| Quantification of the Calibration Error in the Transfer Function-Derived Central Aortic Blood Pressures. | |
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MedLine Citation:
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PMID: 21850061 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BackgroundThe accuracy of the central aortic systolic (SBP-C) and pulse (PP-C) blood pressures estimated noninvasively by a generalized transfer function technique has been questioned. The purpose of the present study was to quantify precisely the impact of the input errors (differences between the oscillometric (SBP-O, DBP-O, PP-O) and invasive (SBP-B, DBP-B, PP-B) brachial systolic, diastolic, and pulse blood pressures) on the output errors (differences between the estimated and invasively measured SBP-C and PP-C).MethodsInvasive high-fidelity right brachial and central aortic pressure waveforms, and SBP-O, DBP-O, and PP-O (=SBP-O - DBP-O) were obtained simultaneously in 40 patients during cardiac catheterization. A generalized transfer function was applied on the individual brachial pressure waveform to derive predicted SBP-C and PP-C.ResultsObserved input errors were -2.3 ± 5.8 mm Hg from SBP-O, 8.1 ± 5.3 mm Hg from DBP-O, and -10.4 ± 7.1 mm Hg from PP-O, respectively. The output errors were -2.2 ± 6.4 mm Hg and -10.3 ± 8.0 mm Hg for SBP-C and PP-C, respectively, when the brachial pressure waveforms were recalibrated using SBP-O and DBP-O. The outputs were determined by the inputs according to the Equation (1): SBP-C error = 0.97 × SBP-O error + 0.03 (r = 0.88, P < 0.01); and the Equation (2): PP-C error = 0.96 × PP-O error - 0.30 (r = 0.86, P < 0.01).ConclusionsNoninvasive application of the generalized transfer function techniques produces estimates of SBP-C and PP-C with errors equivalent to those of the oscillometric blood pressure monitor in the estimation of SBP-B and PP-B. The output errors can be predicted from input errors of SBP-O and DBP-O.American Journal of Hypertension (2011). doi:10.1038/ajh.2011.146. |
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Authors:
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Yuan-Ta Shih; Hao-Min Cheng; Shih-Hsien Sung; Wei-Chih Hu; Chen-Huan Chen |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-8-18 |
Journal Detail:
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Title: American journal of hypertension Volume: - ISSN: 1941-7225 ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-8-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8803676 Medline TA: Am J Hypertens Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Biomedical Engineering, Chung Yuan Christian University, Chung-Li, Taiwan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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