Noninvasive blood pressure analysis using empirical mode decomposition (EMD) - Based oscillometric method

2010 ◽  
Author(s):  
Fu-Jung Hsiao ◽  
Chen-Chuan Hung
Keyword(s):  
Blood Pressure ◽  
Empirical Mode Decomposition ◽  
Noninvasive Blood Pressure ◽  
Oscillometric Method ◽  
Mode Decomposition ◽  
Pressure Analysis

scholarly journals Investigating Properties of the Cardiovascular System Using Innovative Analysis Algorithms Based on Ensemble Empirical Mode Decomposition

2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Jia-Rong Yeh ◽  
Tzu-Yu Lin ◽  
Yun Chen ◽  
Wei-Zen Sun ◽  
Maysam F. Abbod ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Phase Shift ◽  
Arterial Stiffness ◽  
Cardiovascular System ◽  
Empirical Mode Decomposition ◽  
Ensemble Empirical Mode Decomposition ◽  
Systemic Resistance ◽  
Reflection Index ◽  
Practical Applications ◽  
Mode Decomposition

Cardiovascular system is known to be nonlinear and nonstationary. Traditional linear assessments algorithms of arterial stiffness and systemic resistance of cardiac system accompany the problem of nonstationary or inconvenience in practical applications. In this pilot study, two new assessment methods were developed: the first is ensemble empirical mode decomposition based reflection index (EEMD-RI) while the second is based on the phase shift between ECG and BP on cardiac oscillation. Both methods utilise the EEMD algorithm which is suitable for nonlinear and nonstationary systems. These methods were used to investigate the properties of arterial stiffness and systemic resistance for a pig’s cardiovascular system via ECG and blood pressure (BP). This experiment simulated a sequence of continuous changes of blood pressure arising from steady condition to high blood pressure by clamping the artery and an inverse by relaxing the artery. As a hypothesis, the arterial stiffness and systemic resistance should vary with the blood pressure due to clamping and relaxing the artery. The results show statistically significant correlations between BP, EEMD-based RI, and the phase shift between ECG and BP on cardiac oscillation. The two assessments results demonstrate the merits of the EEMD for signal analysis.

scholarly journals Evaluation of the Accuracy and Precision of the GE Dash 4000 Oscillometric Monitor for Blood Pressure Measurement in Anesthetized Female Dogs

2018 ◽  
Vol 46 (1) ◽  
pp. 5
Author(s):  
João Victor Barbier Ferronatto ◽  
Eduardo Raposo Monteiro ◽  
Bárbara Silva Correia ◽  
Luciana Branquinho Queiroga ◽  
José Ricardo Herrera Becerra
Keyword(s):  
Blood Pressure ◽  
Arterial Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Limits Of Agreement ◽  
Noninvasive Blood Pressure ◽  
Oscillometric Method ◽  
Arterial Blood ◽  
Oscillometric Device ◽  
Accuracy And Precision

Background: Indirect measurement of arterial blood pressure, such as the oscillometric method, is the most commonly used in clinical practice of dogs and cats. This method measures blood pressure values that are estimates of direct (invasive) arterial blood pressure values. Oscillometric devices are easy to use even for non-experienced personnel. However, there is considerable variation in accuracy and precision of blood pressure values measured by different oscillometric monitors. The present study aimed to determine the accuracy and precision of the GE Dash 4000 oscillometric monitor for arterial blood pressure measurement in anesthetized female dogs.Materials, Methods & Results: Sixteen healthy adult female dogs received 0.3 mg/kg morphine as premedication and were anesthetized with propofol and isoflurane. A 22-gauge catheter was introduced into the dorsal pedal artery and connected to a rigid tubular system and a pressure transducer filled with heparinized solution to allow direct (invasive) measurement of systolic (SAP), mean (MAP) and diastolic arterial pressure (DAP). A blood pressure cuff was positioned proximal to the carpus and connected to the oscillometric device (GE-DASH 4000 monitor) in order to obtain indirect measurements of SAP, MAP and DAP. Cuff width was 40% of limb circumference. During anesthesia, invasive arterial blood pressure values were measured and recorded simultaneously with the oscillometric method. The Bland Altman method was used to evaluate agreement between the methods by calculating the bias (invasive - oscillometric) and limits of agreement. Percentages of differences between the methods with an error ≤ 10 mmHg and ≤ 20 mmHg were calculated. Results were compared with the criteria from the American College of Veterinary Internal Medicine (ACVIM) for validation of noninvasive blood pressure methods. Weight and age of dogs were 7.6 ± 2.2 kg and 20 ± 17 months, respectively. A total of 195 pairs of measurements were obtained from 16 animals. Of these pairs, 146 were classified as normotension (SAP: 90 to 140 mmHg), 28 as hypertension (SAP > 140 mmHg) and 21 as hypotension (SAP < 90 mmHg). Bias values ± SD (95% limits of agreement) were: SAP, 5.0 ± 16.5 mmHg (-27.3 to 37.4 mmHg); MAP, -3.4 ± 14.3 mmHg (-31.4 to 24.6 mmHg); and DAP, 4.2 ± 11.8 mmHg (-18.9 to 27.4 mmHg). According to the ACVIM criteria, maximum values accepted for bias (± SD) are 10 ± 15 mmHg. Percentages of differences ≤ 10 mmHg and ≤ 20 mmHg were: SAP, 41% and 80%; MAP, 54% and 84%; and DAP, 64% and 91%. ACVIM recommendations are ≥ 50% for errors within 10 mmHg and ≥ 80% for errors within 20 mmHg.Discussion: MAP and DAP values obtained by the GE-DASH 4000 monitor matched the ACVIM criteria for validation of noninvasive methods. Conversely, SAP values did not meet all the criteria, and were not considered reliable. Limitations of the study include: a) most dogs were of low weight; b) the ACVIM criteria refer to SAP measurements, but in the present study, the same criteria were applied to MAP and DAP measurements; c) the majority of observations were obtained during normotension. We conclude that MAP and DAP measurements obtained by the GE Dash 4000 monitor met the ACVIM criteria for validation of noninvasive blood pressure monitors. Therefore, this monitor was considered to have adequate accuracy and precision for MAP and DAP measurements in anesthetized normotensive dogs. Under the conditions of this study, SAP measurements obtained by this monitor were not reliable.

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