全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Noncontact Monitoring of Relative Changes in Blood Pressure Using Microwave Radar Sensors

DOI: 10.4236/jbise.2022.151006, PP. 51-65

Keywords: Microwave Radar, Noncontact Monitoring, Blood Pressure, Relative Change, Continuous Monitor

Full-Text   Cite this paper   Add to My Lib

Abstract:

This study aims to confirm whether noncontact monitoring of relative changes in blood pressure can be estimated using microwave radar sensors. First, an equation to estimate blood pressure was derived, after which, the effectiveness of the estimation equation was confirmed using data obtained by a noncontact method while inducing variations in blood pressure. We considered that the Bramwell-Hill equation, which contains some parameters that directly indicate changes in blood pressure, would be an appropriate reference to construct an estimation equation for the noncontact method, because measurements using microwave radar sensors can measure minute scale motion on the skin surface induced by the pulsation of blood vessels. In order to estimate relative changes in blood pressure, we considered a simple equation including the pulse transit time (PTT), amplitude of signals and body dimensions as parameters. To verify the effectiveness of the equation for estimating changes in blood pressure, two experiments were conducted: a cycling task using an ergometer, which induces blood pressure fluctuations because of changes in cardiac output, and a task using the Valsalva maneuver, which induces blood pressure fluctuations because of changes in vascular resistance. The results obtained from the two experiments suggested that the proposed equation using microwave radar sensors can accurately estimate relative changes of blood pressure. In particular, relatively favorable results were obtained for the changes in blood pressure induced by the changes in cardiac volume. Although many issues remain, this method could be expected to contribute to the continuous evaluation of cardiac function while reducing the burden on patients.

