Bilateral symmetry of radial pulse in high-level tennis players: implications for the validity of central aortic pulse wave analysis.

Details

Serval ID
serval:BIB_0DE59CE3860E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Bilateral symmetry of radial pulse in high-level tennis players: implications for the validity of central aortic pulse wave analysis.
Journal
Journal of Hypertension
Author(s)
Gojanovic B., Waeber B., Gremion G., Liaudet L., Feihl F.
ISSN
1473-5598[electronic]
Publication state
Published
Issued date
2009
Volume
27
Number
8
Pages
1617-1623
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
BACKGROUND: Reconstruction of the central aortic pressure wave from the noninvasive recording of the radial pulse with applanation tonometry has become a standard tool in the field of hypertension. It is not presently known whether recording the radial pulse on the dominant or the nondominant side has any effect on such reconstruction. METHOD: We carried out radial applanation tonometry on both forearms in young, healthy, male volunteers, who were either sedentary (n = 11) or high-level tennis players (n = 10). The purpose of including tennis players was to investigate individuals with extreme asymmetry between the dominant and nondominant upper limb. RESULTS: In the sedentary individuals, forearm circumference and handgrip strength were slightly larger on the dominant (mean +/- SD respectively 27.9 +/- 1.5 cm and 53.8 +/- 10 kg) than on nondominant side (27.3 +/- 1.6 cm, P < 0.001 vs. dominant, and 52.1 +/- 11 kg, P = NS). In the tennis players, differences between sides were more conspicuous (forearm circumference: dominant 28.0 +/- 1.7 cm nondominant 26.4 +/- 1.5 cm, P < 0.001; handgrip strength 61.4 +/- 10.8 vs. 53.4 +/- 9.7 kg, P < 0.001). We found that in both sedentary individuals and tennis players, the radial pulse had identical shape on both sides and, consequently, the reconstructed central aortic pressure waveforms, as well as derived indices of central pulsatility, were not dependent on the side where applanation tonometry was carried out. CONCLUSION: Evidence from individuals with maximal asymmetry of dominant vs. nondominant upper limb indicates that laterality of measurement is not a methodological issue for central pulse wave analysis carried out with radial applanation tonometry.
Keywords
Adult, Aorta/physiology, Hand Strength, Humans, Male, Manometry, Pulsatile Flow, Pulse, Radius/physiology, Tennis
Pubmed
Web of science
Open Access
Yes
Create date
21/12/2009 12:18
Last modification date
20/08/2019 12:34
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