The Max Pulse is a non-invasive, FDA Cleared, Class II medical device that uses a pulse oximeter on the patient fingertip to detect and interpret the arterial pulse wave. This information is interpreted using a proprietary algorithm which generates an easy-to-interpret result sheets showing the patients arterial flexibility and the state of the patient autonomic nervous system. This process of examining the arterial pulse wave is called “pulse wave analysis”.
The Max Pulse Provides A 3 Minute Test
To Detect Arterial Hardening and Stress Levels
How It Works: The Max Pulse test is non-invasive and uses a photoelectric clip on the fingertip. By measuring the blood at the finger tip, the Max Pulse can graph the heart beat as it moves through systolic and diastolic. When a persons arteries are flexible, the pressure at the finger tip has specific deviations as the arteries flex. If the a persons arteries are very stiff, the graph becomes very tight and regular. The machine performs an analysis of the arterial pulse wave by using a very sophisticated algorithm to track variations in the graph that are not visible to the naked eye and then interprets those results against a large body of research. The result is an assessment of arterial hardening that is very accurate.
Arterial Health Score: The 1-7 scoring system gives very accurate assessment of arterial hardening. The final report can also indicate instances where the patient has early congestive heart failure or heart weakening. This test allows you can detect arterial hardening or heart weakening long before the patient becomes symptomatic. This is crucial in diabetic patients and for patients with high blood pressure or elevated lipids.
Autonomic Balance Test: The machine also does a very accurate heart rate variability test and prints an autonomic nervous system analysis, showing if the person is overstressed and the sympathetic nervous system is dominant, or in some cases showing that the person is fatigued or the sympathetic is suppressed and the parasympathetic system is dominant. It also shows how well the patient is dealing with their stress levels and assigns a stress score.
The Arterial Stiffness Report
The Max Pulse Test generates one report for arterial stiffness and another report showing patient stress levels. Max Pulse Test reports can be printed or saved to PDF.
The following report is generated by the Max Pulse to show arterial aging.
Analysis of Pulse Section
The first graph (left side of the report) shows the arterial pulse wave as the heart moves through systolic and diastolic. The amount of blood in the finger tip increases, then begins to decrease. There is a “bump” in the graph as the aortic valve closes and the diastolic completed.
The second graph (right side of the report) shows the same graph that has been mathematically accelerated. This graph is very sensitive and this is what the software analyzes to score the patients arterial hardness.
Vascular Health Analysis Section
Here the report shows Mean Heart Rate and then the most important metric – Wave type.
This “wave type” refers to the accelerated pulse wave mentioned above.
This accelerated pulse wave was found to fall into 7 distinct types which are numbered 1 to 7 with 1 being a healthy heart and 7 being a heart and vascular system in the poorest condition.
Heart Rate Variability Test Report
(Autonomic Balance and Stress Test)
(The Max Pulse Test measures Heart Rate Variability and gives an analysis)
The HRV tachogram shows each heartbeat during the test period. To the right you will see mean heart rate and the number of ectopic beats.
TP LVF LF HF Section (Total Power / Very Low Frequency / Low Frequency / High Frequency)
These bar graphs reflect levels of Sympathetic and Parasympathetic activity and their balance.
Power in 4 frequency bands analyzed: Total Power / Very Low Frequency / Low Frequency / High Frequency
SNS PNS Bar Graphs
SNS/PNS Balance – SNS (sympathetic nervous system) & PNS (parasympathetic) Balance. SNS and PNS ratio is normal at around 6:4.
Higher SNS can show up as nervous, anxiety, agitation, excitement, increasing blood pressure, headache, etc.
The Max Pulse device offers a simple, quick, and highly informative test for endothelial function as well as vessel integrity. This allows the clinician to identify patients at risk for cardiovascular disease allowing for appropriate counseling regarding lifestyle, diet, and supplemental changes as well as referral to a cardiologist if indicated. Also, patients appear more motivated to become proactive when discussing these test results.
The Max Pulse is a true game changer. It is an excellent screening tool for assessing the endothelial function of the vessel wall in addition to providing information on ANS balance. When a positive test for advanced arteriosclerosis is obtained, a carotid duplex with CIMT is performed in the clinic and a stress test is performed on the patient. This process led a few patients receiving cardiac catherization or carotid stenting due to the severity of their atherosclerosis. As a Doctor of Osteopathic medicine, I find the ANS report created by the Max Pulse to be of value as well. I use the device before and after manipulation to show the patients changes in their ANS balance. The Max Pulse is a great device for any office.
I have had the Max Pulse machine for 8 years but now with the new update I am so happy to now be able to offer this test routinely to all my patients. At my clinic I try to focus on preventive health and I am glad to have the Max Pulse to motivate my patients to become more proactive when discussing these test results. It is portable and easy for me to do events with because the Max Pulse is so easy to use. It has a graphic readout of results that is easy for the patients to understand and they can take a copy home with them right away.