Open Access e-Journal Cardiometry No.16 May 2020
We should mention that Cardiometry is a fine diagnostics tool to assess heart life expectancy. Our experts, using Cardiocode in “red zones” in intensive care units, have confirmed effectiveness of noninvasive measuring of the hemodynamics data on the cardiovascular system performance in critical patients with different severity degrees. The medical staff involved had a possibility not only to monitor the state in each critical patient, but also to predict and control the progression of a disease. We are going to publish some results of this pilot study in our next issues. We should mention that Cardiometry is a fine diagnostics tool to assess heart life expectancy. Our experts, using Cardiocode in “red zones” in intensive care units, have confirmed effectiveness of noninvasive measuring of the hemodynamics data on the cardiovascular system performance in critical patients with different severity degrees. The medical staff involved had a possibility not only to monitor the state in each critical patient, but also to predict and control the progression of a disease. We are going to publish some results of this pilot study in our next issues.
The use of telemedicine and specialized medicalPC-assisted instrumentation systems allow medicalstaff to support and monitor the health state in theirpatients remotely [31, 32, 33].ConclusionsThe conventional arterial pressure measurementis not capable of delivering data on the mechanismsof the AH development, detecting early stages in theAH progression and predicting efficacy of hypotensivedrug therapy and development of refractorinessto hypotensive therapy. In this regard, administrationof an adequate drug therapy on the basis of the centralhemodynamics indices determined with the VCОmethod in dynamics would be treated as a more accuratetechnique, which properly takes into account thepathogenetic mechanisms of the AH development, capableof achieving the specified targets and reducingCVD mortality.Research summary1. The investigation of central hemodynamics with theVCО method is comparable with the generally acceptedinvasive technique and some other methods of centralhemodynamics examinations.2. The use of VCO is acceptable and reasonable providedthat multiple VCO examination procedures are completed,since the hemodynamic parameters are labile.3. The VCО method for assessing the central hemodynamicscan be used for prediction of a cardiovascularrisk under various human individual conditions: pregnancy,physical loads in athletes, anesthesia in case ofsurgery; comorbidities like arterial hypertension, diabetes,postinfarction cardiosclerosis etc.5. The CH examination employing VCO makes it possibleto adequately select the proper drug therapy, consideringthe identified type of blood circulation, andadjust the medication, if required.6. Due to the complexity of the CH data interpretation,for the purpose of a wide application of VCO inclinical practice, a new software, capable of deliveringassessed results and findings, should be developed.7. To extend the scope of the applications of VCО inclinical practice it is necessary to involve capabilitiesand possibilities offered by telemedicine, which enablephysicians to advise patients remotely, provideremote monitoring of their health status, and adjusttheir treatment, if required. It is especially applicableto elderly and disabled patients.Statement on ethical issuesResearch involving people and/or animals is in fullcompliance with current national and internationalethical standards.Conflict of interestNone declared.Author contributionsThe authors read the ICMJE criteria for authorship andapproved the final manuscript.References1. Badin Yu, Fomin IV, Belenkov YN et al. AGE-AG1998-2017: The dynamics of the prevalence, awarenessof hypertension, treatment coverage and effectiveblood pressure control in the European part of Russia.Cardiology. 2019;59(1S):34–42. [in Russian]2. 2018 ESC/ESH Guidelines for the managementof arterial hypertension. European Heart Journal.01 September 2018;39(33):3021–104, https://doi.org/10.1093/eurheartj/ehy3393. Platec AE, Szymansky FM, Krzysztof JF, KotkowskiM, et al. Prevalence of hypertension in professionaldrivers (from the RACER-ABPM Study). AmericanJournal of Cardiology. 