Noninvasive determination of arterial elasticity and blood pressure. Part I: arterial volume pulsations and elastogram. 2013

Mariya L Antonova
Department Behavioral Neurobiology, Institute of Neurobiology, Bulgarian Academy of Sciences, Sofia, Bulgaria. antonova@bio.bas.bg

OBJECTIVE The oscillometric method is widely used for noninvasive blood pressure measurement and rarely for assessment of arterial elasticity (volume-to-pressure curve/elastogram) in the systolic (ps)/diastolic (pd) pressure interval. In a wide range of physiologically normal pressures, the elastogram is obtained mostly invasively. In the present study (in two papers), the potential of the oscillometric method for a noninvasive estimation of complete elastogram and blood pressure is examined. The aim of the present first paper is to study the relations between oscillometric arterial volume pulsations and elastogram. METHODS The interactions between transmural pressure, arterial volume pulsations, and elastogram are examined graphically on an idealized model of artery, thereafter proved on experimental oscillometric records (10 patients). RESULTS A precise determination of the transmural pressure pulsations at descendent external pressure (as in oscillometry) is presented. The basic relationships between these pulsations and arterial volume pulsations in three specific pressure zones are clarified, which allow a strict dependence to be obtained between the arterial volume pulsations envelope and elastogram. The specific cut-off of transmural pressure and arterial volume pulsations, coincidence of the arterial volume pulsations envelope with the elastogram in the ps/pd interval, and two discontinuities (jumps) of the arterial volume pulsations envelope, at ps and pd, were found. The same was observed by noninvasive arterial oscillometry in humans, with good correspondence to the model excluding narrow intervals around ps and pd, in which the jumps are not clearly distinguishable. CONCLUSIONS These specific features are assumed as elastogram attributes in the second paper, in which a noninvasive determination of both elastogram and blood pressure is carried out.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D008955 Models, Cardiovascular Theoretical representations that simulate the behavior or activity of the cardiovascular system, processes, or phenomena; includes the use of mathematical equations, computers and other electronic equipment. Cardiovascular Model,Cardiovascular Models,Model, Cardiovascular
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D001795 Blood Pressure Determination Techniques used for measuring BLOOD PRESSURE. Blood Pressure Determinations,Determination, Blood Pressure
D004548 Elasticity Resistance and recovery from distortion of shape.
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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