Skip to main content
Top
Published in: Cardiovascular Engineering 1/2009

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

Login to get access

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.
Appendix
Available only for authorised users
Literature
go back to reference Armentano R, Simon A, Levenson J, Chau NP, Megnien JL, Pichel R. Mechanical pressure versus intrinsic effects of hypertension on large arteries in humans. Hypertension. 1991;18(5):657–64.PubMed Armentano R, Simon A, Levenson J, Chau NP, Megnien JL, Pichel R. Mechanical pressure versus intrinsic effects of hypertension on large arteries in humans. Hypertension. 1991;18(5):657–64.PubMed
go back to reference Armentano RL, Graf S, Ramirez AJ, Espinosa JD, Brandani L, Baglivo H, et al. Mechanical vs intrinsic components in the improvement of brachial arterial compliance. Comparison of the effects of atenolol versus ramipril in hypertensive patients. Medicina. 2001;61(5 Pt 1):535–40.PubMed Armentano RL, Graf S, Ramirez AJ, Espinosa JD, Brandani L, Baglivo H, et al. Mechanical vs intrinsic components in the improvement of brachial arterial compliance. Comparison of the effects of atenolol versus ramipril in hypertensive patients. Medicina. 2001;61(5 Pt 1):535–40.PubMed
go back to reference Arnold JM, Marchiori GE, Imrie JR, Burton GL, Pflugfelder PW, Kostuk WJ. Large artery function in patients with chronic heart failure. Studies of brachial artery diameter and hemodynamics. Circulation. 1991;84(6):2418–25.PubMed Arnold JM, Marchiori GE, Imrie JR, Burton GL, Pflugfelder PW, Kostuk WJ. Large artery function in patients with chronic heart failure. Studies of brachial artery diameter and hemodynamics. Circulation. 1991;84(6):2418–25.PubMed
go back to reference Asmar RG, Benetos A, Chaouche-Teyara K, Raveau-Landon CM, Safar ME. Comparison of effects of felodipine versus hydrochlorothiazide on arterial diameter and pulse-wave velocity in essential hypertension. Am J Cardiol. 1993;72(11):794–8.PubMedCrossRef Asmar RG, Benetos A, Chaouche-Teyara K, Raveau-Landon CM, Safar ME. Comparison of effects of felodipine versus hydrochlorothiazide on arterial diameter and pulse-wave velocity in essential hypertension. Am J Cardiol. 1993;72(11):794–8.PubMedCrossRef
go back to reference Atlas GM. Development and application of a logistic-based systolic model for hemodynamic measurements using the esophageal Doppler monitor. Cardiovasc Eng. 2008;8(3):159–73.PubMedCrossRef Atlas GM. Development and application of a logistic-based systolic model for hemodynamic measurements using the esophageal Doppler monitor. Cardiovasc Eng. 2008;8(3):159–73.PubMedCrossRef
go back to reference Bank AJ, Kaiser DR, Rajala S, Cheng A. In vivo human brachial artery elastic mechanics: effects of smooth muscle relaxation. Circulation. 1999;100(1):41–7.PubMed Bank AJ, Kaiser DR, Rajala S, Cheng A. In vivo human brachial artery elastic mechanics: effects of smooth muscle relaxation. Circulation. 1999;100(1):41–7.PubMed
go back to reference Katz SD, Rao R, Berman JW, Schwarz M, Demopoulos L, Bijou R, et al. Pathophysiological correlates of increased serum tumor necrosis factor in patients with congestive heart failure. Relation to nitric oxide-dependent vasodilation in the forearm circulation. Circulation. 1994;90(1):12–6.PubMed Katz SD, Rao R, Berman JW, Schwarz M, Demopoulos L, Bijou R, et al. Pathophysiological correlates of increased serum tumor necrosis factor in patients with congestive heart failure. Relation to nitric oxide-dependent vasodilation in the forearm circulation. Circulation. 1994;90(1):12–6.PubMed
go back to reference Katz SD, Krum H, Khan T, Knecht M. Exercise-induced vasodilation in forearm circulation of normal subjects and patients with congestive heart failure: role of endothelium-derived nitric oxide. J Am Coll Cardiol. 1996;28(3):585–90.PubMedCrossRef Katz SD, Krum H, Khan T, Knecht M. Exercise-induced vasodilation in forearm circulation of normal subjects and patients with congestive heart failure: role of endothelium-derived nitric oxide. J Am Coll Cardiol. 1996;28(3):585–90.PubMedCrossRef
