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Wave reflection in the systemic circulation and its implications in ventricular function
Abstract
From the Medical Professorial Unit, St Vincent's Hospital, Darlinghurst, New South Wales, Australia
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“Chronic arterial stiffness is associated particularly with increased systolic rather than diastolic pres-”
From Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform (2001) · cites this paper as [11]
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The effect of lower body weight support on arterial wave reflection in healthy adults
Afzal, A., Fung, D., Galligan, S., Godwin, E. M., Kral, J. G., Salciccioli, L. F., & Lazar, J. (2014) · Journal of the American Society of Hypertension · doi:10.1016/j.jash.2014.03.004 · Cited by 5
KARADAĞ, M. F. (2022) · International Ophthalmology · doi:10.1007/s10792-022-02237-1 · Cited by 5
“PWV gives information about the stiffness of the arterial segment under study, whereas AI gives information about wave velocity, wave reflection and reflection site [32].”
BackgroundDiabetes and Arterial Stiffness
Wilkinson, I. B., Westerbacka, J., Yki‐Järvinen, H., & Cockcroft, J. (2001) · Humana Press eBooks · doi:10.1007/978-1-59259-091-9_18 · Cited by 5
The Concept of Vascular Overload in Hypertension
Franklin, S. S. (1995) · Cardiology Clinics · doi:10.1016/s0733-8651(18)30016-x · Cited by 5
CARLIER, S. G., Marwick, T. H., Segers, P., Verdonck, P., Camp, G. V., Cosyns, B., & Thomas, J. D. (2002) · Computers in cardiology · doi:10.1109/cic.1997.647871 · Cited by 5
“Peak power should be calculated with the blood pressure in the ascending aorta, whilch differs from the one measured with a cuff at the brachial level because of the increase in the pulse pressure (PP) (defined as systolic - diastolic BP) related to pressure waves reflections [2, 3 ].”
BackgroundKara, L., Abbou, A., Grari, R., Regagba, D., & Benmansour, M. (2018) · Néphrologie & Thérapeutique · doi:10.1016/j.nephro.2018.07.198 · Cited by 4
Effects of Aortic Stiffness Abnormalities on the Heart
Pannier, B., & London, G. M. (2011) · Seminars in Dialysis · doi:10.1111/j.1525-139x.2011.00865.x · Cited by 4
Aortic stiffness as a predictor of coronary atherosclerosis
Giannattasio, C. (2006) · Journal of Hypertension · doi:10.1097/hjh.0b013e328010c2ae · Cited by 4
Luo, J.-W., Zheng, X., Hu, Z., et al. (2014) · 中医杂志：英文版 · doi:10.1016/s0254-6272(14)60091-1 · Cited by 4
Dicrotic pulse in pericardial tamponade
Brown, D. V. (2002) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/jcan.2002.128406 · Cited by 4
Changes of Pulse Wave Velocity in Arm According to Characteristic Points of Pulse Wave
Jung, D. K., Kim, G.-R., Kim, K.-N., et al. (2007) · doi:10.1109/iccit.2007.409 · Cited by 4
“The results showed that pulse wave velocity were dependent on the characteristic points.”
BackgroundBank, A. J., & Kaiser, D. R. (2002) · Springer eBooks · doi:10.1007/978-3-642-56225-9_8 · Cited by 4
End Point–Based Threshold for the Ambulatory Arterial Stiffness Index
Cheng, Y., An, D., Zhang, D., Yu-ling, Y. U., Melgarejo, J. D., Boggia, J. G., Martens, D., Hansen, T. W., Asayama, K., Ohkubo, T., et al. (2026) · Hypertension · doi:10.1161/hypertensionaha.125.25442 · Cited by 3
Baseline Wander Correction in Pulse Waveforms Using Wavelet-Based Cascaded Adaptive Filter
Zhang, D. D., Zuo, W., & Wang, P. (2018) · Springer eBooks · doi:10.1007/978-981-10-4044-3_4 · Cited by 3
Sood, M. R., Abdelmoneim, S. S., Dontineni, N., et al. (2022) · Vascular Health and Risk Management · doi:10.2147/vhrm.s359632 · Cited by 3
“Direct measurement is done by measuring aortic distensibility (AD), which is inversely related to AS and is a well-established parameter of local AS in population studies.(11) It is”
MethodHigh-Sensitivity and Broad Linearity Range Pressure Sensor Based on Printed Microgrids Structure
Zhang, H., Li, Q., Zou, F., et al. (2024) · IEEE Sensors Journal · doi:10.1109/jsen.2024.3506738 · Cited by 3
Central Aortic Pressure: The Next Frontier in Blood Pressure Measurement?