References

[1]  1.World Health Organization (2021) Cardiovascular Diseases (CVDs) Key Facts.
https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
[2]  Ogedegbe, G. and Pickering, T. (2010) Principles and Techniques of Blood Pressure Measurement. Cardiology Clinics, 28, 571-586.
https://doi.org/10.1016/j.ccl.2010.07.006
[3]  Bottini, P.B., Rhoades, R.B., Carr, A.A. and Prisant, L.M. (1991) Mechanical Trauma and Acute Neuralgia Associated with Automated Ambulatory Blood Pressure Monitoring. American Journal of Hypertension, 4, 288.
https://doi.org/10.1093/ajh/4.3.288
[4]  Heude, E., Bourgin, P., Feigel, P. and Escourrou, P. (1996) Ambulatory Monitoring of Blood Pressure Disturbs Sleep and Raises Systolic Pressure at Night in Patients Suspected of Suffering from Sleep-Disordered Breathing. Clinical Science, 91, 45-50.
https://doi.org/10.1042/cs0910045
[5]  Pickering, T.G., Hall, J.E., Appel, L.J., Falkner, B.E., Graves, J., Hill, M.N., Jones, D.W., Kurtz, T., Sheps, S.G. and Roccella, E.J. (2005) Recommendations for Blood Pressure Measurement in Humans and Experimental Animals: Part 1: Blood Pressure Measurement in Humans—A Statement for Professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Circulation, 111, 697-716.
https://doi.org/10.1161/01.CIR.0000154900.76284.F6
[6]  Feliciani, G., Peron, C., La Rocca, A., Scuppa, M.F., Malavolta, A., Bianchini, D., Corazza, I. and Zannoli, R. (2016) Cold Pressor Test Using Strain-Gauge Plethysmography. Advances in Physiology Education, 40, 410-417.
https://doi.org/10.1152/advan.00096.2015
[7]  Wang, T.W. and Lin, S.F. (2020) Wearable Piezoelectric-Based System for continuous Beat-to-Beat Blood Pressure Measurement. Sensors (Switzerland), 20, 1-12.
https://doi.org/10.3390/s20030851
[8]  Fajkus, M., Nedoma, J., Martinek, R., Vasinek, V., Nazeran, H. and Siska, P. (2017) A Non-Invasive Multichannel Hybrid Fiber-Optic Sensor System for Vital Sign Monitoring. Sensors (Switzerland), 17, 1-17.
https://doi.org/10.3390/s17010111
[9]  Uenoyama, M., Matsui, T., Yamada, K., Suzuki, S., Takase, B., Suzuki, S., Ishihara, M. and Kawakami, M. (2006) Non-Contact Respiratory Monitoring System Using a Ceiling-Attached Microwave Antenna. Medical and Biological Engineering and Computing, 44, 835-840.
https://doi.org/10.1007/s11517-006-0091-8
[10]  Suzuki, S., Matsui, T., Kagawa, M., Asao, T. and Kotani, K. (2013) An Approach to a Non-Contact Vital Sign Monitoring Using Dual-Frequency Microwave Radars for Elderly Care. Journal of Biomedical Science and Engineering, 6, 704-711.
https://doi.org/10.4236/jbise.2013.67086
[11]  Suzuki, S., Matsui, T., Imuta, H., Uenoyama, M., Yura, H., Ishihara, M. and Kawakami, M. (2008) A Novel Autonomic Activation Measurement Method for Stress Monitoring: Non-Contact Measurement of Heart Rate Variability Using a Compact Microwave Radar. Medical and Biological Engineering and Computing, 46, 709-714.
https://doi.org/10.1007/s11517-007-0298-3
[12]  Droitcour, A.D. and Lubecke, O.B. (2016) Physiological Motion and Measurement. In: Lubecke, O.B., Lubecke, V.M., Droitcour, A.D., Park, B.K. and Singh, A., Eds., Doppler Radar Physiological Sensing, John Wiley & Sons, Inc., Hoboken, 39-67.
https://doi.org/10.1002/9781119078418.ch3
[13]  Golberg, M., Ruiz-Rivas, J., Polani, S., Beiderman, Y. and Zalevsky, Z. (2018) Large-Scale Clinical Validation of Noncontact and Continuous Extraction of Blood Pressure via Multipoint Defocused Photonic Imaging. Applied Optics, 57, B45.
https://doi.org/10.1364/AO.57.000B45
[14]  Standards Committee of the IEEE Engineering in Medicine and Biology Society (2014) IEEE Standard for Wearable, Cuffless Blood Pressure Measuring Devices. IEEE-SA Standards Board.
http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=6882122&isnumber=6882121%0A
[15]  Kaplan, N.M., Victor, R.G. and Flynn, J.T. (2010) Kaplan’ s Clinical Hypertension. 10th Edition, Lippincott Williams & Wilkins, Philadelphia.
[16]  Tijsseling, A.S. and Anderson, A. (2012) A. Isebree Moens and D.J. Korteweg: On the Speed of Propagation of Waves in Elastic Tubes. BHR Group 11th International Conferences on Pressure Surges, Lisbon, 24-26 October 2012, 227-245.
[17]  Bramwell, J.C. and Hill, A.V. (1922) The Velocity of the Pulse Wave in Man. Proceedings of the Royal Society of London. Series B, 93, 298-306.
https://doi.org/10.1098/rspb.1922.0022
[18]  Gosling, R.G. and Budge, M.M. (2003) Terminology for Describing the Elastic Behavior of Arteries. Hypertension, 41, 1180-1182.
https://doi.org/10.1161/01.HYP.0000072271.36866.2A