120(10):1792-6.4. Kushakovski MS. Primary hypertension: the regulationof disease or form of compensation? Cardiology.1983;5:102-4. [in Russian]5. Savitsky NN. Some research methods, and functionalassessment of the circulatory system. L .: Medicine,1956.329 p. [in Russian]6. Registration certificate for medical device fromthe December 15, 2017 № 2017/6582 RZN "complexhardware - software noninvasive study of central hemodynamicsby volume compression oscillometric"entitled "CAP TT OSM -" Globus "TU 9441-003-222221983-2004, number registration dossier numberRD-16572/10063 from 03.20.2017. [in Russian]7. Mazurok VA. Space-compression oscillometry toassess the performance of the heart. Bulletin of intensivecare. 2017;2:55–60. [in Russian]8. Degtyarev VA. The possibility of a comprehensivestudy of the circulatory system in primary healthcare by volume compression oscillometric. Therapy.2015;1:13-5.[in Russian]9. Trivozhenko AB, Y. Semenov Y, Shiryaev AA. Assessmentof central hemodynamics compressionmethod oscillometry volume. Medical alphabet.52 | Cardiometry | Issue 16. May 2020
2019;2(12):18-23. https://doi.org/10.33667/2078-5631-2019-2-12(387)-18-23 [in Russian]10. Ivanov S, Livshits N. The accuracy of blood pressuremeasurement on tones Korotkoff comparedwith oscillometric method. Bulletin arrhythmology.2005;40:55–8. [in Russian]11. Shidlovskaya SA, et al. Experience of volumetriccompression oscillometry in hypertensivepatients. Cardiology and Cardiovascular Surgery.2015;8(2):33-7.[in Russian]12. Gerashchenko MS, et al. Development gidromanzhetnogodevice for monitoring of hemodynamic parameters.Measurement. Monitoring. Control. Control.2016;4(18):112-7. [in Russian]13. Kuz'minskii YG, Shilko SV. Method of diagnosis of heartsystem based on the one-dimensional model of hemodynamics.Computer science. 2014;4:19-33. [in Russian]14. Shpak LV, Galoshina ES. Advantages assessmentof hemodynamic parameters in patients with arterialhypertension compression volume oscillometricmethod. Cardiovascular therapy and prevention.2013;12(2):10-7. [in Russian]15. Schetinin VV, Beresten NF. Cardio Doppler. M .:Medicine. 2002. 234 p. [in Russian]16. Grechkina LI. Typological features of the functioningof the cardiovascular system in adolescents. Hygieneand sanitation. 2018;10:2288-90. [in Russian]17. Grechkina LI. Assessment of hemodynamic parametersas a potential risk markers of cardiovascularsystem in young men with different types of self-regulationof blood circulation. Analysis of the risk tohealth.2019;1:118-24. [in Russian]18. Minasyan SM, et al. Change cardiohemodynamicindicators and heart rate of students under the influenceof the teaching load. Russian Journal of Physiologyafter Sechenov. 2006;92(7):817–26. [in Russian]19. Parygina OV, Matveev Yu. Assessment of hemodynamicuniversity students waterway transport in theprocess of preparing plans for training loads. Internationalscientific-practical conference "Physical education,sport and health at the university". The collectionof works.2017. p. 79-83. [in Russian]20. Strakhov NV, Zuikova AA. Opportunities volumecompression method oscillometric in predicting cardiovascularrisk in hypertensive patients in general practice.Archives of Internal Medicine. 2013;1(9):64-8. [in Russian]21. Strahov NV, et al. Bulk oscillometry: a new modelof preventing clinical course of hypertension. Scienceperspective.2013;2(41):19–21. [in Russian]22. Strahov NV, Krasnorutskiy ON, Kotova Y. Hemodynamicsin patients with arterial hypertension andpostinfarction cardiosclerosis. Siberian Medical Journal.2016;31(1):47-9.[in Russian]23. Strahova NV, et al. Regression analysis of the prognosticvalue of the pulse wave velocity in hypertensivepatients with myocardial infarction. The contradictionsof modern cardiology: the controversial and unresolvedissues. 5th All-Russian.conference. Samara,October 21-22, 2016. p. 32-33. [in Russian]24. Ovsyannikova VV, Minako EV. Comparative evaluationof methods for rigidity aortic volume compressionand a bulk oscillometry sphygmography.System of analysis and management of biomedicalsystems.2014;13(2):317–21. [in Russian]25. Ovsyannikova VV, Chernykh TM. Volume compressionoscillometric method in the assessment ofaortic stiffness in patients with diabetes. Young scientist.2015;21:299-303.