Williams, B., & Lacy, P. S. (2012) · Springer eBooks · doi:10.1007/978-88-470-2601-8_15 · Cited by 3
“A popular explanation for variation in the augmentation of the CPP is founded on the concept of pressure wave reflection [41, 42], specifically the timing of wave reflection from distal reflection sites, especially the aortic bifurcation relative to the incident pressure wave.”
BackgroundNon-Invasive Measurement of Arterial Pressure-Dependent Compliance
Liu, C., Xin, S., Liu, C., et al. (2007) · Conference proceedings - Canadian Conference on Electrical and Computer Engineering · doi:10.1109/ccece.2007.152 · Cited by 3
“O'Rourke [7]-[9] calculated the augmentation index of aorta from aortic pressure waveform which was derived from radial pressure waveform using a transform function.”
MethodFactors Related to Pulse Wave Velocity and Augmentation Index in Chronic Hemodialysis Patients
elik, G., Demirci, M. S., Tümüklü, M., et al. (2011) · Renal Failure · doi:10.3109/0886022x.2011.615967 · Cited by 3
Fogel, M. A., Weinberg, P. M., & Haselgrove, J. C. (2006) · Congenital Heart Disease · doi:10.1111/j.1747-0803.2006.00051.x · Cited by 3
Patterns of digital volume pulse waveform and pulse transit time in young and older individuals
Badi, R. M., & Abdalla, E. (2008) · Sudan Journal of Medical Sciences · doi:10.4314/sjms.v2i4.38491 · Cited by 2
Alterations in Ventricular Function
Kass, D. A. (2010) · Elsevier eBooks · doi:10.1016/b978-1-4160-5895-3.10013-0 · Cited by 1
Bridging vascular physiology to vascular medicine: an integrative laboratory class
Heinrich, T., Bähring, R., Larena-Avellaneda, A. A., et al. (2022) · AJP Advances in Physiology Education · doi:10.1152/advan.00170.2022 · Cited by 2
Sánchez-Torres, G., Infante, Ó., Sánchez-Miranda, G., et al. (2004) · PubMed · Cited by 2
Kaur, R., Kaur, M., Kapoor, R., & Singh, J. (2017) · Romanian Journal of Diabetes Nutrition and Metabolic Diseases · doi:10.1515/rjdnmd-2017-0027 · Cited by 2
Izzo, J. L. (2007) · Elsevier eBooks · doi:10.1016/b978-0-323-03961-1.50014-3 · Cited by 3
Assessment of Hypertensive Target Organ Damage
Izzo, J. L., Liebson, P. R., Gorelick, P. B., Reidy, J. J., & Mimran, A. (2007) · Elsevier eBooks · doi:10.1016/b978-1-4160-3053-9.50021-4 · Cited by 2
Aplicación práctica de la medida de la onda de pulso en el estudio de la rigidez arterial
Sol, J. B. (2007) · Hipertensión y Riesgo Vascular · doi:10.1016/s1889-1837(07)71671-9 · Cited by 2
Supiano, M. A. (1997) · Springer eBooks · doi:10.1007/978-1-4757-2705-0_27 · Cited by 2
Miyai, N., Zhang, Y., Nagatomo, N., et al. (2024) · Hypertension Research · doi:10.1038/s41440-024-01999-8 · Cited by 1
Malin, S. K., Heiston, E. M., Battillo, D. J., Ragland, T. J., Shah, A. M., & Patrie, J. T. (2026) · Journal of Clinical Hypertension · doi:10.1111/jch.70215 · Cited by 1
Development of Feature Points Detection Algorithm for Measuring of Pulse Wave Velocity
Choi, J., Cho, W.-H., Park, J.-H., et al. (2011) · Journal of Sensor Science and Technology · doi:10.5369/jsst.2011.20.5.343 · Cited by 1
“맥파의상승시작점을경화도판단의근거로삼는이유는맥파수 축기의 시작부분에서는 동맥 가지의 진동현상과 같은 맥파 변형이 관찰되지않고 반사파에의한 영향을 받지않으므로상승 시작점은 맥파분석의특징점으로가장널리이용되고있기때문이다[13, 14].”
