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Clinical achievements of impedance analysis
Abstract
Various models and derived measures of arterial function have been proposed to describe and quantify pulsatile hemodynamics in humans. A major distinction can be drawn between lumped models based on circuit theory that assume infinite pulse wave velocity versus distributed, propagative models based on transmission line theory that acknowledge finite wave velocity and account for delays, wave reflection, and spatial and temporal pressure gradients within the arterial system. Although both approaches have produced useful insights into human arterial pathophysiology, there are important limitations of the lumped approach. The arterial system is heterogeneous and various segments respond differently to cardiovascular disease risk factors including advancing age. Lumping divergent change into aggregate summary variables can obscure abnormalities in regional arterial function. Analysis of a limited number of summary variables obtained by measuring aortic input impedance may provide novel insights and inform development of new treatments aimed at preventing or reversing abnormal pulsatile hemodynamics.
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The impedance method has been very successful and is now by far the most common approach to arterial mechanics.
“It has been very successful and is now, by far, the most common approach to arterial mechanics [3, 31, 37, 54].”
From A brief history of arterial wave mechanics (2009) · cites this paper as [31]
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Sorted by citations
A brief history of arterial wave mechanics
Parker, K. H. (2009) · Medical & Biological Engineering & Computing · doi:10.1007/s11517-009-0440-5 · Cited by 137
“It has been very successful and is now, by far, the most common approach to arterial mechanics [3, 31, 37, 54].”
BackgroundMeasurements of arterial pressure and flow in vivo
Sharman, J. E., Segers, P., & Chirinos, J. A. (2022) · Textbook of Arterial Stiffness and Pulsatile Hemodynamics in Health and Disease · doi:10.1016/b978-0-323-91391-1.00002-9 · Cited by 3
Metadata
- Authors
- Mitchell, G. F.
- Corresponding author
- Mitchell, Gary F.
- ORCID
- Mitchell, Gary F.
- Venue
- Medical & Biological Engineering & Computing
- Published
- 2008-10-14
- Volume
- 47
- Issue
- 2
- Pages
- 153-163
- ISSN
- 0140-0118 (ISSN-L)
- 1741-0444
- OpenAlex
- W2078024465
- Cited by
- 63
- References
- 2
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 2 · 2020: 1 · 2019: 2 · 2017: 4 · 2015: 5 · 2014: 4 · 2013: 6 · 2012: 8
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Medical & Biological Engineering & Computing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Physical Sciences › Engineering › Biomedical Engineering › Elasticity and Material Modeling
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Keywords
- aortic input impedance, arterial function, pulsatile hemodynamics, lumped circuit model, transmission line model, pulse wave velocity, wave reflection, cardiovascular risk factors, aging
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aging, Aorta, Hemodynamics, Humans, Middle Aged, Models, Cardiovascular, Pulsatile Flow, Vascular Resistance
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