Hametner Bernhard, Wassertheurer Siegfried
Center for Health & Bioresources, AIT Austrian Institute of Technology, Donau-City-Strasse 1, 1220, Vienna, Austria.
Curr Hypertens Rep. 2017 Aug 11;19(9):73. doi: 10.1007/s11906-017-0769-3.
Arterial pulse waveform analysis has a long tradition but has not pervaded medical routine yet. This review aims to answer the question whether the methodology is ready for prime time use. The current methodological consensus is assessed, existing technologies for waveform measurement and pulse wave analysis are discussed, and further needs for a widespread use are proposed.
A consensus document on the understanding and analysis of the pulse waveform was published recently. Although still some discrepancies remain, the analysis using both pressure and flow waves is favoured. However, devices which enable pulse wave measurement are limited, and the comparability between devices is not sufficiently given. Pulse waveform analysis has the potential for prime time. It is currently on a way towards broader use, but still needs to overcome challenges before settling its role in medical routine.
动脉脉搏波形分析有着悠久的历史，但尚未普及到医疗常规应用中。本综述旨在回答该方法是否已准备好投入实际应用的问题。评估了当前的方法学共识，讨论了现有的波形测量和脉搏波分析技术，并提出了广泛应用所需的进一步条件。
最近发表了一份关于脉搏波形理解和分析的共识文件。尽管仍存在一些差异，但同时使用压力波和血流波进行分析更受青睐。然而，能够进行脉搏波测量的设备有限，且设备之间缺乏充分的可比性。脉搏波形分析有潜力投入实际应用。目前它正朝着更广泛的应用发展，但在确立其在医疗常规中的作用之前仍需克服挑战。
