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Single-source PPG-based local pulse wave velocity measurement: A potential cuffless blood pressure estimation technique
Published in Institute of Physics Publishing
2017
PMID: 29058686
Volume: 38
   
Issue: 12
Pages: 2122 - 2140
Abstract
Objective: A novel photoplethysmograph probe employing dual photodiodes excited using a single infrared light source was developed for local pulse wave velocity (PWV) measurement. The potential use of the proposed system in cuffless blood pressure (BP) techniques was demonstrated. Approach: Initial validation measurements were performed on a phantom using a reference method. Further, an in vivo study was carried out in 35 volunteers (age = 28 ± 4.5 years). The carotid local PWV, carotid to finger pulse transit time (PTTR) and pulse arrival time at the carotid artery (PATC) were simultaneously measured. Beat-by-beat variation of the local PWV due to BP changes was studied during post-exercise relaxation. The cuffless BP estimation accuracy of local PWV, PATC, and PTTR was investigated based on inter- and intra-subject models with best-case calibration. Main results: The accuracy of the proposed system, hardware inter-channel delay (<0.1 ms), repeatability (beat-to-beat variation = 4.15%-11.38%) and reproducibility of measurement (r = 0.96) were examined. For the phantom experiment, the measured PWV values did not differ by more than 0.74 m s-1 compared to the reference PWV. Better correlation was observed between brachial BP parameters versus local PWV (r = 0.74-0.78) compared to PTTR (|r| = 0.62-0.67) and PATC (|r| = 0.52-0.68). Cuffless BP estimation using local PWV was better than PTTR and PATC with population-specific models. More accurate estimates of arterial BP levels were achieved using local PWV via subject-specific models (root-mean-square error 2.61 mmHg). Significance: A reliable system for cuffless BP measurement and local estimation of arterial wall properties. © 2017 Institute of Physics and Engineering in Medicine.
About the journal
JournalPhysiological Measurement
PublisherInstitute of Physics Publishing
ISSN09673334
Open AccessNo
Concepts (32)
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    Adult
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    Biological model
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    BLOOD PRESSURE
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    BLOOD PRESSURE MEASUREMENT
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    Calibration
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    CAROTID ARTERY
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    Devices
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    Electrocardiography
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    Equipment design
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    Female
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    Finger
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    Human
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    Male
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    PHOTOELECTRIC PLETHYSMOGRAPHY
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    Physiology
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    Procedures
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    PULSE WAVE
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    Reproducibility
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    Signal processing
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    Software
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    Validation study
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    VASCULARIZATION
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    BLOOD PRESSURE
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    BLOOD PRESSURE DETERMINATION
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    CAROTID ARTERIES
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    Fingers
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    Humans
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    Models, biological
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    PHOTOPLETHYSMOGRAPHY
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    PULSE WAVE ANALYSIS
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    Reproducibility of results
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    Signal processing, computer-assisted