[in Russian]26. Shpak LV, Galoshina ES, Eremeev AG Hemodynamicparameters in patients with arterial hypertensionin the pre- and postoperative period after laparoscopiccholecystectomy. Journal of Cardiology.2013;18(1):86-92. [in Russian]27. Lozhakova MV. Changes in peripheral hemodynamicsand microcirculatory bed in patients with hypertensionunder the influence of monotherapy withbisoprolol. Cardiovascular therapy and prevention.2008;7(6):17-20. [in Russian]28. Pravdivtseva EV, et al. Prevention of cardiotoxicity ofthe anthracycline antibiotic doxorubicin: the role of ACEinhibitor perindopril. Clinician. 2011;3:55-61. [in Russian]29. Yemelyanova DI, Dvoryansky SA, YagovkinaNV. Compliance with antihypertensive therapy typeof central hemodynamics in pregnancy, occurringagainst the background of essential hypertension.Issues of Gynecology, Obstetrics and Perinatology.2014;13(6):21-4. [in Russian]30. Gorenkov RV, Yakushin MA, Safina DE, et al. Theuse of remote sensing methods study of central hemodynamicsin optimizing the treatment of hypertensionin an outpatient setting. Eurasian Journal of Cardiology2019;S1:101. [in Russian]31. Yakushin MA, Gorenkov RV, Yakushina TI. Treatmentof hypertension in the elderly: a new solution tothis problem. Clinical Gerontology.2017;23(7-8):22-7.[in Russian]32. Gorbunov Yu.A., Kudrin AA, Ermachenko VF,Stolyar VP. Telemedicine consultative and diagnosticIssue 16. May 2020 | Cardiometry | 53
- Page 3 and 4: Dear Reader!Our life dictates what
- Page 5 and 6: Prof. Mohammad AleemCairo Universit
- Page 7 and 8: 74808597The study of hemodynamics i
- Page 9 and 10: We commemorate great Russian scient
- Page 11 and 12: and, in particular, activated is th
- Page 13 and 14: decline in the rate of those who fo
- Page 15 and 16: Table 1.Mass parameters of some org
- Page 17 and 18: REVIEW Submitted: 20.02.2020; Accep
- Page 19 and 20: teides. As a rule, under the hypoxi
- Page 21 and 22: Table 1Changes in ratios between th
- Page 23 and 24: Consequences of anaerobic formation
- Page 25 and 26: receptor SUCNR1 [72], which is call
- Page 27 and 28: acid and oxalacetic acid. J. Biol.
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- Page 31 and 32: 12], we may assume that PC-assisted
- Page 33 and 34: Figure 2. Demonstration of the para
- Page 35 and 36: of doubts has been expressed by tho
- Page 37 and 38: ORIGINAL RESEARCH Submitted: 2.04.2
- Page 39 and 40: Table 2. Dependence of SHD profile
- Page 41 and 42: Figure 4Figure 5Figure 6 Figure 7Ta
- Page 43 and 44: The mapping between the SHD profile
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- Page 47 and 48: measurement thereof cannot detect a
- Page 49 and 50: AimsThe aim of this study is to ass
- Page 51 and 52: vascular system condition, using an
- Page 53: 4. Papers devoted to the AH treatme
- Page 57 and 58: ORIGINAL RESEARCH Submitted: 17.01.
- Page 59 and 60: The statistical analysis of the obt
- Page 61 and 62: Table 7Eigenvalues and percentage o
- Page 63 and 64: but also as a means for active mode
- Page 65 and 66: values [6]. Both groups are homogen
- Page 67 and 68: Table 2No. of ind.BMIAge, yearsHb,
- Page 69 and 70: ORIGINAL RESEARCH Submitted: 18.03.
- Page 71 and 72: а) b)Figure 1. Fragments of the bl
- Page 73 and 74: а)b)cd)Figure 3. Fragments of seru
- Page 75 and 76: zation of the facias and add to the
- Page 77 and 78: PV5 - blood volume (part of SV), pu
- Page 79 and 80: Conflict of interestNone declared.A
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- Page 83 and 84: the action of high level energy. Ac
- Page 85 and 86: Figure 5. Diagram of “a multipuls
- Page 87 and 88: REPORT Submitted: 25.02.2020; Accep
- Page 89 and 90: used to suppress this sort of noise
- Page 91 and 92: tion v[n] using HFF, then the final
- Page 93 and 94: jω jω jωZe ( ) = Xe ( ) H1( e )
- Page 95 and 96: Figure 4. Filtering of the ECG sign
- Page 97 and 98: Significant data have been obtained
- Page 99 and 100: REVIEW Submitted: 5.03.2020; Accept
- Page 101 and 102: companies have even made the implem
- Page 103 and 104: the evaluation of the item occurs.