go back to reference Li JK-J. Time domain resolution of forward and reflected waves in the aorta. IEEE Trans Biomed Eng. 1986;BME-33:783–5.CrossRef Li JK-J. Time domain resolution of forward and reflected waves in the aorta. IEEE Trans Biomed Eng. 1986;BME-33:783–5.CrossRef
go back to reference Li JK-J. The arterial circulation. Physical principles and clinical applications. Totowa: Humana Press; 2000. Li JK-J. The arterial circulation. Physical principles and clinical applications. Totowa: Humana Press; 2000.
go back to reference Li JK-J. Dynamics of the vascular system. Singapore: World Scientific; 2004. Li JK-J. Dynamics of the vascular system. Singapore: World Scientific; 2004.
go back to reference Milnor WR. Hemodynamics. 2nd ed. Baltimore: Williams & Wilkens; 1989. Milnor WR. Hemodynamics. 2nd ed. Baltimore: Williams & Wilkens; 1989.
go back to reference Naka KK, Tweddel AC, Doshi SN, Goodfellow J, Henderson AH. Flow-mediated changes in pulse wave velocity: a new clinical measure of endothelial function. Eur Heart J. 2006;27(3):302–9.PubMedCrossRef Naka KK, Tweddel AC, Doshi SN, Goodfellow J, Henderson AH. Flow-mediated changes in pulse wave velocity: a new clinical measure of endothelial function. Eur Heart J. 2006;27(3):302–9.PubMedCrossRef
go back to reference Nakamura M, Sugawara S, Arakawa N, Nagano M, Shizuka T, Shimoda Y, et al. Reduced vascular compliance is associated with impaired endothelium-dependent dilatation in the brachial artery of patients with congestive heart failure. J Card Fail. 2004;10(1):36–42.PubMedCrossRef Nakamura M, Sugawara S, Arakawa N, Nagano M, Shizuka T, Shimoda Y, et al. Reduced vascular compliance is associated with impaired endothelium-dependent dilatation in the brachial artery of patients with congestive heart failure. J Card Fail. 2004;10(1):36–42.PubMedCrossRef
go back to reference Schilling J, Cakmakci M, Battig U, Geroulanos S. A new approach in the treatment of hypotension in human septic shock by NG-monomethyl-l-arginine, an inhibitor of the nitric oxide synthetase. Intensive Care Med. 1993;19(4):227–31.PubMedCrossRef Schilling J, Cakmakci M, Battig U, Geroulanos S. A new approach in the treatment of hypotension in human septic shock by NG-monomethyl-l-arginine, an inhibitor of the nitric oxide synthetase. Intensive Care Med. 1993;19(4):227–31.PubMedCrossRef
go back to reference Simon AC, Levenson J, Bouthier J, Safar ME, Avolio AP. Evidence of early degenerative changes in large arteries in human essential hypertension. Hypertension. 1985;7(5):675–80.PubMed Simon AC, Levenson J, Bouthier J, Safar ME, Avolio AP. Evidence of early degenerative changes in large arteries in human essential hypertension. Hypertension. 1985;7(5):675–80.PubMed
go back to reference Tousoulis D, Antoniades C, Bosinakou E, Kotsopoulou M, Pitsavos C, Vlachopoulos C, et al. Effects of atorvastatin on reactive hyperemia and inflammatory process in patients with congestive heart failure. Atherosclerosis. 2005;178(2):359–63.PubMedCrossRef Tousoulis D, Antoniades C, Bosinakou E, Kotsopoulou M, Pitsavos C, Vlachopoulos C, et al. Effects of atorvastatin on reactive hyperemia and inflammatory process in patients with congestive heart failure. Atherosclerosis. 2005;178(2):359–63.PubMedCrossRef
Metadata
Title
Brachial Artery Differential Characteristic Impedance: Contributions from Changes in Young’s Modulus and Diameter
Authors
Glen Atlas
John K-J. Li
Publication date
01-03-2009
Publisher
Springer US
Published in
Cardiovascular Engineering / Issue 1/2009
Print ISSN: 1567-8822
Electronic ISSN: 1573-6806
DOI
https://doi.org/10.1007/s10558-009-9071-6

Other articles of this Issue 1/2009

Cardiovascular Engineering 1/2009 Go to the issue