DPA Interpretive Guide
1. Recognition _____/_____ pulse waves = _____% (Similar to electrocardiogram)
The number of pulses recognized of potential pulses. 80% or higher is good and 50% or less is poor recognition and needs further evaluation from a qualified medical doctor.
2. ETc = Ejection Time _____ms (Similar to echocardiogram)
The time in milliseconds (1,000ths of a second) measured between the aortic valve’s opening and closing with each pulse from the heart’s left ventricle chamber.
Normal = 260 – 380 ms.
<260ms = Hypertension, hyperthyroid, anxiety
>380ms = Aortic stenosis or decrease in cardiac output
3. PR = Pulse Rate ______bpm (Resting heart rate)
Normal = Children 1-10 = 60 to 140 bpm Children over 10 and adults = 65 to 80 bpm
<60 bpm = Well conditioned athlete, congenital slow pulse, hypothyroidism, hypothermia, malnutrition, and some heart conditions, medications like: Beta Blockers, Calcium Channel Blockers, Digoxin, Clonidine or Lithium.
>80 bpm= Exercise, pregnancy, high anxiety, excitement, fever, high blood pressure, low blood pressure, anemia, blood loss, hyperthyroidism, hypoglycemia, panic disorder, nicotine, caffeine, and medications like: Ephedrine, Amphetamines, Anti-Asthmatic, Appetite Suppressants.
4. PH = Pulse Height ______ph (Similar to stroke volume)
Normal = 2.0 – 8.0
<2.0 = Low blood pressure, hypothyroidism or dehydration. (Note: If dehydrated capillaries will also show low circulation as the body relocates blood to the core and major organs).
>8.0 = Heavy exercise, pregnancy, fever, high anxiety, high blood pressure, fluid overload, hyperthyroidism, anemia or atherosclerosis.
5. PTG Waveform________________(Regular or Irregular) Notch______(Yes or No)
This is the arterial pulse waveform resulting from the ejection of blood from the left ventricle and moves with a velocity much greater than the forward movement of the blood itself. Look for a regular pattern and a dicrotic notch indicating younger arterial elasticity.
6. APG Wave Form_____(Letter) = _____-_____(Biological Age)
Measuring potential arteriolosclerosis or hardness of the large & small arteries. Assigning a biological age according to the Letter pattern:
A=20-30, B=30-40, C=40-50, D=50-60, E=60-70, F=70-80, G=80-90
7. Circulation Analysis
Measuring potential atherosclerosis or plaque buildup in the arteries.
EEI = _______ (0.4 to 0.8) Large arteries:<0.4 = Possible atherosclerosis from high cholesterol, homocysteine, C-reactive protein, lipoprotein (a). >0.8 = Vasodilation from pharmaceuticals or nutraceuticals.
DDI =_______ (0.2 to 0.4) Small arteries:<0.2 = Constriction caused by nicotine, caffeine, or anxiety.
>0.4 = Vasodilation from pharmaceuticals or nutraceuticals.
DEI = _______ (0.05 to 0.2) Peripheral arteries: <0.05 = Constriction of the capillaries possibly caused by inflammation. >0.2 = Vasodilation from pharmaceuticals or nutraceuticals.
8. Final Grade ________ 9.Biological Age ________