Vascular dynamics

Computer Science

Scientific paper

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Scientific paper

A study, using the four-electrode impedance plethysmograph system, was completed to evaluate simultaneous variations in conduction of upper and lower body segments relative to displacement of blood volume during change in body position. Measurements of cardiac output were compared with simultaneous results by dye dilution methods as a means of assessing the use of impedance techniques to determine cardiac output during tilt table studies. Two groups, 48 healthy private pilots and 22 patients with diabetes mellitus, were tested and the results were compared. Control and test heart rate values were higher in the afternoon than in the morning for the same healthy subjects, and the blood pressure and heart rate changes paralleled the variations in stroke volume and calf blood pulse changes. The results in the patients with diabetes differed markedly in terms of the magnitude of the cardiovascular changes and indicated the value of the tilt table in assessing ‘fatigue’ in the circulatory system as a result of metabolic disturbance. The change from horizontal to 65 degree head up position in the patients with diabetes showed a marked fall in thoracic stroke and conductive volume in contrast to the minimal decrease observed in healthy subjects.

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