Isolated Systolic Hypertension
Menon, S. M. D. (2017) · Springer eBooks · doi:10.1007/978-981-10-3253-0_16 · Cited by 1
Федотов, А. А. (2023) · Biomedical Engineering · doi:10.1007/s10527-023-10301-y · Cited by 1
A non-invasive pulse pressure method for the estimation of total arterial compliance
Segers, P., Stergiopulos, N., & Verdonck, P. (2002) · Computers in cardiology · doi:10.1109/cic.1997.647858 · Cited by 1
Changes in the Spectral Characteristics of Plethysmographic Waveforms Due to PAOD
Mizeva, I. A., Артурович, Д. А., & Muraviev, N. (2014) · International Conference on Bio-inspired Systems and Signal Processing · doi:10.5220/0004747301490154 · Cited by 1
“The available results (O’Rourke and Kelly, 1993) have indicated that the intensity of wave reflection is specified by the tone of small muscular arteries in the main areas of reflection.”
ResultSystolic, Diastolic, Mean, or Pulse Pressure
Franklin, S. S. (2001) · Humana Press eBooks · doi:10.1007/978-1-59259-008-7_10 · Cited by 1
Perindopril: the reasonable choice in patients with coronary artery disease
Cockcroft, J. R. (2005) · International Journal of Clinical Practice · doi:10.1111/j.1368-5031.2005.00547.x · Cited by 1
Junge, J., & Steinhagen‐Thiessen, E. (2009) · Elsevier eBooks · doi:10.1016/b978-343724390-5.50007-6 · Cited by 1
Purcell, H., & Coats, A. J. S. (1994) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.1994.tb09850.x · Cited by 1
Aplicación práctica de la medida de la onda de pulso en el estudio de la rigidez arterial
Sol, J. B. (2007) · Hipertensión · doi:10.1016/s0212-8241(07)72428-3 · Cited by 1
Supiano, M. A. (2006) · Springer eBooks · doi:10.1007/0-387-22621-4_41 · Cited by 1
Ye, W., Pillarisetti, A., de León, O., Steenland, K., Peel, J. L., Clark, M. L., Checkley, W., Underhill, L. J., Quinn, A., Balakrishnan, K., et al. (2023) · medRxiv · doi:10.1101/2023.01.23.23284847 · Cited by 2
“PP, the difference between SBP and DBP, is a surrogate measure of arterial compliance, with increased PP an indication of arterial stiffness (50,51).”
Isolated systolic hypertension in the elderly – what's next?
OGILVIE, R. I. (1998) · Geriatric Nephrology and Urology · doi:10.1023/a:1008229322026
Metabolic Regulation of Endothelial Dysfunction and Cardiovascular Risk
Young, J. M. (2012) · Otago University Research Archive (University of Otago)
Use of Tissue Characterization in Relation to Arterial Function
Haluska, B. A., & Sharman, J. E. (2007) · Wiley eBooks · doi:10.1002/9780470692448.ch25
Influence of timing algorithm on brachialankle pulse wave velocity measurement
Sun, X., Li, K., Ren, H., Li, P., Wang, X., & Liu, C. (2014) · Bio-Medical Materials and Engineering · doi:10.3233/bme-130806
“The reflected waves originate from the bifurcation of brachial artery [15-17], mount on the brachial pulse wave and delay the maxima of pulses.”
Seeländer, S. (2015) · doi:10.53846/goediss-5207
Vascular and Platelet Function in Insulin Resistance
Tamminen, M. (2004) · Työväentutkimus Vuosikirja
Syme, D. A., Gamperl, A. K., Braun, M. H., et al. (2006) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00097.2006
“However, with arterial stiffening, the pulse wave velocity increases and the reflections return during late systole, resulting in an increased systemic pressure and an increased load against which the heart must work (23, 24, 27, 28).”
BackgroundInfluentialBunce, S., Stride, A., Matthews, C., Shaw, S., & Smith, J. C. (2008) · Artery Research · doi:10.1016/j.artres.2008.03.002
“Indeed, haemodynamic changes associated with large artery stiffening, particularly elevated central aortic pressure are known to be the major determinants of left ventricular afterload,(6) lead directly to the mal-adaptive changes of myocardial hypertrophy and contribute ultimately to the development of left ventricul…”
BackgroundA Novel Algorithm for Estimating Arterial Pressure-Dependent Compliance
Sun, X., Liu, C., Yang, L., et al. (2009) · International Conference on Bioinformatics and Biomedical Engineering · doi:10.1109/icbbe.2009.5162210
“O'Rourke [5]-[7] calculated the augmentation index (AI) of aorta from aortic pressure waveform which was derived from radial pressure waveform using a transform function.”
MethodA morphological approach to pulse feature extraction from the digital volume pulse
Jang, D.-G., Hahn, M., Farooq, U., et al. (2011) · International Conference on Information, Communications & Signal Processing (ICICS) · doi:10.1109/icics.2011.6173569
“I. INTRODUCTION (HEADING 1) The digital volume pulse (DVP), which is also referred as the photoplethysmograph (PTG), is a physiological signal reflecting cardiovascular events, such as arterial stiffness [1], [2].”
