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  • Title: Measurement of hemodynamics during postural changes using a new wearable cephalic laser blood flowmeter.
    Author: Fujikawa T, Tochikubo O, Kura N, Kiyokura T, Shimada J, Umemura S.
    Journal: Circ J; 2009 Oct; 73(10):1950-5. PubMed ID: 19652400.
    Abstract:
    BACKGROUND: Patients with orthostatic hypotension have pathologic hemodynamics related to changes in body posture. A new cephalic laser blood flowmeter that can be worn on the tragus to investigate the hemodynamics upon rising from a sitting or squatting posture was developed. METHODS AND RESULTS: The relationship between cephalic hemodynamics and cerebral ischemic symptoms in 63 subjects in a sitting, squatting, and standing positions using the new device was evaluated. Transient decrease in blood pressure within 15 s after rising to an erect position possibly causes dizziness, syncope, and fall. Subjects exhibiting dizziness upon standing showed a significant decrease in the cephalic blood flow (CBF) and indirect beat-to-beat systolic blood pressure, as monitored by the Finometer, and a significant correlation was observed between the drop ratio (drop value on rising/mean value in the squatting position) of CBF and that of systolic blood pressure. CONCLUSIONS: This new wearable CBF-meter is potentially useful for estimating cephalic hemodynamics and objectively diagnosing cerebral ischemic symptoms of subjects in a standing posture.
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