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Pulse Wave Analysis and Central Blood Pressure Monitoring

Pulse Wave Analysis and Central Blood Pressure Monitoring provide a detailed assessment of blood pressure at the aorta (central blood pressure) rather than the arm (peripheral blood pressure). This non-invasive evaluation involves placing specialised sensors on the arm to analyse the characteristics of pulse waves as they move through the arteries. The results offer insights into arterial stiffness, wave reflections, and central blood pressure levels, assisting in the management of cardiovascular health and refining treatment strategies.

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Dr Adrian Mondry
Physician (FRG) | MD (HHU Düsseldorf) | MRCP (London) | IM Specialist (ÄKNo) | Hypertensiologist (DHL)
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Who Should Consider This Assessment?

Pulse Wave Analysis and Central Blood Pressure Monitoring are useful for individuals who require a more detailed evaluation of their cardiovascular health. Those who may benefit include:

  • Younger Adults with Isolated Systolic Hypertension

    In younger individuals, central and peripheral blood pressure readings often differ. Central blood pressure monitoring offers a more accurate assessment of hypertension, aiding treatment decisions.

  • Diabetes and Cardiovascular Risk

    Diabetes affects the vascular system early, even before abnormalities appear in conventional blood pressure measurements. This assessment aids in early detection.

  • Individuals with Resistant Hypertension

    When blood pressure remains high despite multiple medications, central pressure readings help in fine-tuning treatment approaches.

  • Individuals with Established Cardiovascular Disease

    Monitoring central blood pressure allows for better disease tracking and treatment adjustments over time.

  • Suspected Arterial Stiffness

    Those with risk factors for arterial stiffness benefit from a more refined evaluation of cardiovascular risk.

Advantages of This Assessment

Compared to conventional blood pressure measurements, Pulse Wave Analysis and Central Blood Pressure Monitoring offer:

  • More Precise Cardiovascular Assessment

    Central blood pressure reflects the pressure the heart and major organs experience, providing better insights for treatment decisions.

  • Early Detection of Vascular Changes

    Changes in arterial stiffness and wave reflections appear before conventional readings show abnormalities, allowing for early intervention.

  • Better Medication Management

    More detailed data help in selecting the most appropriate medications and adjusting dosages effectively.

  • Non-Invasive Approach

    The procedure is painless and requires no recovery time, making it suitable for routine monitoring.

  • Long-Term Monitoring Capability

    Periodic assessments help track changes in cardiovascular health and guide treatment over time.

Techniques Used for Monitoring

Different methods can be used for Pulse Wave Analysis and Central Blood Pressure Monitoring, depending on clinical needs:

Tonometry

A pressure sensor is placed on the radial artery to record pulse waves with each heartbeat. The data is analysed to determine central blood pressure and arterial stiffness.

Oscillometry

A modified blood pressure cuff records pulse waves during deflation, extracting central pressure values. This technique is useful for continuous monitoring.

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What to Expect

  • Before the procedure

    Avoid caffeine, smoking, and exercise for at least two hours. A light meal is acceptable, but avoid heavy meals for three hours.

  • During the procedure

    Sensors or a blood pressure cuff will be placed on the wrist, neck, or upper arm. Multiple readings are taken, with the system ensuring accuracy.

  • After the procedure

    No recovery time is needed. You can resume normal activities immediately. The doctor will review your results during the visit and, if necessary, schedule follow-ups based on your cardiovascular risk.

Frequently Asked Questions (FAQ)

How is this different from a regular blood pressure check?

Conventional blood pressure checks measure peripheral pressure in the arm, whereas this assessment provides additional information on arterial stiffness and central blood pressure.

How often should this assessment be done?

This depends on cardiovascular risk factors and treatment status. Patients on medication typically require assessments every 3-6 months, while those undergoing preventive monitoring may need them annually.

Can medications influence the results?

Yes. Some medications affect central blood pressure and pulse wave characteristics, which is considered when interpreting the results.

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Dr Adrian Mondry

Physician (FRG)|MD (HHU Düsseldorf)|Specialist for Internal Medicine (ÄKNo)|Hypertensiologist (DHL)|MRCP (London)

Dr. Mondry has over 30 years of experience as an internal medicine & hypertension specialist.

  • Previously a Senior Consultant in the Department of Medicine at the National University Hospital and Ng Teng Fong General Hospital, where he is currently a visiting consultant.

  • Hypertension Specialist accredited by the German Hypertension League (DHL)

  • Contributed to the latest Singapore ACE Clinical Guidance on “Hypertension – Tailoring the Management Plan to Optimise Blood Pressure Control” as a committee member.

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