Excess pressure as an analogue of blood flow velocity

INTRODUCTION: Derivation of blood flow velocity from a blood pressure waveform is a novel technique, which could have potential clinical importance. Excess pressure, calculated from the blood pressure waveform via the reservoir-excess pressure model, is purported to be an analogue of blood flow velocity but this has never been examined in detail, which was the aim of this study. METHODS: Intra-arterial blood pressure was measured sequentially at the brachial and radial arteries via fluid-filled catheter simultaneously with blood flow velocity waveforms recorded via Doppler ultrasound on the contralateral arm (n = 98, aged 61 ± 10 years, 72% men). Excess pressure was derived from intra-arterial blood pressure waveforms using pressure-only reservoir-excess pressure analysis. RESULTS: Brachial and radial blood flow velocity waveform morphology were closely approximated by excess pressure derived from their respective sites of measurement (median cross-correlation coefficient r = 0.96 and r = 0.95 for brachial and radial comparisons, respectively). In frequency analyses, coherence between blood flow velocity and excess pressure was similar for brachial and radial artery comparisons (brachial and radial median coherence = 0.93 and 0.92, respectively). Brachial and radial blood flow velocity pulse heights were correlated with their respective excess pressure pulse heights (r = 0.53, P < 0.001 and r = 0.43, P < 0.001, respectively). CONCLUSION: Excess pressure is an analogue of blood flow velocity, thus affording the opportunity to derive potentially important information related to arterial blood flow using only the blood pressure waveform

Immediate Effect of Physical Exercise on Blood Flow Velocity in Radial Artery in Young Adults

Purpose: Quantify changes in blood flow velocity in radial artery after local dynamic exercise and compare these results between a group of women and men. Acquire data of normal resting blood flow in radial artery.   Methods: We examined 42 healthy young volunteers (21 men and 21 women) of the age about 20. A pocket Doppler ultrasound device was used for measurements. Physical exercise was defined as one-minute-long, one-handed weightlifting. Hemodynamic parameters were registered during resting before exercise and immediately after exercise.Results: Resting baseline values: overall maximum blood flow velocity 26.49 cm/s (SD: 9.99 cm/s), mean blood flow velocity 8.46 cm/s (SD: 6.17 cm/s), and pulsatility index (PI) 5.46 (SD: 5.7) for the whole group. Mean percentage increase of maximum blood flow velocity is 36.5 %, mean blood flow velocity 243 %. PI was reduced by 52.8 %.  There was a presumed significant difference in the percentage change of PI between the group of women and men (p&lt;0.05). . There is also a typical change in velocity waveform after exercise. Conclusion: The most altered parameter is mean blood flow velocity, which corresponds to observed change of velocity waveform probably caused by local vasodilatation lasting only for several seconds

Impaired endothelial function of the retinal vasculature in hypertensive patients

&lt;p&gt;&lt;b&gt;Background and Purpose:&lt;/b&gt; Arterial hypertension constitutes a central factor in the pathogenesis of stroke. We examined endothelial function of the retinal vasculature as a model of the cerebral circulation.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Methods:&lt;/b&gt; Thirty-eight young subjects (19 hypertensive and 19 normotensive) were treated with the AT1-receptor blocker candesartan cilexetil and placebo, each over 7 days. Retinal capillary flow and blood flow velocity in the central retinal artery were assessed with scanning laser Doppler flowmetry and pulsed Doppler ultrasound, respectively. NG-monomethyl-L-arginine (L-NMMA) was infused to inhibit nitric oxide (NO) synthesis. Diffuse luminance flicker was applied to stimulate NO release.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Results:&lt;/b&gt; In normotensive subjects, L-NMMA decreased retinal capillary flow by 8.2%±13% (P&#60;0.05) and flickering light increased mean blood flow velocity in the central retinal artery by 19%&#177;29% (P&#60;0.01). In contrast, no significant change to these provocative tests was seen in hypertensive subjects. Treatment with candesartan cilexetil restored a normal pattern of reactivity in retinal capillaries (L-NMMA: decrease in perfusion by 10%&#177;17%, P&#60;0.05) and the central retinal artery (flicker: increase in mean blood flow velocity by 42%&#177;31%, P&#60;0.001) in hypertensive patients.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Conclusions:&lt;/b&gt; Endothelial function of the retinal vasculature is impaired in early essential hypertension but can be improved by AT1-receptor blockade.&lt;/p&gt

