Chlebus H
Bibl Cardiol. 1979(37):73-83.
A short historical review of sphygmography and a description of the contour together with the genesis of the arterial pulse wave is given. An own procedure of quantitative analysis of the carotid sphygmogram is described. The scope of these investigations was an attempt to determine sphygmographic criteria for arterial distensibility, showing the degeneration of the arteries. First it is reported about the original technique of the carotid resonance electrosphygmography (CRESG), then the advantages resulting from long-term investigations (especially with arterial atheriosclerotic patients compared with normal subjects) are stressed. Secondly, the practical value of CRESG, substantiated with X-ray aortography, pathological findings and experiments on dogs is shown. In two groups (70 healthy subjects and 221 patients with reduced distensibility of the arterial wall) a significant correlation between PWV in the aorta and quantitative sphygmographic data could be shown. Thirdly, the usefulness of CRESG as a noninvasive method in the quantitative assessment of arterial damage is concluded especially for the case of atherosclerosis and hypertension. The further development of this original method in evaluating arterial ageing, the arterial changes in hypertensive patients and in different other pathological situations may promote a broader clinical application of CRESG.
本文对脉搏描记法进行了简短的历史回顾，并描述了动脉脉搏波的轮廓及其产生过程。文中介绍了一种对颈动脉脉搏图进行定量分析的方法。这些研究旨在确定动脉扩张性的脉搏描记标准，以显示动脉的退化情况。首先报道了颈动脉共振电脉搏描记法（CRESG）的原始技术，接着强调了长期研究（特别是对动脉粥样硬化患者与正常受试者进行比较）所带来的优势。其次，通过X射线主动脉造影、病理检查结果以及对狗的实验，展示了CRESG的实用价值。在两组人群（70名健康受试者和221名动脉壁扩张性降低的患者）中，可显示主动脉脉搏波速度（PWV）与定量脉搏描记数据之间存在显著相关性。第三，得出结论：CRESG作为一种无创方法，在动脉损伤的定量评估中具有实用性，特别是在动脉粥样硬化和高血压的情况下。这种原始方法在评估动脉老化、高血压患者的动脉变化以及其他不同病理状况方面的进一步发展，可能会促进CRESG在临床上的更广泛应用。
