LAPSE:2020.0594
Published Article
LAPSE:2020.0594
Mathematical Model Based on the Shape of Pulse Waves Measured at a Single Spot for the Non-Invasive Prediction of Blood Pressure
June 22, 2020
Background: Continuous non-invasive blood pressure (BP) measurement is a desired virtue in clinical practice. Unfortunately, current systems do not allow one for continuous, reliable BP measurement for more than a few hours per day, and they often require a complicated set of sensors to provide the necessary biosignals. Therefore we investigated the possibility of proposing a computational model that would predict the BP from pulse waves recorded in a single spot. Methods: Two experimental circuits were created. One containing a simple plastic tube for model development and a second with a silicone molded patient-specific arterial tree model. The first model served for the measuring of pulse waves under various BP (70−270 mmHg) and heart rate (60−190 beats per minute) values. Four different computational models were used to estimate the BP values from the diastolic time. The most accurate model was further validated using data from the latter experimental circuit containing a molded patient-specific silicone arterial tree. The measured data were averaged over a window of one, three, and five cycles. Two models based on pulse arrival time (PAT) were also analyzed for comparison. Results: The most accurate model exhibits a correlation coefficient of r = 0.967. The Bland−Altman plot revealed standard deviations (SD) between the model predictions and measurement of 10, 8.3, and 7.5 mmHg for the systolic BP and 8.7, 7 and 6.3 mmHg for the diastolic BP (both pressures calculated for the averaging windows of one, three, and five cycles, respectively). The best of the used PAT based model exhibited a SD of 17, 16, and 15 mmHg for the systolic BP and 14, 13, and 12 mmHg for the diastolic BP for the same averaging windows. Discussion: The proposed model showed its capability to predict BP accurately from the shape of the pulse wave measured at a single spot. Its SD was about 50% lower compared to the PAT based models which met the requirements of the Association for the Advancement of Medical Instrumentation.
Keywords
blood pressure prediction, continuous non-invasive blood pressure, experimental model, pulse wave analysis
Subject
Suggested Citation
Peter L, Kracik J, Cerny M, Noury N, Polzer S. Mathematical Model Based on the Shape of Pulse Waves Measured at a Single Spot for the Non-Invasive Prediction of Blood Pressure. (2020). LAPSE:2020.0594
Author Affiliations
Peter L: Department of Cybernetics and Biomedical Engineering, VSB-Technical University of Ostrava, 17.listopadu 2172/15, 708 00 Ostrava-Poruba, Czech Republic [ORCID]
Kracik J: Department of Applied Mathematics, VSB-Technical University of Ostrava, 17.listopadu 2172/15, 708 33 Ostrava-Poruba, Czech Republic [ORCID]
Cerny M: Department of Cybernetics and Biomedical Engineering, VSB-Technical University of Ostrava, 17.listopadu 2172/15, 708 00 Ostrava-Poruba, Czech Republic [ORCID]
Noury N: lab. INL, University of Lyon, UMR 5270 CNRS-INSA Lyon, 69 621 Villeurbanne, France
Polzer S: Department of Applied Mechanics, VSB-Technical University of Ostrava, 17.listopadu 2172/15, 708 33 Ostrava-Poruba, Czech Republic [ORCID]
Journal Name
Processes
Volume
8
Issue
4
Article Number
E442
Year
2020
Publication Date
2020-04-09
Published Version
ISSN
2227-9717
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Original Submission
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PII: pr8040442, Publication Type: Journal Article
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LAPSE:2020.0594
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doi:10.3390/pr8040442
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Jun 22, 2020
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CC BY 4.0
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Jun 22, 2020
 
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Original Submitter
Calvin Tsay
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