scholarly journals Continuous non-invasive blood pressure during continuous repositioning by pulse transit time

2016 ◽  
Vol 3 (1) ◽  
Author(s):  
Hieyong Jeong ◽  
Kayo Yoshimoto ◽  
Tianyi Wang ◽  
Takafumi Ohno ◽  
Kenji Yamada ◽  
...  
Diagnostics ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 361
Author(s):  
Leo Kilian ◽  
Philipp Krisai ◽  
Thenral Socrates ◽  
Christian Arranto ◽  
Otmar Pfister ◽  
...  

Background: The Somnotouch-Non-Invasive-Blood-Pressure (NIBP) device delivers raw data consisting of electrocardiography and photoplethysmography for estimating blood pressure (BP) over 24 h using pulse-transit-time. The study’s aim was to analyze the impact on 24-hour BP results when processing raw data by two different software solutions delivered with the device. Methods: We used data from 234 participants. The Somnotouch-NIBP measurements were analyzed using the Domino-light and Schiller software and compared. BP values differing >5 mmHg were regarded as relevant and explored for their impact on BP classification (normotension vs. hypertension). Results: Mean (±standard deviation) absolute systolic/diastolic differences for 24-hour mean BP were 1.5 (±1.7)/1.1 (±1.3) mm Hg. Besides awake systolic BP (p = 0.022), there were no statistically significant differences in systolic/diastolic 24-hour mean, awake, and asleep BP. Twenty four-hour mean BP agreement (number (%)) between the software solutions within 5, 10, and 15 mmHg were 222 (94.8%), 231 (98.7%), 234 (100%) for systolic and 228 (97.4%), 232 (99.1%), 233 (99.5%) for diastolic measurements, respectively. A BP difference of >5 mmHg was present in 24 (10.3%) participants leading to discordant classification in 4–17%. Conclusion: By comparing the two software solutions, differences in BP are negligible at the population level. However, at the individual level there are, in a minority of cases, differences that lead to different BP classifications, which can influence the therapeutic decision.


2021 ◽  
Vol 7 (2) ◽  
pp. 843-846
Author(s):  
Dagmar Krefting ◽  
Tibor Kesztyüs ◽  
Henning Dathe

Abstract Continuous non-invasive blood pressure measurements bear a high potential. Particular in Somnology they allow to derive comfortably the systolic and diastolic blood pressure from an electrocardiogram and a synchronous photoplethysmogram without sleep disruption. In this short article some possible problems of this method are discussed along overnight recordings with a SOMNOtouch NIBP device.


2016 ◽  
Vol 2 (1) ◽  
pp. 209-213 ◽  
Author(s):  
Alexandru-Gabriel Pielmuş ◽  
Maik Pflugradt ◽  
Timo Tigges ◽  
Michael Klum ◽  
Aarne Feldheiser ◽  
...  

AbstractBeing able to accurately monitor blood pressure in a reliable, truly non-invasive manner is a highly sought after goal within the biomedical community. In this paper we propose and assess a system, methodology and algorithm for unobtrusively obtaining true pulse transit time data from readily accessible peripheral locations, such as the hand, using a highly synchronous body-sensor-network encompassing an electrocardiogram- and dual mode photoplethysmogram sensor node. The results suggest the feasibility of acquiring such data, which strongly correlates with the recorded reference blood pressure, and can therefore be further employed to track changes thereof.


2021 ◽  
Vol 7 (2) ◽  
pp. 375-378
Author(s):  
Carolin Wuerich ◽  
Robin Rademacher ◽  
Christian Wiede ◽  
Anton Grabmaier

Abstract Commonly used blood pressure measurement devices have noticeable limitations in accuracy, measuring time, comfort or safety. To overcome these limitations, we developed and tested a surrogate-based, non-invasive blood pressure measurement method using an RGB-camera. Our proposed method employs the relation between the pulse transit time (PTT) and blood pressure. Two remote photoplethysmography (rPPG) signals at different distances from the heart are extracted to calculate the temporal delay of the pulse wave. In order to establish the correlation between the PTT values and the blood pressure, a regression model is trained and evaluated. Tests were performed with five subjects, where each subject was recorded fifteen times for 30 seconds. Since the physiological parameters of the cardiac system are different for each person, an individual calibration is required to obtain the systolic and diastolic blood pressure from the PTT values. The calibration results are limited by the small number of samples and the accuracy of the reference system. However, our results show a strong correlation between the PTT values and the blood pressure and we obtained a mean error of 0.18 +/- 5.50 mmHg for the diastolic blood pressure and 0.01 +/- 7.71 mmHg for the systolic pressure, respectively.


2019 ◽  
Vol 10 (1) ◽  
pp. 61
Author(s):  
Ernia Susana

<p>Currently used non-invasive blood pressure (NIBP) measurements (oscillometric method) has disadvantages related to pumping cuffs which can cause discomfort for patients due to pressure from pumping cuffs.  The aim of this study was to measure blood pressure in a non-invasive manner without cuffs with the Pulse Transit Time (PTT) methodbase on machine learning technology.The blood pressure measurement by the PTT method is obtained from the calculation of the distance of the R-ECG wave with the peak signal <em>photoplethysmogram</em><em> </em>(PPG). The main problem of the PTT method in some previous studies is that the estimation of systolic (SBP) and diastolic (DBP) values is still inaccurate. The blood pressure measurement method in this study used a combination of PTT calculations with machine learning multivariate regression. Therefore expected to obtain a more accurate estimate of systolic (SBP) and diastolic blood pressure (DBP). This study is a laboratory experiment research on 30 healthy volunteers aged 20 ± 1 years. The measurement of the blood pressure value of the PTT-to-oscillometric method is 5 ± 5 mmHg. The blood pressure values generated by this PTT method have a p-value for the sequential estimation of SBP and DBP of 0.7374 and 0.0262.<strong></strong></p>


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