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Physiology of the Digital Pulse Waveform
Pulse Waveform of a 80 year old person
In the elderly, further arterial stiffening cause the reflected wave to return much faster and gives rise to a “shouldering” at the primary wave; and coincide very close to the systolic peak, resulting in an augmented wave. The heart now needs to contract even harder (to overcome the oncoming reflected wave) and for a longer period. At the same time, coronary artery perfusion is further compromised.
Pulse Waveform of a 25 year old person
For a normal young person, where the arteries are generally compliant, the slow travelling reflected wave from the peripheral occurs during diastole, thus enhancing perfusion of the coronary arteries.