Estimation of Pulse Transit Time as a Function of Blood Pressure Using a Nonlinear Arterial Tube-Load Model. 2017

Mingwu Gao, and Hao-Min Cheng, and Shih-Hsien Sung, and Chen-Huan Chen, and Nicholas Bari Olivier, and Ramakrishna Mukkamala

pulse transit time (PTT) varies with blood pressure (BP) throughout the cardiac cycle, yet, because of wave reflection, only one PTT value at the diastolic BP level is conventionally estimated from proximal and distal BP waveforms. The objective was to establish a technique to estimate multiple PTT values at different BP levels in the cardiac cycle. a technique was developed for estimating PTT as a function of BP (to indicate the PTT value for every BP level) from proximal and distal BP waveforms. First, a mathematical transformation from one waveform to the other is defined in terms of the parameters of a nonlinear arterial tube-load model accounting for BP-dependent arterial compliance and wave reflection. Then, the parameters are estimated by optimally fitting the waveforms to each other via the model-based transformation. Finally, PTT as a function of BP is specified by the parameters. The technique was assessed in animals and patients in several ways including the ability of its estimated PTT-BP function to serve as a subject-specific curve for calibrating PTT to BP. the calibration curve derived by the technique during a baseline period yielded bias and precision errors in mean BP of 5.1 ± 0.9 and 6.6 ± 1.0 mmHg, respectively, during hemodynamic interventions that varied mean BP widely. the new technique may permit, for the first time, estimation of PTT values throughout the cardiac cycle from proximal and distal waveforms. the technique could potentially be applied to improve arterial stiffness monitoring and help realize cuff-less BP monitoring.

UI MeSH Term Description Entries
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
D011673 Pulsatile Flow Rhythmic, intermittent propagation of a fluid through a BLOOD VESSEL or piping system, in contrast to constant, smooth propagation, which produces laminar flow. Flow, Pulsating,Perfusion, Pulsatile,Flow, Pulsatile,Flows, Pulsatile,Flows, Pulsating,Perfusions, Pulsatile,Pulsatile Flows,Pulsatile Perfusion,Pulsatile Perfusions,Pulsating Flow,Pulsating Flows
D001795 Blood Pressure Determination Techniques used for measuring BLOOD PRESSURE. Blood Pressure Determinations,Determination, Blood Pressure
D003198 Computer Simulation Computer-based representation of physical systems and phenomena such as chemical processes. Computational Modeling,Computational Modelling,Computer Models,In silico Modeling,In silico Models,In silico Simulation,Models, Computer,Computerized Models,Computer Model,Computer Simulations,Computerized Model,In silico Model,Model, Computer,Model, Computerized,Model, In silico,Modeling, Computational,Modeling, In silico,Modelling, Computational,Simulation, Computer,Simulation, In silico,Simulations, Computer
D003936 Diagnosis, Computer-Assisted Application of computer programs designed to assist the physician in solving a diagnostic problem. Computer-Assisted Diagnosis,Computer Assisted Diagnosis,Computer-Assisted Diagnoses,Diagnoses, Computer-Assisted,Diagnosis, Computer Assisted
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000465 Algorithms A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task. Algorithm
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D001158 Arteries The vessels carrying blood away from the heart. Artery

Related Publications

Mingwu Gao, and Hao-Min Cheng, and Shih-Hsien Sung, and Chen-Huan Chen, and Nicholas Bari Olivier, and Ramakrishna Mukkamala
January 2011, Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference,
Mingwu Gao, and Hao-Min Cheng, and Shih-Hsien Sung, and Chen-Huan Chen, and Nicholas Bari Olivier, and Ramakrishna Mukkamala
January 2013, Studies in health technology and informatics,
Mingwu Gao, and Hao-Min Cheng, and Shih-Hsien Sung, and Chen-Huan Chen, and Nicholas Bari Olivier, and Ramakrishna Mukkamala
January 1981, Psychophysiology,
Mingwu Gao, and Hao-Min Cheng, and Shih-Hsien Sung, and Chen-Huan Chen, and Nicholas Bari Olivier, and Ramakrishna Mukkamala
March 2014, IEEE transactions on bio-medical engineering,
Mingwu Gao, and Hao-Min Cheng, and Shih-Hsien Sung, and Chen-Huan Chen, and Nicholas Bari Olivier, and Ramakrishna Mukkamala
January 2009, Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference,
Mingwu Gao, and Hao-Min Cheng, and Shih-Hsien Sung, and Chen-Huan Chen, and Nicholas Bari Olivier, and Ramakrishna Mukkamala
September 2010, Medical engineering & physics,
Mingwu Gao, and Hao-Min Cheng, and Shih-Hsien Sung, and Chen-Huan Chen, and Nicholas Bari Olivier, and Ramakrishna Mukkamala
January 2019, Nederlands tijdschrift voor geneeskunde,
Mingwu Gao, and Hao-Min Cheng, and Shih-Hsien Sung, and Chen-Huan Chen, and Nicholas Bari Olivier, and Ramakrishna Mukkamala
October 2014, International conference on signal processing proceedings. International Conference on Signal Processing,
Mingwu Gao, and Hao-Min Cheng, and Shih-Hsien Sung, and Chen-Huan Chen, and Nicholas Bari Olivier, and Ramakrishna Mukkamala
January 2018, Studies in health technology and informatics,
Mingwu Gao, and Hao-Min Cheng, and Shih-Hsien Sung, and Chen-Huan Chen, and Nicholas Bari Olivier, and Ramakrishna Mukkamala
April 2019, IEEE transactions on bio-medical engineering,
Copied contents to your clipboard!