A questionable association of stroke volume and arterial pulse pressure under gravitational stress

作者：Cote Anita T; Phillips Aaron A; Bredin Shannon S D; Warburton Darren E R^*

来源：Journal of Trauma and Acute Care Surgery, 2012, 72(3): 708-712.

DOI：10.1097/TA.0b013e31822dd202

• Stroke volume
• pulse pressure
• lower body negative pressure

BACKGROUND: The purpose of this study was to examine individual stroke volume-pulse pressure (PP) relationships in healthy young men and women.
METHODS: Sixteen healthy men and women were assessed at baseline and during four 12-minute stages of progressive lower body negative pressure (LBNP) at -15, -30, -45, and -60 mm Hg.
RESULTS: Throughout staged LBNP, systolic blood pressure (105 +/- 7.8 vs. 103 +/- 8.3 mm Hg) and mean arterial pressure were not statistically different (81 +/- 5.6 vs. 83 +/- 5.9 mm Hg). There was also a significant increase in diastolic blood pressure (69 +/- 5.3 vs. 72 +/- 5.9 mm Hg) and heart rate (63 +/- 8.3 vs. 86 +/- 14.2 bpm) as well as a decrease in PP (37 +/- 5.7 vs. 31 +/- 7.0 mm Hg) and stroke volume (80 +/- 17.0 vs. 26.6 +/- 10.0 mL). There was a strong positive relationship for LBNP versus stroke volume (r(2) = 0.99), PP (r(2) = 0.96), and heart rate (r(2) = -0.92), as well as for stroke volume versus PP (r(2) = 0.98) and stroke volume versus heart rate (r(2) = -0.94). Substantial intersubject variability in the stroke volume and PP correlations were presented. Strong, significant correlations were only displayed for 38% of the participants, while heart rate and stroke volume was strongly associated in 63% of these individuals.
CONCLUSIONS: This work highlights the limitations of using PP when assessing trauma patients because of large interindividual differences. (J Trauma. 2012; 72: 708-712.

• 出版日期2012-3