Published in:
01-03-2009 | Original Paper
Brachial Artery Differential Characteristic Impedance: Contributions from Changes in Young’s Modulus and Diameter
Authors:
Glen Atlas, John K-J. Li
Published in:
Cardiovascular Engineering
|
Issue 1/2009
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Abstract
This examination of brachial artery (BA) differential characteristic impedance, ΔZ
c, illustrates that changes in Z
c can occur from changes in either BA wall stiffness (Young’s modulus, E) and/or its diameter, D. Furthermore, we assessed how changes in both E and D combine in either an isolated, synergistic, or antagonistic manner to yield the net change in BA Z
c. The basis of this analysis is a partial differential equation which approximates ΔZ
c as a total differential. The effects on BA ΔZ
c of acetylcholine, atenolol, fenoldapine, nitroglycerin, hydrochlorothiazide and other medications are examined using data from previously published studies. Clinical situations which alter BA Z
c, such as congestive heart failure, hypertension, and hyperemia, are also analyzed. Results illustrate the usefulness of the present approach in differentiating how medications, hyperemia, and pathological conditions affect BA ΔZ
c by causing independent changes to E and/or D.