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Titolo:
Influence of thoracic sympathectomy on cardiac induced oscillations in tissue blood volume
Autore:
Nitzan, M; Babchenko, A; Shemesh, D; Alberton, J;
Indirizzi:
Jerusalem Coll Technol, Dept Phys Electroopt, Jerusalem, Israel Jerusalem Coll Technol Jerusalem Israel s Electroopt, Jerusalem, Israel Shaare Zedek Med Ctr, Dept Gen Surg, Jerusalem, Israel Shaare Zedek Med Ctr Jerusalem Israel Dept Gen Surg, Jerusalem, Israel
Titolo Testata:
MEDICAL & BIOLOGICAL ENGINEERING & COMPUTING
fascicolo: 5, volume: 39, anno: 2001,
pagine: 579 - 583
SICI:
0140-0118(200109)39:5<579:IOTSOC>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEART-RATE-VARIABILITY; PRESSURE VARIABILITY; PULSE;
Keywords:
photoplethysmography; haemodynamics; sympathetic nervous system; thoracic sympathectomy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Engineering, Computing & Technology
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Nitzan, M Jerusalem Coll Technol, Dept Phys Electroopt, Jerusalem, Israel Jerusalem Coll Technol Jerusalem Israel pt, Jerusalem, Israel
Citazione:
M. Nitzan et al., "Influence of thoracic sympathectomy on cardiac induced oscillations in tissue blood volume", MED BIO E C, 39(5), 2001, pp. 579-583

Abstract

The photoplethysmographic (PPG) signal, which measures cardiac-induced changes in tissue blood volume by light transmission measurements, shows spontaneous fluctuations. In this study, PPG was simultaneously measured in the right and left index fingers of 16 patients undergoing thoracic sympathectomy, and, from each PPG pulse, the amplitude of the pulse (AM) and its maximum (BL) were determined. The parameter AM/BL is proportional to the cardiac-induced blood volume increase, which depends on the arterial wall compliance. AM/BL increased after the thoracic sympathectomy treatment (for male patients, from 2.60 +/- 1.49% to 4.81 +/- 1.21%), as sympathetic denervation decreases arterial tonus in skin. The very low-frequency (VLF) fluctuationsof BL or AM showed high correlation (0.90 +/- 0.11 and 0.92 +/- 0.07, respectively) between the right and left hands before the thoracic sympathectomy, and a significant decrease in the right-left correlation coefficient (to0.54 +/- 0.22 and 0.76 +/- 0.20, respectively) after the operation. The standard deviation of the BL or AM VLF fluctuations also reduced after the treatment, indicating sympathetic mediation of the VLF PPG fluctuations. The study also shows that the analysis of the PPG signal and the VLF fluctuations of the PPG parameters enable the assessment of the change in sympatheticnervous system activity after thoracic sympathectomy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/21 alle ore 15:17:18