Indices and Repeatability Tests of Cardiovascular Function Performed on the Arterial Distension Waveform - Case Study: Angiography Intervention
V. G. Almeida, J. Borba, H. C. Pereira, T. Pereira, J. Cardoso, C. Correia
2013
Abstract
The arterial distension waveform (ADW) analysis is a reliable technique for cardiovascular function assessment. The purpose of this study was to perform the pre-clinical validation of a non-invasive prototype focusing the repeatability tests and cross-relationships between different subject groups. The evaluation focused parameters retrieved from ADW: systolic peak (SP), dicrotic notch (DN), RP (reflection point) and Augmentation index (AI). One hundred and fifty one subjects (61 men and 90 women, aged between 18 and 80 years) were assigned into four groups based on their clinical characteristics. Database is constituted by healthy, hypertensive and subjects that suffer from stenosis. The cross-correlations analysis between groups allows establishing time parameterizations for each one. Furthermore, the differences between the left and right carotid artery suggest intrinsically variability for each one of the subjects. The coefficient of variation (CV) mean value obtained for all measurements was 18.58%, maximum rate of 33.7% and minimum 8.9%. The stenosis case study demonstrate the potentialities of the use of this prototype in the detection of cardiac anomalies by the monitoring of state alterations through RP, SP and DN time parameterizations with visible changes in RP and SP values (after carotid intervention RP appears later than SP, in opposition with values before intervention), while DN associated time changes little. The tests performed on the ADW showed that is possible the reliable measurement of morphological patterns changes.
References
- Almeida, V. G., Pereira, H. C., Pereira, T., Figueiras, E., Borges, E., Cardoso, J. M. R., and Correia, C. (2011a). Piezoelectric probe for pressure waveform estimation in flexible tubes and its application to the cardiovascular system. Sensors and Actuators A: Physical, 169(1):217-226.
- Almeida, V. G., Santos, P., Figueiras, E., Borges, E., Pereira, T., Pereira, H. C., Cardoso, J. M. R., and Correia, C. (2011b). Hemodynamic features extraction from a new arterial pressure waveform probe. Proceedings of the 3rd International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2011). Rome, Italy.
- Avolio, A. P., Butlin, M., and Walsh, A. (2010). Arterial blood pressure measurement and pulse wave analysis-their role in enhancing cardiovascular assessment. Physiol Meas, 31(1):R1-47. Avolio, Alberto P Butlin, Mark Walsh, Andrew England Physiol Meas. 2010 Jan;31(1):R1-47. Epub 2009 Nov 26.
- Conroy, R. (2003). Estimation of ten-year risk of fatal cardiovascular disease in europe: the score project. Eur Heart J, 24(11):987-1003.
- Hamilton, P. K., Lockhart, C. J., Quinn, C. E., and McVeigh, G. E. (2007). Arterial stiffness: clinical relevance, measurement and treatment. Clin Sci (Lond), 113(4):157-70. Hamilton, Paul K Lockhart, Christopher J Quinn, Cathy E McVeigh, Gary E England London, England : 1979 Clin Sci (Lond). 2007 Aug;113(4):157-70.
- Huck, C. J., Bronas, U. G., Williamson, E., Draheim, C., Duprez, D. A., and Dengel, D. R. (2007). Noninvasive measurements of arterial stiffness: Repeatability and interrelationships with endothelial function and arterial morphology measures. Vascular health and risk management, 3(3):343-349.
- Jones, A. F., Walker, J., Jewkes, C., Game, F. L., Bartlett, W., Marshall, T., and Bayly, G. R. (2001). Comparative accuracy of cardiovascular risk prediction methods in primary care patients. Heart, 85:37-43.
- Laurent, S., e. a. (2006). Expert consensus document on arterial stiffness:methodological issues and clinical applications. European Heart Journal, 27:25882605.
- Liang, Y., Teede, H., Kotsopoulos, D., Shiel, L., Cameron, J., Dart, A., and McGrath, B. (1998). Non-invasive measurements of arterial structure and function: repeatability, interrelationships and trial sample size. Clinical Science, 95:669-679.
- Luo, X., Yang, Y., Cao, T., and Li, Z. (2011). Differences in left and right carotid intima-media thickness and the associated risk factors. Clin Radiol, 66(5):393-8. Luo, X Yang, Y Cao, T Li, Z England Clin Radiol. 2011 May;66(5):393-8. Epub 2011 Feb 15.
- Mackenzie, I. S., Wilkinson, I. B., and Cockroft, J. R. (2002). Assessment of arterial stiffness in clinical practice. Q J Med., 95:67-74.
- Yusuf, S., Hawken, S., unpuu, S., Dans, T., Avezum, A., Lanas, F., McQueen, M., Budaj, A., Pais, P., Varigos, J., and Lisheng, L. (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the interheart study): case-control study. The Lancet, 364(9438):937-952.
Paper Citation
in Harvard Style
G. Almeida V., Borba J., C. Pereira H., Pereira T., Cardoso J. and Correia C. (2013). Indices and Repeatability Tests of Cardiovascular Function Performed on the Arterial Distension Waveform - Case Study: Angiography Intervention . In Proceedings of the International Conference on Bio-inspired Systems and Signal Processing - Volume 1: BIOSIGNALS, (BIOSTEC 2013) ISBN 978-989-8565-36-5, pages 138-144. DOI: 10.5220/0004219301380144
in Bibtex Style
@conference{biosignals13,
author={V. G. Almeida and J. Borba and H. C. Pereira and T. Pereira and J. Cardoso and C. Correia},
title={Indices and Repeatability Tests of Cardiovascular Function Performed on the Arterial Distension Waveform - Case Study: Angiography Intervention},
booktitle={Proceedings of the International Conference on Bio-inspired Systems and Signal Processing - Volume 1: BIOSIGNALS, (BIOSTEC 2013)},
year={2013},
pages={138-144},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0004219301380144},
isbn={978-989-8565-36-5},
}
in EndNote Style
TY - CONF
JO - Proceedings of the International Conference on Bio-inspired Systems and Signal Processing - Volume 1: BIOSIGNALS, (BIOSTEC 2013)
TI - Indices and Repeatability Tests of Cardiovascular Function Performed on the Arterial Distension Waveform - Case Study: Angiography Intervention
SN - 978-989-8565-36-5
AU - G. Almeida V.
AU - Borba J.
AU - C. Pereira H.
AU - Pereira T.
AU - Cardoso J.
AU - Correia C.
PY - 2013
SP - 138
EP - 144
DO - 10.5220/0004219301380144