Validation of a new formula for mean arterial pressure calculation: The new formula is superior to the standard formula

Mansour Razminia, Atul Trivedi, Janos Molnar, Monther Elbzour, Mayra Guerrero, Yasser Salem, Aziz Ahmed, Sandeep Khosla, David L. Lubell

Research output: Contribution to journalArticle

52 Scopus citations

Abstract

Mean arterial pressure (MAP) has traditionally been derived from systolic and diastolic pressures, weighted 1/3 systolic and 2/3 diastolic. No correction is made for the increasing time dominance of systole with increasing heart rates. In a previous study, we developed a new and more accurate heart rate-corrected MAP formula from central aorta pressure determinations in a large number of patients: MAP = DP + [0.33 + (HR × 0.0012)] × [PP] where SP and DP are systolic and diastolic pressure and HR is heart rate. The current study validates the new MAP formula in the same patient at increasing paced heart rates. A central aorta catheter was used to obtain computer-determined systolic, diastolic, and MAP in 12 patients. Values were obtained at baseline and then at increasing right atrial paced heart rates. The new and standard MAP formula-derived values were compared with computer-determined values. The new formula showed a much closer correlation with the computer-derived values for MAP. Standard MAP calculations for MAP can easily be improved by inclusion of a heart rate factor.

Original languageEnglish (US)
Pages (from-to)419-425
Number of pages7
JournalCatheterization and Cardiovascular Interventions
Volume63
Issue number4
DOIs
StatePublished - Dec 1 2004

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Keywords

  • Mean arterial pressure calculation
  • PPC
  • Standard formula

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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