BackgroundGüler, N., Eryonucu, B., BİLGE, M., Etlik, Ö., Erkoç, R., & Sakarya, M. E. (2001) · Angiology · doi:10.1177/000331970105200804
Elastizität der arteriellen Gefäßwand bei Hypertonikern vor und nach Eprosartan
Magometschnigg, D., Hitzenberger, G., & Mair, N. (2004) · Journal für Kardiologie (Krause & Pachernegg GmbH)
The role of ultrasonography in the assessment of preclinical atherosclerosis
Albu, A., Fodor, D., Papita, A., et al. (2009) · Medical Ultrasonography
Insulin action on large artery stiffness in normal and insulin resistant subjects
Westerbacka, J. (2001) · Työväentutkimus Vuosikirja
Torres, G. S., Vazquez, O., Memije, R. M., et al. (2002) · Revista Portuguesa de Pneumologia
Aging Changes in the Systemic Circulation and Ventriculovascular Coupling
Kelly, R. P. (1997) · Springer eBooks · doi:10.1007/978-4-431-67041-4_19
Self-citationNg, K. P. (2016) · University of Birmingham Institutional Research Archive (University of Birmingham)
Ting, S. M. S., Hamborg, T., McGregor, G., et al. (2015)
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Silva, E. O., Perez, A. J., Bortolotto, L. A., et al. (2017) · Revista Brasileira de Educação Física e Esporte · doi:10.11606/1807-5509201700040747
Management of Hypertension in Patients Receiving Dialysis
Nouri, P., & Wilcox, C. S. (2008) · Elsevier eBooks · doi:10.1016/b978-141605484-9.50062-9
Occlusion and Severe Stenosis Identification in Arterial System
Abdessalem, K. B., & Saleh, R. B. (2016) · International Annals of Science · doi:10.21467/ias.1.1.25-32
“The rupture of atherosclerotic plaque is the initial event of artery or coronary occlusion [2, 3].”
BackgroundIzzo, J. L., Anwar, M. A., Elsayed, S., et al. (2019) · Artery Research · doi:10.2991/artres.k.191210.002
“In reality, however, pressure wave morphology between 100 ms (peak systole) and the midpoint of the cardiac cycle (about 400 ms) is not only affected by pressure decay but also by secondary reservoir pressure waves [12] (formerly mischaracterized as “reflected waves” [13]).”
BackgroundTHE IMPORTANCE OF ARTERIAL STIFFNESS ASSESSMENT IN PATIENTS WITH GRADE 1 HYPERTENSION
Crişan, A. S., Mitu, O., Crisan, M., Haba, M. Ș. C., Aursulesei, V. O., Mitu, I., Artene, B., & Mitu, F. (2019) · The Medical-Surgical Journal
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“Similarly the effect of aging on changing arterial compliance and left ventricular load [18-20], benefit of arterial dilation and reduced wave reflection [7], and the impact of arterial stiffening on systolic blood pressure and logical anti-hypertension treatment have been demonstrated with utilization of applanation…”
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Cheng, Y., An, D., Aparicio, L. S., et al. (2025) · Journal of Clinical Hypertension · doi:10.1111/jch.14962
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“Consequently, there is a clear clinical need for a simple, safe, and rapid screening tool suitable for early risk assessment [3,4].”
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Flow, Resistance, and Turbulence: Elucidating the Hemodynamics of Free Flaps
Ruta, M. R., Solari, M. G., Egro, F. M., et al. (2026) · Journal of Reconstructive Microsurgery · doi:10.1055/a-2880-0602
Metadata
- Authors
- O??Rourke, M. F., & Kelly, R. P.
- Affiliations
- St Vincent's Hospital Sydney (AU)
- ORCID
- Kelly, Raymond P.
- Venue
- Journal of Hypertension
- Published
- 1993-04
- Volume
- 11
- Issue
- 4
- Pages
- 327-337
- ISSN
- 0263-6352 (ISSN-L)
- OpenAlex
- W2031720640
- Cited by
- 278
- References
- 0
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 6 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 7 · 2016: 8 · 2015: 7 · 2014: 12 · 2013: 9 · 2012: 10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Keywords
- wave reflection, systemic circulation, ventricular function, arterial stiffness, blood pressure, left ventricular function
- MeSH terms
- Adult, Aged, Aging, Animals, Biophysics, Blood Circulation, Female, Humans, Hypertension, Male, Middle Aged, Models, Cardiovascular, Ventricular Function, Biophysical Phenomena
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