Abstract

We explored how changes in blood vessel compliance affected the systolic rise time (SRT) of the maximum blood pressure (BP) peak wave and the diastolic fall time (DFT) of the minimal BP peak wave, compared to photoplethysmograpic (PPG) parameters, using a two-compartment, second-order, arterial Windkessel model. We employed earlier two-compartment Windkessel models and the components thereof to construct equivalent blood vessel circuits, and reproduced BP waveforms using PSpice technology. The SRT and DFT values were obtained via circuit simulation, considering variations in compliance (the dominant influence on blood vessel parameters attributable to BP changes). And then performed regression analysis to identify how compliance affected the SRT and DFT. We compared the SRTs and DFTs of BP waves to the PPG values by reference to BP changes in each subject. We confirmed that the time-shift propensities of BP waves and the PPG data were highly consistent. However, the time shifts differed significantly among subjects. These simulation and experimental results allowed us to construct an initial trend curve of individual BP peak time (measured via wrist PPG evaluations at three arm positions) that facilitated accurate individual BP estimations.

PDF Article

References

  • View by:
  • |

  1. P. W. F. Wilson, R. B. D’Agostino, D. Levy, A. M. Belanger, H. Silbershatz, and W. B. KannelPrediction of coronary heart disease using risk factor categoriesCirculatio1998971818371847
  2. B. P. M. Imholz, G. A. Van Montfrans, J. J. Settels, G. M. A. Van Der Hoeven, J. M. Karemaker, and W. WielingContinuous non-invasive BP monitoring: reliability of Finapres device during the Valsalva manoeuvreCardiovasc. Res.1988226390397
  3. A. Groppelli, S. Omboni, G. Parati, and G. ManciaEvaluation of noninvasive BP monitoring devices Spacelabs 90202 and 90207 versus resting and ambulatory 24-hour intra-arterial BPHypertension1992202227232
  4. C. C. Poon and Y. T. ZhangCuff-less and noninvasive measurements of arterial BP by pulse transit timeConf. Proc. IEEE Eng. Med. Biol. Soc.2005658775880
  5. S. Ye, G.-R. Kim, D.-K. Jung, S. Baik, and G. JeonEstimation of systolic and diastolic pressure using the pulse transit timWorld Acad. Sci., Eng. Technol.201047303308
  6. L. A. Geddes, M. H. Voelz, C. F. Babbs, J. D. Bourland, and W. A. TackerPulse transit time as an indicator of arterial blood pressurePsychophysiology19811817174
  7. R. A. Payne, C. N. Symeonides, D. J. Webb, and S. R. J. MaxwellPulse transit time measured from the ECG: an unreliable marker of beat-to-beat blood pressureJ. Appl. Physiol.20061001136141
  8. V. Mouradian, A. Poghosyan, and L. HovhannisyanNoninvasive continuous mobile blood pressure monitoring using novel PPG optical sensorIEEE Top. Conf. Biomed. Wireless Technol., Networks, Sens. Syst.20156062
  9. K. CzuszynskiNoninvasive evaluation of cardiac output based on various biosignalsPh.D. Interdiscip. J.115124
  10. Y. Kurylyak, F. Lamonaca, and D. GrimaldiA neural network-based method for continuous blood pressure estimation from a PPG signalIEEE Int. Instrum. Meas. Technol. Conf. (I2MTC)2013280283
  11. G. Fortino and V. GiampàPPG-based methods for non invasive and continuous blood pressure measurement: an overview and development issues in body sensor networksIEEE Int. Workshop Med. Meas. Appl. (MeMeA)20101013
  12. X. F. Teng and Y. T. ZhangContinuous and noninvasive estimation of arterial BP using a photoplethysmographic approachProc. 25th Annual Inter. Conf. IEEE Eng. Med. Biol. Soc.Cancun, Mexico200331533156
  13. S.-H. Woo, Y. Y. Choi, D. J. Kim, F. Bien, and J. J. KimTissue-informative mechanism for wearable non-invasive continous BP monitoringSci. Rep2014416
  14. Y. Yoon and G. YoonNonconstrained BP measurement by photoplethysmographyJ. Opt. Soc. Korea20061029195
  15. R. Samria, R. Jain, A. Jha, S. Saini, and S. R. ChowdhuryNoninvasive cuffless estimation of BP using photoplethysmography without electrocardiograph measurementIEEE Reg. 10 Symp.2014254257
  16. M. ElgendiOn the analysis of fingertip photoplethysmogram signalsCurr. Cardiol. Rev.20121425
  17. N. Westerhof, J. W. Lankhaar, and B. E. WesterhofThe arterial WindkesselMed. Biol. Eng. Comput.2009472131141
  18. K. H. Wesseling, J. R. Jansen, J. J. Settels, and J. J. SchreuderComputation of aortic flow from pressure in humans using a nonlinear, three-element modelJ. Appl. Physiol.199374525662573
  19. N. Stergiopulos, B. E. Westerhof, and N. WesterhofTotal arterial inertance as the fourth element of the Windkessel modelAm. J. Physiol.1999H81H88
  20. P. Segers, A. Qasem, T. De Backer, S. Carlier, P. Verdonck, and A. AvolioPeripheral “oscillatory” compliance is associated with aortic augmentation indexHypertens200137614341439
  21. O. FrankDie grundform des arteriellen pulsesZ. Biol.189937483526
  22. R. M. Goldwyn and T. B. WattArterial pressure pulse contour analysis via a mathematical model for the clinical quantifcation of human vascular propertiesIEEE Trans. Bio-Med. Eng.19671411117
  23. Y. H. HaAnalysis of arterial blood pressure and its electrical analog modelKyungpook National University Library1978130

