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  4. Noninvasive Cardiac Output and Central Systolic Pressure From Cuff-Pressure and Pulse Wave Velocity
 
research article

Noninvasive Cardiac Output and Central Systolic Pressure From Cuff-Pressure and Pulse Wave Velocity

Bikia, Vasiliki  
•
Pagoulatou, Stamatia  
•
Trachet, Bram  
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July 1, 2020
Ieee Journal Of Biomedical And Health Informatics

Goal: We introduce a novel approach to estimate cardiac output (CO) and central systolic blood pressure (cSBP) from noninvasive measurements of peripheral cuff-pressure and carotid-to-femoral pulse wave velocity (cf-PWV). Methods: The adjustment of a previously validated one-dimensional arterial tree model is achieved via an optimization process. In the optimization loop, compliance and resistance of the generic arterial tree model as well as aortic flow are adjusted so that simulated brachial systolic and diastolic pressures and cf-PWV converge towards the measured brachial systolic and diastolic pressures and cf-PWV. The process is repeated until full convergence in terms of both brachial pressures and cf-PWV is reached. To assess the accuracy of the proposed framework, we implemented the algorithm on in vivo anonymized data from 20 subjects and compared the method-derived estimates of CO and cSBP to patient-specific measurements obtained with Mobil-O-Graph apparatus (central pressure) and two-dimensional transthoracic echocardiography (aortic blood flow). Results: Both CO and cSBP estimates were found to be in good agreement with the reference values achieving an RMSE of 0.36 L/min and 2.46 mmHg, respectively. Low biases were reported, namely -0.04 +/- 0.36 L/min for CO predictions and -0.27 +/- 2.51 mmHg for cSBP predictions. Significance: Our one-dimensional model can be successfully "tuned" to partially patient-specific standards by using noninvasive, easily obtained peripheral measurement data. The in vivo evaluation demonstrated that this method can potentially be used to obtain central aortic hemodynamic parameters in a noninvasive and accurate way.

  • Details
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Type
research article
DOI
10.1109/JBHI.2019.2956604
Web of Science ID

WOS:000545429400014

Author(s)
Bikia, Vasiliki  
Pagoulatou, Stamatia  
Trachet, Bram  
Soulis, Dimitrios
Protogerou, Athanase D.
Papaioannou, Theodore G.
Stergiopulos, Nikos  
Date Issued

2020-07-01

Publisher

IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC

Published in
Ieee Journal Of Biomedical And Health Informatics
Volume

24

Issue

7

Start page

1968

End page

1981

Subjects

Computer Science, Information Systems

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Computer Science, Interdisciplinary Applications

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Mathematical & Computational Biology

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Medical Informatics

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Computer Science

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sensitivity

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brachytherapy

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mathematical model

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hemodynamics

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pressure measurement

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arteries

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noninvasive

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cardiac output

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central pressure

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1-d model

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patient-specific models

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optimization methods

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mobil-o-graph

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central blood-pressure

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central aortic pressure

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one-dimensional model

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cardiovascular-diseases

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elastic properties

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stroke volume

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arterial

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validation

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form

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LHTC  
Available on Infoscience
July 18, 2020
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/170219
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