scholarly journals Analyzing 24-Hour Blood Pressure Measurements with a Novel Cuffless Pulse Transit Time Device in Clinical Practice—Does the Software for Heartbeat Detection Matter?

Diagnostics ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 361
Author(s):  
Leo Kilian ◽  
Philipp Krisai ◽  
Thenral Socrates ◽  
Christian Arranto ◽  
Otmar Pfister ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Transit Time ◽  
Pulse Transit Time ◽  
Population Level ◽  
Raw Data ◽  
Invasive Blood Pressure ◽  
Individual Level ◽  
Non Invasive ◽  
The Individual ◽  
The Impact

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.

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 ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Transit Time ◽  
Pulse Transit Time ◽  
Invasive Blood Pressure ◽  
Non Invasive

scholarly journals Artefacts in continuous overnight blood pressure assessment based on pulse transit time

2021 ◽  
Vol 7 (2) ◽  
pp. 843-846
Author(s):  
Dagmar Krefting ◽  
Tibor Kesztyüs ◽  
Henning Dathe
Keyword(s):  
Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Transit Time ◽  
Pulse Transit Time ◽  
High Potential ◽  
Sleep Disruption ◽  
Pressure Measurements ◽  
Short Article ◽  
Invasive Blood Pressure ◽  
Non Invasive

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.

scholarly journals Novel computation of pulse transit time from multi-channel PPG signals by wavelet transform

2016 ◽  
Vol 2 (1) ◽  
pp. 209-213 ◽  
Author(s):  
Alexandru-Gabriel Pielmuş ◽  
Maik Pflugradt ◽  
Timo Tigges ◽  
Michael Klum ◽  
Aarne Feldheiser ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Wavelet Transform ◽  
Transit Time ◽  
Sensor Node ◽  
Pulse Transit Time ◽  
Time Data ◽  
Dual Mode ◽  
Non Invasive ◽  
System Methodology ◽  
Biomedical Community

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.

scholarly journals PTT-based Contact-less Blood Pressure Measurement using an RGB-Camera

2021 ◽  
Vol 7 (2) ◽  
pp. 375-378
Author(s):  
Carolin Wuerich ◽  
Robin Rademacher ◽  
Christian Wiede ◽  
Anton Grabmaier
Keyword(s):  
Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Systolic Pressure ◽  
Pulse Transit Time ◽  
Invasive Blood Pressure ◽  
Non Invasive ◽  
Individual Calibration ◽  
Cardiac System

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.

scholarly journals The Normative Underpinnings of Population-Level Alcohol Use: An Individual-Level Simulation Model

2020 ◽  
Vol 47 (2) ◽  
pp. 224-234
Author(s):  
Charlotte Probst ◽  
Tuong Manh Vu ◽  
Joshua M. Epstein ◽  
Alexandra E. Nielsen ◽  
Charlotte Buckley ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Social Norms ◽  
Drinking Behavior ◽  
Population Level ◽  
Drinking Patterns ◽  
Individual Level ◽  
Behavioral Rules ◽  
Level Model ◽  
The Individual ◽  
The Impact

Background. By defining what is “normal,” appropriate, expected, and unacceptable, social norms shape human behavior. However, the individual-level mechanisms through which social norms impact population-level trends in health-relevant behaviors are not well understood. Aims. To test the ability of social norms mechanisms to predict changes in population-level drinking patterns. Method. An individual-level model was developed to simulate dynamic normative mechanisms and behavioral rules underlying drinking behavior over time. The model encompassed descriptive and injunctive drinking norms and their impact on frequency and quantity of alcohol use. A microsynthesis initialized in 1979 was used as a demographically representative synthetic U.S. population. Three experiments were performed in order to test the modelled normative mechanisms. Results. Overall, the experiments showed limited influence of normative interventions on population-level alcohol use. An increase in the desire to drink led to the most meaningful changes in the population’s drinking behavior. The findings of the experiments underline the importance of autonomy, that is, the degree to which an individual is susceptible to normative influence. Conclusion. The model was able to predict theoretically plausible changes in drinking patterns at the population level through the impact of social mechanisms. Future applications of the model could be used to plan norms interventions pertaining to alcohol use as well as other health behaviors.

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