Variability of maximum systolic amplitude of ΔZ/Δt curve in pregnancy. Perennial observations

Maximum systolic amplitude is quite an important component of the impedance cardiogram ΔZ/Δt curve. Its values make it possible to calculate many hemodynamic indices. Therefore it is necessary to keep informed about monthly, annual and perennial maximum systolic amplitude trend. We can produce the measuring data of the maximum systolic amplitude for a fifteen-year period (from 1994 to 2009). The impedance cardiograms were obtained with the help of an electric impedance analyzer RA-5 (1 mA, 70 kHz) with disk ECG electrodes. The data analyzed were taken from the pregnant women with non-complicated pregnancy (n=5709). We have analyzed the average monthly and annual changes of the maximum systolic amplitude ΔZ/Δt curve. It allowed us to reveal the six-year periodicity of the maximum systolic amplitude changes. There were discovered statistically significant peak values difference of the amplitude (p>0.001). The data obtained should be taken into consideration when using impedance cardiography in clinical practice. The article is supplied with tables and diagrams.