Medical Engineering & Physics
Volume 32, Issue 7 , Pages 753-759 , September 2010

Estimation of pulse transit time using two diametric blood pressure waveform measurements

  • Jin-Oh Hahn

      Affiliations

    • Department of Electrical and Computer Engineering, University of British Columbia, 373-2366 Main Mall, Vancouver, BC, V6T 1Z4 Canada
    • Corresponding Author InformationCorresponding author. Tel.: +1 617 894 2187.
  • ,
  • Andrew T. Reisner

      Affiliations

    • Department of Emergency Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, United States
  • ,
  • H. Harry Asada

      Affiliations

    • Department of Mechanical Engineering, Massachusetts Institute of Technology, 77 Massachusetts Avenue 3-348, Cambridge, MA 02139, United States

Received 15 July 2009 ,Revised 18 April 2010 ,Accepted 25 April 2010.

References 

  1. Callaghan FJ, Geddes LA, Babbs CF, Bourland JD. Relationship between pulse-wave velocity and arterial elasticity. Medical and Biological Engineering and Computing. 1986;24(3):248–254
  2. DeLoach SS, Townsend RR. Vascular stiffness: its measurement and significance for epidemiologic and outcome studies. Clinical Journal of the American Society of Nephrology. 2008;3(1):184–192
  3. London GM, Cohn JN. Prognostic application of arterial stiffness: task forces. American Journal of Hypertension. 2002;15(8):754–758
  4. Nichols WW, O’Rourke MF. McDonald's blood flow in arteries. London: Arnold; 1998;
  5. Hirata K, Kawakami M, O’Rourke MF. Pulse wave analysis and pulse wave velocity – a review of blood pressure interpretation 100 years after Korotov. Circulation Journal. 2006;70(10):1231–1239
  6. Poon CCY, Zhang YT. Cuff-less and noninvasive measurements of arterial blood pressure by pulse transit time. In: Proceedings of ‘2005 IEEE EMBC. 2005;p. 5877–5880
  7. Nitzan M, Khanokh B, Slovik Y. The difference in pulse transit time to the toe and finger measured by photoplethysmography. Physiological Measurement. 2002;23(1):85–93
  8. Chen W, Kobayashi T, Ichikawa S, Takeuchi Y, Togawa T. Continuous estimation of systolic blood pressure using the pulse arrival time and intermittent calibration. Medical and Biological Engineering and Computing. 2000;38(5):569–574
  9. Geddes LA, Voelz MH, Babbs CF, Bourland JD, Tacker WA. Pulse transit time as an indicator of arterial blood pressure. Psychophysiology. 1981;18(1):71–74
  10. Burattini R, Campbell K. Modified asymmetric T-tube model to infer aortic wave reflection. IEEE Transactions on Biomedical Engineering. 1989;36(8):805–814
  11. Shroff S, Berger D, Korcarz C, Lang R, Marcus R, Miller D. Physiological relevance of T-tube model parameters with emphasis on arterial compliance. American Journal of Physiology. 1995;369(1):365–374
  12. Campbell K, Lee L, Frasch H, Noordergraaf A. Pulse reflection sites and effective length of the arterial system. American Journal of Physiology. 1989;256(6):1684–1689
  13. Hahn JO, Reisner A, Asada H. Blind identification of 2-channel IIR systems with application to central cardiovascular monitoring. ASME Journal of Dynamic Systems, Measurement and Control. 2009;131(5):05100901–05100915
  14. Van Bortel LM, Duprez D, Starmans-Kool MJ, Safar ME, Giannattasio C, Cockcroft J, et al. Clinical applications of arterial stiffness, task force III: recommendations for user procedures. American Journal of Hypertension. 2002;15(5):445–452
  15. Payne RA, Symeonides CN, Webb DJ, Maxwell SRJ. Pulse transit time measured from the ECG: an unreliable marker of beat-to-beat blood pressure. Journal of Applied Physiology. 2006;100(1):136–141
  16. McCombie DB. Development of a wearable blood pressure monitor using adaptive calibration of peripheral pulse transit time measurements. PhD thesis. Cambridge: Massachusetts Institute of Technology; 2008.
  17. Zhang Y, Asada H. Blind system identification of noncoprime multichannel systems and its application to noninvasive cardiovascular monitoring. ASME Journal of Dynamic Systems, Measurement and Control. 2004;126(4):834–847
  18. Hahn JO, McCombie DB, Reisner AT, Hojman HM, Asada HH. Identification of multi-channel cardiovascular dynamics using dual Laguerre basis functions for noninvasive cardiovascular monitoring. IEEE Transactions on Control Systems Technology. 2010;18(1):170–176
  19. Swamy G, Ling Q, Li T, Mukkamala R. Blind identification of the aortic pressure waveform from multiple peripheral artery pressure waveforms. American Journal of Physiology. 2007;292(5):2257–2264
  20. Pollak MH, Obrist PA. Aortic-radial pulse transit time and ECG Q-wave to radial pulse wave interval as indices of beat-by-beat blood pressure change. Psychophysiology. 1983;20(1):21–28
  21. Babchenko A, Davidson E, Adler D, Ginosar Y, Kurz V, Nitzan M. Increase in pulse transit time to the foot after epidural anaesthesia treatment. Medical and Biological Engineering and Computing. 2000;38(6):674–679
  22. Meyer C, McGrath BP, Teede HJ. Effects of medical therapy on insulin resistance and the cardiovascular system in polycystic ovary syndrome. Diabetes Care. 2007;30(3):471–478
  23. Naka KK, Tweddel AC, Parthimos D, Henderson A, Goodfellow J, Frenneaux MP. Arterial distensibility: acute changes following dynamic exercise in normal subjects. American Journal of Physiology. 2003;284(3):970–978
  24. Sugimachi M, Shishido T, Miyatake K, Sunagawa K. A new model-based method of reconstructing central aortic pressure from peripheral arterial pressure. Japanese Journal of Physiology. 2001;51(2):217–222
  25. Rajzer MW, Wojciechowska W, Klocke M, Palka I, Brzozowska-Kiszka M, Kawecka-Jaszcz K. Comparison of aortic pulse wave velocity measured by three techniques: Complior, SphygmoCor and Arteriograph. Journal of Hypertension. 2008;26(10):2001–2007

PII: S1350-4533(10)00091-3

doi: 10.1016/j.medengphy.2010.04.017

Medical Engineering & Physics
Volume 32, Issue 7 , Pages 753-759 , September 2010