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Cuff-Free Blood Pressure Estimation Using Pulse Transit Time and Heart Rate.

Identifieur interne : 001536 ( PubMed/Corpus ); précédent : 001535; suivant : 001537

Cuff-Free Blood Pressure Estimation Using Pulse Transit Time and Heart Rate.

Auteurs : Ruiping Wang ; Wenyan Jia ; Zhi-Hong Mao ; Robert J. Sclabassi ; Mingui Sun

Source :

RBID : pubmed:26213717

Abstract

It has been reported that the pulse transit time (PTT), the interval between the peak of the R-wave in electrocardiogram (ECG) and the fingertip photoplethysmogram (PPG), is related to arterial stiffness, and can be used to estimate the systolic blood pressure (SBP) and diastolic blood pressure (DBP). This phenomenon has been used as the basis to design portable systems for continuously cuff-less blood pressure measurement, benefiting numerous people with heart conditions. However, the PTT-based blood pressure estimation may not be sufficiently accurate because the regulation of blood pressure within the human body is a complex, multivariate physiological process. Considering the negative feedback mechanism in the blood pressure control, we introduce the heart rate (HR) and the blood pressure estimate in the previous step to obtain the current estimate. We validate this method using a clinical database. Our results show that the PTT, HR and previous estimate reduce the estimated error significantly when compared to the conventional PTT estimation approach (p<0.05).

DOI: 10.1109/ICOSP.2014.7014980
PubMed: 26213717

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pubmed:26213717

Le document en format XML

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<div type="abstract" xml:lang="en">It has been reported that the pulse transit time (PTT), the interval between the peak of the R-wave in electrocardiogram (ECG) and the fingertip photoplethysmogram (PPG), is related to arterial stiffness, and can be used to estimate the systolic blood pressure (SBP) and diastolic blood pressure (DBP). This phenomenon has been used as the basis to design portable systems for continuously cuff-less blood pressure measurement, benefiting numerous people with heart conditions. However, the PTT-based blood pressure estimation may not be sufficiently accurate because the regulation of blood pressure within the human body is a complex, multivariate physiological process. Considering the negative feedback mechanism in the blood pressure control, we introduce the heart rate (HR) and the blood pressure estimate in the previous step to obtain the current estimate. We validate this method using a clinical database. Our results show that the PTT, HR and previous estimate reduce the estimated error significantly when compared to the conventional PTT estimation approach (p<0.05).</div>
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<RefSource>Br J Nurs. 2012 May 24-Jun 13;21(10):621-5</RefSource>
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<RefSource>J Clin Monit Comput. 2012 Aug;26(4):267-78</RefSource>
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<RefSource>Ultrason Imaging. 1979 Oct;1(4):356-67</RefSource>
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<RefSource>IEEE Trans Biomed Eng. 2013 Apr;60(4):1080-9</RefSource>
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<RefSource>Cardiovasc Eng. 2009 Mar;9(1):32-8</RefSource>
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<RefSource>Heart Rhythm. 2011 Jul;8(7):1114-54</RefSource>
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