjects:
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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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