Document Detail


An adaptive transfer function for deriving the aortic pressure waveform from a peripheral artery pressure waveform.
MedLine Citation:
PMID:  19783780     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We developed a new technique to mathematically transform a peripheral artery pressure (PAP) waveform distorted by wave reflections into the physiologically more relevant aortic pressure (AP) waveform. First, a transfer function relating PAP to AP is defined in terms of the unknown parameters of a parallel tube model of pressure and flow in the arterial tree. The parameters are then estimated from the measured PAP waveform along with a one-time measurement of the wave propagation delay time between the aorta and peripheral artery measurement site (which may be accomplished noninvasively) by exploiting preknowledge of aortic flow. Finally, the transfer function with its estimated parameters is applied to the measured waveform so as to derive the AP waveform. Thus, in contrast to the conventional generalized transfer function, the transfer function is able to adapt to the intersubject and temporal variability of the arterial tree. To demonstrate the feasibility of this adaptive transfer function technique, we performed experiments in 6 healthy dogs in which PAP and reference AP waveforms were simultaneously recorded during 12 different hemodynamic interventions. The AP waveforms derived by the technique showed agreement with the measured AP waveforms (overall total waveform, systolic pressure, and pulse pressure root mean square errors of 3.7, 4.3, and 3.4 mmHg, respectively) statistically superior to the unprocessed PAP waveforms (corresponding errors of 8.6, 17.1, and 20.3 mmHg) and the AP waveforms derived by two previously proposed transfer functions developed with a subset of the same canine data (corresponding errors of, on average, 5.0, 6.3, and 6.7 mmHg).
Authors:
Gokul Swamy; Da Xu; N Bari Olivier; Ramakrishna Mukkamala
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2009-09-25
Journal Detail:
Title:  American journal of physiology. Heart and circulatory physiology     Volume:  297     ISSN:  1522-1539     ISO Abbreviation:  Am. J. Physiol. Heart Circ. Physiol.     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-27     Completed Date:  2009-11-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100901228     Medline TA:  Am J Physiol Heart Circ Physiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  H1956-63     Citation Subset:  IM    
Affiliation:
Dept. of Electrical and Computer Engineering, Michigan State University, East Lansing, MI 48824-1226, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Aorta / drug effects,  physiology*
Blood Pressure* / drug effects
Blood Pressure Determination / methods*
Cardiac Pacing, Artificial
Cardiovascular Agents / pharmacology
Carotid Arteries / drug effects,  physiology*
Computer Simulation*
Dogs
Feasibility Studies
Femoral Artery / drug effects,  physiology*
Heart Rate
Models, Cardiovascular*
Pulsatile Flow
Regional Blood Flow
Reproducibility of Results
Signal Processing, Computer-Assisted*
Chemical
Reg. No./Substance:
0/Cardiovascular Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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