Friday, November 11, 2016

IABP Graph Analysis



For analysis of graph first put patienton 2:1 Augmentaion

Normal Graph


DIA: Unassisted End Diastolic Pressure
SYS: Unassisted Peak Systolic Pressure
AUG: Diastolic Augmentation/Peak Diastolic Pressure
ADIA: Assisted End Diastolic Pressure
ASYS: Assisted Peak Systolic Pressure (Systole after IAB deflation)
DN: Dicrotic Notch




Early Inflation


Inflation of Valve before dicrotic notch

Can be identified by drawing a line from dicrotic notch of unassisted pulse

Forced closure of Aortic valve
Reduces Stroke volume

Increased LV End diastolic volume(LVED)

Increased work load

Late Inflation


Dicrotic notch is visible brfore augmented diastolic graph 

AUG less than optimum

Decreased perfusion pressure
and volume to coronary arteries  




Early Deflation
Augmented Systolic =Non augmented systolic pressure

U shape  at Augmented end diastolic pressures


No afterload reduction


Late Deflation

 Augmented end diastolic pressure > Non Augmented end Diastolic pressure
Violates rule 2for deflation



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