PULSE WAVES. ROLE IN THE IMPLEMENTATION AND REGULATION OF HEMODYNAMICS Part 1. Types of pulse waves, origin, propagation, registration and analysis; relationship of parameters with heart function and hemodynamics

Pulse waves and the response of arterial vessels to changes in hemodynamics have been studied in 121 subjects, of which 58 women and 59 men were of age 21.5 ± 1.6 years old, and 4 subjects 63–79 years old. Pulse waves were recorded by two methods: using photoelectric and mechanoelectric sensors, synchronously with ECG in 2nd standard lead. The reaction of small arteries and arterioles was recorded by method of microspectrometry. Based on the analysis of the results of this study and literature data, the following conclusions and assumptions can be made:

- the use of sensors that respond to mechanical pulsating displacements of the arterial wall caused by changes in blood pressure in the systole and diastole of the heart allows recording pulse pressure The use of sensors sensitive to changes in the volume and velocity of blood flow makes it possible to record pulse flow waves. Synchronous recording of pulse oscillations with these two types of sensors makes it possible to record both types of pulse waves;

- pulse pressure waves propagate along the arterial wall at a higher velocity than the velocity of pulse flow wave in blood, and pulse pressure wave is recorded earlier than flow wave;

- pulse waves parameters (amplitude, steepness of anacrotis, duration of delay of onset of anacrotis relative to R wave on ECG, delay pulse flow waves relative pulse pressure waves, pulse waves propagation velocity) depend on the rate of myocardium excitation, stroke volume, arterial pressure and volume of blood flowing into arterial

Additional research is required to verify the assumptions made about the role of pulse waves in implementation and regulation of hemodynamics in a healthy body, and the possible significance of its disturbance in the  mechanisms  of  development  of  cardio  vascular and other diseases.

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