The use of telemedicine and specialized medical
PC-assisted instrumentation systems allow medical
staff to support and monitor the health state in their
patients remotely [31, 32, 33].
Conclusions
The conventional arterial pressure measurement
is not capable of delivering data on the mechanisms
of the AH development, detecting early stages in the
AH progression and predicting efficacy of hypotensive
drug therapy and development of refractoriness
to hypotensive therapy. In this regard, administration
of an adequate drug therapy on the basis of the central
hemodynamics indices determined with the VCО
method in dynamics would be treated as a more accurate
technique, which properly takes into account the
pathogenetic mechanisms of the AH development, capable
of achieving the specified targets and reducing
CVD mortality.
Research summary
1. The investigation of central hemodynamics with the
VCО method is comparable with the generally accepted
invasive technique and some other methods of central
hemodynamics examinations.
2. The use of VCO is acceptable and reasonable provided
that multiple VCO examination procedures are completed,
since the hemodynamic parameters are labile.
3. The VCО method for assessing the central hemodynamics
can be used for prediction of a cardiovascular
risk under various human individual conditions: pregnancy,
physical loads in athletes, anesthesia in case of
surgery; comorbidities like arterial hypertension, diabetes,
postinfarction cardiosclerosis etc.
5. The CH examination employing VCO makes it possible
to adequately select the proper drug therapy, considering
the identified type of blood circulation, and
adjust the medication, if required.
6. Due to the complexity of the CH data interpretation,
for the purpose of a wide application of VCO in
clinical practice, a new software, capable of delivering
assessed results and findings, should be developed.
7. To extend the scope of the applications of VCО in
clinical practice it is necessary to involve capabilities
and possibilities offered by telemedicine, which enable
physicians to advise patients remotely, provide
remote monitoring of their health status, and adjust
their treatment, if required. It is especially applicable
to elderly and disabled patients.
Statement on ethical issues
Research involving people and/or animals is in full
compliance with current national and international
ethical standards.
Conflict of interest
None declared.
Author contributions
The authors read the ICMJE criteria for authorship and
approved the final manuscript.
References
1. Badin Yu, Fomin IV, Belenkov YN et al. AGE-AG
1998-2017: The dynamics of the prevalence, awareness
of hypertension, treatment coverage and effective
blood pressure control in the European part of Russia.
Cardiology. 2019;59(1S):34–42. [in Russian]
2. 2018 ESC/ESH Guidelines for the management
of arterial hypertension. European Heart Journal.
01 September 2018;39(33):3021–104, https://doi.
org/10.1093/eurheartj/ehy339
3. Platec AE, Szymansky FM, Krzysztof JF, Kotkowski
M, et al. Prevalence of hypertension in professional
drivers (from the RACER-ABPM Study). American
Journal of Cardiology. 120(10):1792-6.
4. Kushakovski MS. Primary hypertension: the regulation
of disease or form of compensation? Cardiology.
1983;5:102-4. [in Russian]
5. Savitsky NN. Some research methods, and functional
assessment of the circulatory system. L .: Medicine,1956.
329 p. [in Russian]
6. Registration certificate for medical device from
the December 15, 2017 № 2017/6582 RZN "complex
hardware - software noninvasive study of central hemodynamics
by volume compression oscillometric"
entitled "CAP TT OSM -" Globus "TU 9441-003-
222221983-2004, number registration dossier number
RD-16572/10063 from 03.20.2017. [in Russian]
7. Mazurok VA. Space-compression oscillometry to
assess the performance of the heart. Bulletin of intensive
care. 2017;2:55–60. [in Russian]
8. Degtyarev VA. The possibility of a comprehensive
study of the circulatory system in primary health
care by volume compression oscillometric. Therapy.2015;1:13-5.
[in Russian]
9. Trivozhenko AB, Y. Semenov Y, Shiryaev AA. Assessment
of central hemodynamics compression
method oscillometry volume. Medical alphabet.
52 | Cardiometry | Issue 16. May 2020
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