La courbe de pression artérielle : bases physiologiques et implications cliniques
Abstract
Arterial pressure is a fundamental parameter in hemodynamic assessment, reflecting the interaction between ventricular function, arterial compliance, and systemic vascular resistance. Beyond the simple measurement of systolic and diastolic arterial pressure values, analysis of the arterial pressure waveform provides valuable information on cardiovascular parameters. Indeed, this waveform results from the superposition of propagated and reflected pressure waves, influenced by factors such as arterial stiffness and peripheral amplification of the pulse wave. In clinical practice, analysis of the various components of arterial blood pressure (systolic, diastolic, mean, pulsed, etc.) is crucial for adapting therapeutic strategies in intensive care units and anesthesia. Indeed, a fine analysis of arterial pressure makes it possible to optimize the use of vasoactive agents, adjust fluid management, and improve organ perfusion. A better understanding of the pathophysiologic mechanisms underlying the arterial pressure waveform thus contributes to personalized and optimal management of hemodynamically unstable patients.
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BibTeX
@article{boulet2026courbe,
title = {{La courbe de pression artérielle : bases physiologiques et implications cliniques}},
author = {Nicolas Boulet and Laurent Muller and Jean-Yves Lefrant and Claire Roger},
journal = {Anesthésie \& Réanimation},
year = {2026},
month = oct,
doi = {10.1016/j.anrea.2025.03.006},
url = {https://hal.science/hal-05834629v1},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - La courbe de pression artérielle : bases physiologiques et implications cliniques
AU - Nicolas Boulet
AU - Laurent Muller
AU - Jean-Yves Lefrant
AU - Claire Roger
PY - 2026
DA - 2026/10/22
JO - Anesthésie & Réanimation
DO - 10.1016/j.anrea.2025.03.006
UR - https://hal.science/hal-05834629v1
AB - Arterial pressure is a fundamental parameter in hemodynamic assessment, reflecting the interaction between ventricular function, arterial compliance, and systemic vascular resistance. Beyond the simple measurement of systolic and diastolic arterial pressure values, analysis of the arterial pressure waveform provides valuable information on cardiovascular parameters. Indeed, this waveform results from the superposition of propagated and reflected pressure waves, influenced by factors such as arterial stiffness and peripheral amplification of the pulse wave. In clinical practice, analysis of the various components of arterial blood pressure (systolic, diastolic, mean, pulsed, etc.) is crucial for adapting therapeutic strategies in intensive care units and anesthesia. Indeed, a fine analysis of arterial pressure makes it possible to optimize the use of vasoactive agents, adjust fluid management, and improve organ perfusion. A better understanding of the pathophysiologic mechanisms underlying the arterial pressure waveform thus contributes to personalized and optimal management of hemodynamically unstable patients.
SN - 2352-5800
SN - 2352-5819
ER -