Busse R, Bauer R D, Schabert A, Summa Y, Bumm P, Wetterer E
Basic Res Cardiol. 1979 Sep-Oct;74(5):545-54. doi: 10.1007/BF01907647.
In exposed common carotid arteries of 15 patients (36-74 years) undergoing neck surgery, the intra-arterial pressure (P) was recorded by means of a catheter-tip manometer and, at the same site, the external diameter (D) by means of a contact-free photoelectric device. On the average, the pulsatile diameter changes were 5.6% of the end-diastolic diameter at pulse pressures of about 50 mm Hg. Due to viscoelasticity, the P-D diagrams exhibited hysteresis loops. Using the criterion of loop elimination, an iterative procedure was applied which permitted, by the use of an appropriate computer program, the separation of the purely elastic and the purely viscous components of the P-D relationships. In all cases, the purely elastic P-D curves markedly deviated from linearity. The tangential elastic modulus (Et) and the pulse wave velocity (c) calculated from these curves were normalized by dividing these quantities by the respective end-diastolic values and plotted against the normalized external diameters. During each pulse cycle, Et increased, with increasing diameter, by a factor between 1.2 and 3.5, while c increased by a factor between 1.1 and 1.9 with reference to the respective end-diastolic values.
在15例(年龄36 - 74岁)接受颈部手术患者暴露的颈总动脉中,通过导管尖端压力计记录动脉内压力(P),并在同一部位使用非接触式光电装置测量外径(D)。平均而言,在脉压约为50 mmHg时,搏动性直径变化为舒张末期直径的5.6%。由于粘弹性,P - D图呈现滞后回线。采用回线消除准则,应用一种迭代程序,通过使用适当的计算机程序,可以分离P - D关系中的纯弹性成分和纯粘性成分。在所有情况下,纯弹性P - D曲线明显偏离线性。由这些曲线计算出的切向弹性模量(Et)和脉搏波速度(c)通过将这些量除以各自的舒张末期值进行归一化,并相对于归一化外径进行绘制。在每个脉搏周期内,Et随着直径增加而增加,增加系数在1.2至3.5之间,而c相对于各自的舒张末期值增加系数在1.1至1.9之间。