Noninvasive and Nonocclusive Blood Pressure Estimation Via a Chest Sensor.

Details

Serval ID
serval:BIB_5BEA6704E9AC
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Noninvasive and Nonocclusive Blood Pressure Estimation Via a Chest Sensor.
Journal
IEEE transactions on bio-medical engineering
Author(s)
Solà J., Proença M., Ferrario D., Porchet J.A., Falhi A., Grossenbacher O., Allemann Y., Rimoldi S.F., Sartori C.
ISSN
1558-2531 (Electronic)
ISSN-L
0018-9294
Publication state
Published
Issued date
12/2013
Peer-reviewed
Oui
Volume
60
Number
12
Pages
3505-3513
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
The clinical demand for a device to monitor blood pressure (BP) in ambulatory scenarios with minimal use of inflation cuffs is increasing. Based on the so-called pulse wave velocity (PWV) principle, this paper introduces and evaluates a novel concept of BP monitor that can be fully integrated within a chest sensor. After a preliminary calibration, the sensor provides nonocclusive beat-by-beat estimations of mean arterial pressure (MAP) by measuring the pulse transit time (PTT) of arterial pressure pulses travelling from the ascending aorta toward the subcutaneous vasculature of the chest. In a cohort of 15 healthy male subjects, a total of 462 simultaneous readings consisting of reference MAP and chest PTT were acquired. Each subject was recorded at three different days: D, D+3, and D+14. Overall, the implemented protocol induced MAP values to range from 80 ± 6 mmHg in baseline, to 107 ± 9 mmHg during isometric handgrip maneuvers. Agreement between reference and chest-sensor MAP values was tested by using intraclass correlation coefficient (ICC = 0.78) and Bland-Altman analysis (mean error = 0.7 mmHg, standard deviation = 5.1 mmHg). The cumulative percentage of MAP values provided by the chest sensor falling within a range of ±5 mmHg compared to reference MAP readings was of 70%, within ±10 mmHg was of 91%, and within ±15 mmHg was of 98%. These results point at the fact that the chest sensor complies with the British Hypertension Society requirements of Grade A BP monitors, when applied to MAP readings. Grade A performance was maintained even two weeks after having performed the initial subject-dependent calibration. In conclusion, this paper introduces a sensor and a calibration strategy to perform MAP measurements at the chest. The encouraging performance of the presented technique paves the way toward an ambulatory compliant, continuous, and nonocclusive BP monitoring system.

Keywords
Adult, Blood Pressure, Blood Pressure Determination/methods, Humans, Male, Photoplethysmography, Pulse Wave Analysis, Signal Processing, Computer-Assisted, Thorax/physiology
Pubmed
Create date
03/01/2014 10:37
Last modification date
20/08/2019 15:14
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