V Congreso Latinoamericano de Ingeniería Biomédica (CLAIB2011)

Relación entre la sensibilidad barorrefleja y el volumen fotopletismográfico
Infante Vázquez Óscar

Última modificación: 2011-02-09 04:32


Objective: Our aim was to evaluate the effect of the baroreflex mechanism upon peripheral blood volume during sympathetic stimulation by orthostatism.

Methods: Nineteen healthy volunteers were included (12 men), 28.4 ± 6.2 years old. Blood pressure was monitored with a Finometer and blood volume with a photoplethysmograph during supine position and orthostatism (15 minutes each), in order to obtain systolic blood pressure (SBP), diastolic blood pressure (DBP), systolic volume (SysV), diastolic volume (DiaV), and inter beat intervals (IBI) measurements. Baroreflex sensitivity index (IBI/SBP) and baroreflex effect on blood volume (IBI/SysV) were estimated by the sequence method. s.

Results: More than 70% of DBP and DiaV variations can be explained by SBP and SysV, respectively, with coherence>0.5 in frequencies between 0.04 and 0.15 Hz. IBI/SBP and IBI/SysV were linearly correlated (R>0.4) and both decreased during orthostatism (p<0.05).

Conclusion: The sequence method showed a strong baroreflex effect upon peripheral blood volume that became more apparent during sympathetic stimulation with orthostatism. This approach could be clinically useful for the evaluation of blood volume regulation in diseases such as diabetes mellitus and heart failure, or during therapeutic interventions such as hemodialysis.