Pulse arrival time: Measurement and clinical applications

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dc.contributor.authorDeshmukh, Chaitali A.en_US
dc.contributor.authorJindal, Ghanshyam D.en_US
dc.contributor.authorBagal, Uttam R.en_US
dc.contributor.authorNagare, Gajanan D.en_US
dc.date.accessioned2023-06-17T08:53:48Z
dc.date.available2023-06-17T08:53:48Z
dc.date.issued2022-01
dc.description.abstractPulse arrival time is the time elapsed between the R-wave of electrocardiogram and systolic peak in peripheral pulse obtained by any of the plethysmographic methods. Similarly, differential pulse arrival time, also known as pulse transit time, is the time elapsed between systolic peaks of proximal and distal peripheral pulse recordings in an extremity. Distance between the proximal and distal site in the extremity (in meters) divided by differential pulse arrival time (in seconds) gives arterial pulse wave velocity in the limb segment. Differential pulse arrival time has been used to discriminate between an aortic or arterial block from generalized atherosclerosis in aortic and arterial occlusive diseases for nearly four decades. All along there have been efforts to monitor beat-to-beat blood pressure with the help of these time intervals and other pulse parameters. Encouraging correlation has been observed with that obtained by Finapres. Recently pulse arrival time has been explored for the prompt detection of sudden hypertensive episodes during laryngeal microsurgery, for detection of mental stress, monitoring of baroreflex sensitivity, and real-time monitoring of blood pressure. This paper briefly describes the measurement technique of pulse arrival time and an overview of its clinical applications.en_US
dc.identifier.affiliationsDepartment of Biomedical Engineering, MGM’s College of Engineering & Technology, Navi Mumbai,en_US
dc.identifier.affiliationsDepartment of Biomedical Engineering, Vidyalankar Institute of Technology, Mumbai, Maharashtra, Indiaen_US
dc.identifier.citationDeshmukh Chaitali A, Jindal Ghanshyam D, Bagal Uttam R, Nagare Gajanan D. Pulse arrival time: Measurement and clinical applications. MGM Journal of Medical Sciences. 2022 Jan; 9(1): 103-111en_US
dc.identifier.issn2347-7946
dc.identifier.issn2347-7962
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/217005
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber1en_US
dc.relation.volume9en_US
dc.source.urihttps://doi.org/10.4103/mgmj.mgmj_23_22en_US
dc.subjectBaroreflex sensitivityen_US
dc.subjectblood pressure variabilityen_US
dc.subjectplethysmographyen_US
dc.subjectpulse arrival timeen_US
dc.subjectpulse transit timeen_US
dc.titlePulse arrival time: Measurement and clinical applicationsen_US
dc.typeJournal Articleen_US
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