Estimation of arterial blood pressure variability by spectral analysis: comparison between Finapres and invasive measurements. 1996

G D Pinna, and R Maestri, and A Mortara
Department of Biomedical Engineering, Salvatore Maugeri Foundation, Institute of Care and Scientific Research, Medical Centre of Montescano, Italy.

In order to assess the accuracy of spectral analysis of beat-by-beat arterial blood pressure fluctuations recorded by the finger technique we analysed simultaneous ipsilateral resting sequences (180 s) of systolic blood pressure (SP) and diastolic blood pressure (DP) obtained by brachial artery cannulation and by the Finapres device in 26 post-myocardial infarction (post-MI) and 24 chronic heart failure (CHF) patients. We estimated: (i) the total variability and the power in the bands 0.01-0.04 Hz (band 1), 0.04-0.07 Hz (band I), 0.07-0.15 Hz (band III) and 0.15-0.45 Hz (band IV); and (ii) the group-average transfer function between the invasive and non-invasive channel. The total variability of intra-arterial SP was greatly enhanced by the Finapres device in both populations (p < 0.01) mainly due to the increase of power in bands I and II (mean percentage errors 157 and 111% in post-MI and 368 and 245% in CHF patients respectively). The power in band IV was significantly reduced in post-MI (p < 0.001) but not in CHF patients. The total DP variability increased in post-MI patients (p < 0.001) due to the increase in bands I and II (mean percentage errors 62 and 43% respectively). No significant difference was found in bands III and IV of the same group and in the overall variability of CHF. Linear system analysis showed that intra-arterial SP oscillations in both groups are amplified by the Finapres device in bands I and II, with a higher gain in CHF patients, whereas they are attenuated in band IV. Band III acts as a transition band. DP oscillations recorded non-invasively are slightly amplified in bands I and II of post-MI patients only and are attenuated in band IV of both groups. A substantial fraction (approximately 30%) of the non-invasive SP variability in band I cannot be explained as a pure linear transformation (amplification) of the invasive signal. A phase delay in the range 7 degrees-10 degrees relates the non-invasive signal to the invasive one in the region 0.025-0.17 Hz and approaches zero elsewhere. Several mechanisms were examined as potential causes of the invasive-non-invasive differences. We argue that these differences are mainly due to the complex rhythmic behaviour of peripheral resistance vessels.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D008954 Models, Biological Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment. Biological Model,Biological Models,Model, Biological,Models, Biologic,Biologic Model,Biologic Models,Model, Biologic
D009203 Myocardial Infarction NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION). Cardiovascular Stroke,Heart Attack,Myocardial Infarct,Cardiovascular Strokes,Heart Attacks,Infarct, Myocardial,Infarction, Myocardial,Infarctions, Myocardial,Infarcts, Myocardial,Myocardial Infarctions,Myocardial Infarcts,Stroke, Cardiovascular,Strokes, Cardiovascular
D012039 Regional Blood Flow The flow of BLOOD through or around an organ or region of the body. Blood Flow, Regional,Blood Flows, Regional,Flow, Regional Blood,Flows, Regional Blood,Regional Blood Flows
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
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D003971 Diastole Post-systolic relaxation of the HEART, especially the HEART VENTRICLES. Diastoles
D004562 Electrocardiography Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY. 12-Lead ECG,12-Lead EKG,12-Lead Electrocardiography,Cardiography,ECG,EKG,Electrocardiogram,Electrocardiograph,12 Lead ECG,12 Lead EKG,12 Lead Electrocardiography,12-Lead ECGs,12-Lead EKGs,12-Lead Electrocardiographies,Cardiographies,ECG, 12-Lead,EKG, 12-Lead,Electrocardiograms,Electrocardiographies, 12-Lead,Electrocardiographs,Electrocardiography, 12-Lead
D005385 Fingers Four or five slender jointed digits in humans and primates, attached to each HAND. Finger

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