QUANTIFICATION OF BLOOD FLOW VELOCITY USING COLOR SENSING

Blood flow velocity is an important parameter that can give information on several pathologies including atherosclerosis, glaucoma, Raynaud’s phenomenon, and ischemic stroke [2,5,6,10]. Present techniques of measuring blood flow velocity involve expensive procedures such as Doppler echocardiography, Doppler ultrasound, and magnetic resonance imaging [11,12]. They cost from $8500-$20000. It is desired to find a low-cost yet equally effective solution for measuring blood flow velocity. This thesis has a goal of creating a proof of concept device for measuring blood flow velocity. Finger blood flow velocity is investigated in this project. The close proximity to the skin of the finger’s arteries makes it a practical selection. A Red Green Blue (RGB) color sensor is integrated with an Arduino Uno microcontroller to analyze color on skin. The initial analysis involved utilization of red RGB values to measure heart rate; this was performed to validate the sensor. This test achieved similar results to an experimental control as the measurements had error ranging from 0% to 6.67%. The main analysis was to measure blood flow velocity using 2 RGB color sensors. The range of velocity found was 5.20cm/s to 12.22cm/s with an average of 7.44cm/s. This compared well with the ranges found in published data that varied from 4cm/s to 19cm/s. However, there is an error associated with the device that affects the accuracy of the results. The apparatus has the limitation of collecting data between sensors every 102-107ms, so there is a maximum error of 107ms. The average finger blood flow velocity of 7.44cm/s may actually be between 6.17cm/s and 9.39cm/s due to the sampling error. In addition, mean squared error analysis found that the most likely time difference between pulses among those found is 739ms, which corresponds to 5.21cm/s. Although there is error in the system, the tests for heart rate along with the obtained range and average for finger blood velocity data provided a method for analyzing blood flow velocity. Finger blood velocity was examined in a much more economical manner than its traditional methods that cost between $8500-$20000. The cost for this entire thesis was $99.66, which is a maximum of 1.17% of the cost

Blood flow velocity in the middle cerebral artery during transnasal endoscopic skull base surgery performed in controlled hypotension

Background and purpose To assess blood flow velocity in the middle cerebral artery (MCA) during transnasal endoscopic procedures performed with decreased hemodynamic parameters. Materials and methods In 40 patients who underwent endoscopic skull base surgery in controlled hypotension (studied group) and in 13 patients operated without reduction of hemodynamic parameters (control group), blood flow velocity in MCA was assessed with transcranial color Doppler sonography. Results Blood flow velocity in MCA remained within the range of age-specific reference values in all patients before operation. It decreased significantly in both groups after induction of anesthesia and then dropped even further in studied group of patients when hemodynamic parameters were reduced; the systolic velocity fell below the normal reference values in 25% of patients, the mean velocity in 50% and the diastolic velocity in 57% of patients. The diastolic velocity was much more heavily influenced by diminished hemodynamic parameters than systolic velocity in the studied group as opposed to the control group where reduction of blood flow velocity pertained equally systolic and diastolic velocity. Conclusion During transnasal endoscopic procedures performed in moderate hypotension, in addition to significant drop of blood flow velocity to values well below the normal reference range, a divergent reduction of systolic and diastolic velocity was detected. Since divergent systolic and diastolic velocity may indicate an early phase of cerebral autoregulation compromise, and the decrease of mean blood flow velocity in MCA corresponds with a decrease of cerebral blood flow, further investigations in this field seem warranted

Estimating the Capacity of Visual Short-Term Memory: A Transcranial Doppler Sonography Study