[19]  Sun, C.K. (2013) Cardio-Ankle Vascular Index (CAVI) as an Indicator of Arterial Stiffness. Integrated Blood Pressure Control, 6, 27-38.
https://doi.org/10.2147/IBPC.S34423
[20]  Johar, R.S. and Smith, R.P. (2009) Assessing Gravimetric Estimation of Intraoperative Blood Loss. Journal of Gynecologic Surgery, 9, 151-154.
https://doi.org/10.1089/gyn.1993.9.151
[21]  Ding, X., Yan, B.P., Zhang, Y.T., Liu, J., Zhao, N. and Tsang, H.K. (2017) Pulse Transit Time Based Continuous Cuffless Blood Pressure Estimation. A New Extension and a Comprehensive Evaluation. Scientific Reports, 7, Article No. 11554.
https://doi.org/10.1038/s41598-017-11507-3
[22]  Geddes, L.A., Voelz, M.H., Babbs, C.F., Bourland, J.D. and Tacker, W.A. (1981) Pulse Transit Time as an Indicator of Arterial Blood Pressure. Psychophysiology, 18, 71-74.
https://doi.org/10.1111/j.1469-8986.1981.tb01545.x
[23]  ISO 7250-1:2017 Basic Human Body Measurements for Technological Design—Part 1: Body Measurement Definitions and Landmarks. ISO/TC 159/SC 3 Anthropometry and Biomechanics.
[24]  Klabunde, R.E. (2011) Cardiovascular Physiology Concepts. 2nd Edition, Lippincott Williams & Wilkins, Philadelphia.
[25]  Kaplan, A.D., O’Sullivan, J.A., Sirevaag, E.J., Lai, P.H. and Rohrbaugh, J.W. (2012) Hidden State Models for Noncontact Measurements of the Carotid Pulse Using a Laser Doppler Vibrometer. IEEE Transactions on Biomedical Engineering, 59, 744-753.
https://doi.org/10.1109/TBME.2011.2179297
[26]  Smith, S.A., Salih, M.M. and Littler, W.A. (1987) Assessment of Beat to Beat Changes in Cardiac Output during the Valsalva Manoeuvre Using Electrical Bioimpedance Cardiography. Clinical Science, 72, 423-428.
https://doi.org/10.1042/cs0720423
[27]  Risk, M., Berghoff, M. and Freeman, R. (2000) Characterization of the Valsalva Maneuver Using Wavelet Transform. Computers in Cardiology, 2000, 411-414.
https://doi.org/10.1109/CIC.2000.898544
[28]  Van Vliet, B.N., McGuire, J., Chafe, L., Leonard, A., Joshi, A. and Montani, J.P. (2006) Phenotyping the Level of Blood Pressure by Telemetry in Mice. Clinical and Experimental Pharmacology and Physiology, 33, 1007-1015.
https://doi.org/10.1111/j.1440-1681.2006.04479.x
[29]  Goncalves, A.C.C., Tank, J., Diedrich, A., Hilzendeger, A., Plehm, R., Bader, M., Luft, F.C., Jordan, J. and Gross, V. (2009) Diabetic Hypertensive Leptin Receptor-Deficient db/db Mice Develop Cardioregulatory Autonomic Dysfunction. Hypertension, 53, 387-392.
https://doi.org/10.1161/HYPERTENSIONAHA.108.124776
[30]  Stewart, J.M., Medow, M.A., Bassett, B. and Montgomery, L.D. (2004) Effects of Thoracic Blood Volume on Valsalva Maneuver. American Journal of Physiology—Heart and Circulatory Physiology, 287, 798-804.
https://doi.org/10.1152/ajpheart.01174.2003
[31]  Smith, G. and Boyle, M.J. (2009) The 10 mL Syringe Is Useful in Generating the Recommended Standard of 40 mmHg Intrathoracic Pressure for the Valsalva Manoeuvre. Emergency Medicine Australasia, 21, 449-454.
https://doi.org/10.1111/j.1742-6723.2009.01228.x
[32]  Mukkamala, R., Hahn, J.O., Inan, O.T., Mestha, L.K., Kim, C.S., Toreyin, H. and Kyal, S. (2015) Toward Ubiquitous Blood Pressure Monitoring via Pulse Transit Time: Theory and Practice. IEEE Transactions on Biomedical Engineering, 62, 1879-1901.
https://doi.org/10.1109/TBME.2015.2441951
[33]  Jacobsen, M., Dembek, T.A., Kobbe, G., Gaidzik, P.W. and Heinemann, L. (2020) Noninvasive Continuous Monitoring of Vital Signs with Wearables: Fit for Medical Use? Journal of Diabetes Science and Technology, 15, 34-43.
https://doi.org/10.1177/1932296820904947
[34]  Suzuki, S., Matsui, T., Asao, T. and Kotani, K. (2012) An Investigation Using High-Precision CCD Laser Displacement Sensor to Measure Body Surface Motion Induced by Heartbeat. Journal of Biomedical Science and Engineering, 5, 672-677.
https://doi.org/10.4236/jbise.2012.511084
[35]  Killip, T. and Kimball, J.T. (1967) Treatment of Myocardial Infarction in a Coronary Care Unit: A Two Year Experience with 250 Patients. The American Journal of Cardiology, 20, 457-464.
https://doi.org/10.1016/0002-9149(67)90023-9
[36]  Khot, U.N., Jia, G., Moliterno, D.J., Lincoff, A.M., Khot, M.B., Harrington, R.A. and Topol, E.J. (2003) Prognostic Importance of Physical Examination for Heart Failure in Non-ST-Elevation Acute Coronary Syndromes. JAMA, 290, 2174-2181.
https://doi.org/10.1001/jama.290.16.2174
[37]  Swan, H.J.C., Forrester, J.S., Diamond, G. and Parmley, W.W. (1972) Hemodynamic Spectrum of Myocardial Infarction and Cardiogenic Shock. Circulation, 45, 1097-1110.
https://doi.org/10.1161/01.CIR.45.5.1097

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413