Other (23)

P. W. F. Wilson, R. B. D’Agostino, D. Levy, A. M. Belanger, H. Silbershatz, and W. B. KannelPrediction of coronary heart disease using risk factor categoriesCirculatio1998971818371847

B. P. M. Imholz, G. A. Van Montfrans, J. J. Settels, G. M. A. Van Der Hoeven, J. M. Karemaker, and W. WielingContinuous non-invasive BP monitoring: reliability of Finapres device during the Valsalva manoeuvreCardiovasc. Res.1988226390397

A. Groppelli, S. Omboni, G. Parati, and G. ManciaEvaluation of noninvasive BP monitoring devices Spacelabs 90202 and 90207 versus resting and ambulatory 24-hour intra-arterial BPHypertension1992202227232

C. C. Poon and Y. T. ZhangCuff-less and noninvasive measurements of arterial BP by pulse transit timeConf. Proc. IEEE Eng. Med. Biol. Soc.2005658775880

S. Ye, G.-R. Kim, D.-K. Jung, S. Baik, and G. JeonEstimation of systolic and diastolic pressure using the pulse transit timWorld Acad. Sci., Eng. Technol.201047303308

L. A. Geddes, M. H. Voelz, C. F. Babbs, J. D. Bourland, and W. A. TackerPulse transit time as an indicator of arterial blood pressurePsychophysiology19811817174

R. A. Payne, C. N. Symeonides, D. J. Webb, and S. R. J. MaxwellPulse transit time measured from the ECG: an unreliable marker of beat-to-beat blood pressureJ. Appl. Physiol.20061001136141

V. Mouradian, A. Poghosyan, and L. HovhannisyanNoninvasive continuous mobile blood pressure monitoring using novel PPG optical sensorIEEE Top. Conf. Biomed. Wireless Technol., Networks, Sens. Syst.20156062

K. CzuszynskiNoninvasive evaluation of cardiac output based on various biosignalsPh.D. Interdiscip. J.115124

Y. Kurylyak, F. Lamonaca, and D. GrimaldiA neural network-based method for continuous blood pressure estimation from a PPG signalIEEE Int. Instrum. Meas. Technol. Conf. (I2MTC)2013280283

G. Fortino and V. GiampàPPG-based methods for non invasive and continuous blood pressure measurement: an overview and development issues in body sensor networksIEEE Int. Workshop Med. Meas. Appl. (MeMeA)20101013

X. F. Teng and Y. T. ZhangContinuous and noninvasive estimation of arterial BP using a photoplethysmographic approachProc. 25th Annual Inter. Conf. IEEE Eng. Med. Biol. Soc.Cancun, Mexico200331533156

S.-H. Woo, Y. Y. Choi, D. J. Kim, F. Bien, and J. J. KimTissue-informative mechanism for wearable non-invasive continous BP monitoringSci. Rep2014416

Y. Yoon and G. YoonNonconstrained BP measurement by photoplethysmographyJ. Opt. Soc. Korea20061029195

R. Samria, R. Jain, A. Jha, S. Saini, and S. R. ChowdhuryNoninvasive cuffless estimation of BP using photoplethysmography without electrocardiograph measurementIEEE Reg. 10 Symp.2014254257

M. ElgendiOn the analysis of fingertip photoplethysmogram signalsCurr. Cardiol. Rev.20121425

N. Westerhof, J. W. Lankhaar, and B. E. WesterhofThe arterial WindkesselMed. Biol. Eng. Comput.2009472131141

K. H. Wesseling, J. R. Jansen, J. J. Settels, and J. J. SchreuderComputation of aortic flow from pressure in humans using a nonlinear, three-element modelJ. Appl. Physiol.199374525662573

N. Stergiopulos, B. E. Westerhof, and N. WesterhofTotal arterial inertance as the fourth element of the Windkessel modelAm. J. Physiol.1999H81H88

P. Segers, A. Qasem, T. De Backer, S. Carlier, P. Verdonck, and A. AvolioPeripheral “oscillatory” compliance is associated with aortic augmentation indexHypertens200137614341439

O. FrankDie grundform des arteriellen pulsesZ. Biol.189937483526

R. M. Goldwyn and T. B. WattArterial pressure pulse contour analysis via a mathematical model for the clinical quantifcation of human vascular propertiesIEEE Trans. Bio-Med. Eng.19671411117

Y. H. HaAnalysis of arterial blood pressure and its electrical analog modelKyungpook National University Library1978130

Cited By

OSA participates in Crossref's Cited-By Linking service. Citing articles from OSA journals and other participating publishers are listed here.