Document Detail


Automated extraction of aortic and pulmonary components of the second heart sound for the estimation of pulmonary artery pressure.
MedLine Citation:
PMID:  17271829     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The second heart sound, S2, is generally believed to be comprised of aortic (A2) and pulmonary (P2) components. Previously, the normalized splitting interval (NSI) between the A2 and P2 components has been shown to be proportional to the pulmonary artery pressure (PAP). A set of fully automated algorithms based on adaptive modeling of A2/P2 components using chirplets were developed to provide real-time estimates of PAP. The method was tested on 16 pigs which were administered drugs to induce pulmonary hypertension. Simultaneous reference pressure measurements were obtained with a pulmonary artery catheter (PAC). Estimation of PAP in pigs using the new techniques resulted in a correlation coefficient (r) of 0.84 and standard error (SEE) of 9.2 mm Hg. This is in line with echocardiography studies, which have a performance ranging from r=0.69-0.91 and SEE from 5 to 12 mm Hg when compared to PAC measurements. It is also consistent with previous results based on a manual estimation of PAP derived through image processing methods. Based on these findings, this method has the potential to offer continuous noninvasive monitoring of PAP.
Authors:
B Popov; G Sierra; L G Durand; J Xu; P Pibarot; R Agarwal; V Lanzo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference     Volume:  2     ISSN:  1557-170X     ISO Abbreviation:  Conf Proc IEEE Eng Med Biol Soc     Publication Date:  2004  
Date Detail:
Created Date:  2007-02-02     Completed Date:  2007-05-14     Revised Date:  2014-08-21    
Medline Journal Info:
Nlm Unique ID:  101243413     Medline TA:  Conf Proc IEEE Eng Med Biol Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  921-4     Citation Subset:  -    
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