Estimates of the capacity of visuospatial short-term memory (VSTM) have ranged from less than 1 item to 4 +/- 1 items. The purpose of the present study was to find the capacity of VSTM by looking at the contribution of the other working memory systems (phonological loop and central executive) and determine the factor that limits VSTM capacity (either number of objects or object complexity). In this study, the psychophysiological measure of cerebral blood flow velocity also was incorporated to determine whether changes in cerebral blood flow velocity were indicative of VSTM performance and capacity. Both performance measures and cerebral blood flow velocity indicate that capacity for random polygons is approximately one object. Complexity of the objects affected capacity, such that simple objects had higher capacities and lower cerebral blood flow velocity than complex objects. Other working memory systems were not found to have an effect on performance

A simple deep breathing test reveals altered cerebral autoregulation in type 2 diabetic patients

Aims/hypothesis: Patients with diabetes mellitus have an increased risk of stroke and other cerebrovascular complications. The purpose of this study was to evaluate the autoregulation of cerebral blood flow in diabetic patients using a simple method that could easily be applied to the clinical routine screening of diabetic patients. Methods: We studied ten patients with type 2 diabetes mellitus and 11 healthy volunteer control participants. Continuous and non-invasive measurements of blood pressure and cerebral blood flow velocity were performed during deep breathing at 0.1 Hz (six breaths per minute). Cerebral autoregulation was assessed from the phase shift angle between breathing-induced 0.1 Hz oscillations in mean blood pressure and cerebral blood flow velocity. Results: The controls and patients all showed positive phase shift angles between breathing-induced 0.1 Hz blood pressure and cerebral blood flow velocity oscillations. However, the phase shift angle was significantly reduced (p < 0.05) in the patients (48 ± 9°) compared with the controls (80 ± 12°). The gain between 0.1 Hz oscillations in blood pressure and cerebral blood flow velocity did not differ significantly between the patients and controls. Conclusions/interpretation: The reduced phase shift angle between oscillations in mean blood pressure and cerebral blood flow velocity during deep breathing suggests altered cerebral autoregulation in patients with diabetes and might contribute to an increased risk of cerebrovascular disorder

Daily rhythm of cerebral blood flow velocity

BACKGROUND: CBFV (cerebral blood flow velocity) is lower in the morning than in the afternoon and evening. Two hypotheses have been proposed to explain the time of day changes in CBFV: 1) CBFV changes are due to sleep-associated processes or 2) time of day changes in CBFV are due to an endogenous circadian rhythm independent of sleep. The aim of this study was to examine CBFV over 30 hours of sustained wakefulness to determine whether CBFV exhibits fluctuations associated with time of day. METHODS: Eleven subjects underwent a modified constant routine protocol. CBFV from the middle cerebral artery was monitored by chronic recording of Transcranial Doppler (TCD) ultrasonography. Other variables included core body temperature (CBT), end-tidal carbon dioxide (EtCO2), blood pressure, and heart rate. Salivary dim light melatonin onset (DLMO) served as a measure of endogenous circadian phase position. RESULTS: A non-linear multiple regression, cosine fit analysis revealed that both the CBT and CBFV rhythm fit a 24 hour rhythm (R(2 )= 0.62 and R(2 )= 0.68, respectively). Circadian phase position of CBT occurred at 6:05 am while CBFV occurred at 12:02 pm, revealing a six hour, or 90 degree difference between these two rhythms (t = 4.9, df = 10, p < 0.01). Once aligned, the rhythm of CBFV closely tracked the rhythm of CBT as demonstrated by the substantial correlation between these two measures (r = 0.77, p < 0.01). CONCLUSION: In conclusion, time of day variations in CBFV have an approximately 24 hour rhythm under constant conditions, suggesting regulation by a circadian oscillator. The 90 degree-phase angle difference between the CBT and CBFV rhythms may help explain previous findings of lower CBFV values in the morning. The phase difference occurs at a time period during which cognitive performance decrements have been observed and when both cardiovascular and cerebrovascular events occur more frequently. The mechanisms underlying this phase angle difference require further exploration