Hemodynamic parameters assessment

V. Almeida, L. R. Ferreira, C. Correia
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Abstract

The present work focuses an experimental and theoretical approach to non-invasive cardiovascular (CV) system monitoring. The CV diseases are currently one of the leading causes of death in the developed countries. The development of early diagnostic tools contributes for the early identification of important markers in the CV development. A piezoelectric (PZ) probe to arterial pressure waveform (APW) monitoring at peripheral arteries, such as carotid artery was developed. A dedicated test bench capable of emulating the main CV dynamic properties was developed, providing an interesting tool to carry out the preliminary tests. The PZ probe output signal suffers additional processing to original waveform recovering. The deconvolution method was used for this purpose. Algorithms to waveform delineation were developed, based on the wavelet transform and probability density function (PDF). The AIx was calculated for each one of the developed algorithms. These methods were comparatively evaluated with the reference value from the synthesis procedure. The probe's performance was assessed using realistic simulation based on exponential pulses and in in vivo data acquisitions, Results demonstrate that the developed probe exhibits a good performance with maximum errors less than 0.5% in the AIx determination.
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血流动力学参数评估
目前的工作重点是实验和理论方法的无创心血管(CV)系统监测。心血管疾病是目前发达国家主要的死亡原因之一。早期诊断工具的发展有助于早期识别CV发展中的重要标志物。研制了一种用于外周动脉(如颈动脉)血压波形监测的压电探针。开发了一个能够模拟CV主要动态特性的专用试验台,为进行初步测试提供了一个有趣的工具。PZ探头输出信号对原始波形恢复进行额外处理。为此使用了反褶积方法。基于小波变换和概率密度函数(PDF),开发了波形描绘算法。为每个已开发的算法计算AIx。并与合成过程的参考值进行了比较评价。基于指数脉冲和体内数据采集的真实模拟对探针的性能进行了评估,结果表明,所开发的探针在AIx测定中表现出良好的性能,最大误差小于0.5%。
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