Validation of Noninvasive Derivation of the Central Aortic Pressure Waveform from Fingertip Photoplethysmography Using a Novel Selective Transfer Function Method

James R. Cox, Ehad Akeila, Alberto Avolio, Mark Butlin, Catherine Liao, Gisele J. Bentley, Ahmad Qasem

PULSE · 2024-yil

Annotatsiya

Introduction: Central aortic pressure waveform analyses can provide clinically relevant information beyond conventional brachial blood pressure (BP) assessment. This waveform can be reproduced noninvasively through application of a generalized transfer function (GTF) on a peripheral waveform, as conventionally performed by applanation tonometry. Photoplethysmography (PPG) is an alternate approach; however, differences in measurement site and modality demand the use of a transfer function (TF) specific for those differences. This study aimed to compare central aortic waveform features generated from radial tonometry (reference) using a proprietary GTF with a central aortic waveform and its features generated from a simultaneous fingertip PPG measurement using a selective method where one of three different TFs is chosen based on the input signal harmonic profile. Methods: = 21, 10 females, age: 39 ± 16 years). Measurements were converted into central aortic waveforms with their respective TFs. Twenty central aortic pressure waveform parameters were compared through correlation analysis, Bland-Altman plots, and a repeated measure mixed-effects ANOVA model. Central aortic waveform shape was compared using the root-mean-squared error (RMSE). Results: ) of PPG-derived parameters with radially tonometry-derived central aortic parameters was high ranging from 0.79 to 0.99. Mean differences of pressure-related parameters were within 1.3 mm Hg, and differences of time-related parameters ranged from -2.2 to 3.4%. While some parameters were statistically different, these differences are not physiologically meaningful. Central aortic waveform shape had an average RMSE of 1.8 ± 0.9%. Conclusion: Fingertip PPG-derived central aortic waveform parameters using a novel selective TF were comparable to central aortic waveform features derived from radial tonometry using a previously validated GTF.

Maqola ma’lumotlari
MualliflarJames R. Cox, Ehad Akeila, Alberto Avolio, Mark Butlin, Catherine Liao, Gisele J. Bentley, Ahmad Qasem
JurnalPULSE
NashriyotPROFI университетининг
ISSN2074-1855, 2235-8668
Nashr sanasi2024-01-01
Jild12
Son1
Betlar95-105
TilIngliz
Ilmiy sohaPsixologiya
DOI10.1159/000540666
Indeksga qo‘shilgan2026-09-02

Ilmiy soha

Iqtibos keltirish

APAJames R. Cox, Ehad Akeila, Alberto Avolio, Mark Butlin, Catherine Liao, Gisele J. Bentley, & Ahmad Qasem (2024). Validation of Noninvasive Derivation of the Central Aortic Pressure Waveform from Fingertip Photoplethysmography Using a Novel Selective Transfer Function Method. PULSE, 12(1), 95-105. https://doi.org/10.1159/000540666
GOST (OAK)James R. Cox va b. Validation of Noninvasive Derivation of the Central Aortic Pressure Waveform from Fingertip Photoplethysmography Using a Novel Selective Transfer Function Method // PULSE. – 2024. – T. 12, № 1. – P. 95-105. – DOI: 10.1159/000540666.
MLAJames R. Cox, Ehad Akeila, Alberto Avolio, Mark Butlin, Catherine Liao, Gisele J. Bentley, and Ahmad Qasem. “Validation of Noninvasive Derivation of the Central Aortic Pressure Waveform from Fingertip Photoplethysmography Using a Novel Selective Transfer Function Method.” PULSE, 12(1), 95-105, 2024. https://doi.org/10.1159/000540666
ChicagoJames R. Cox, Ehad Akeila, Alberto Avolio, Mark Butlin, Catherine Liao, Gisele J. Bentley, and Ahmad Qasem. “Validation of Noninvasive Derivation of the Central Aortic Pressure Waveform from Fingertip Photoplethysmography Using a Novel Selective Transfer Function Method.” PULSE, 12(1), 95-105 (2024). https://doi.org/10.1159/000540666
HarvardJames R. Cox, Ehad Akeila, Alberto Avolio, Mark Butlin, Catherine Liao, Gisele J. Bentley, and Ahmad Qasem (2024) ‘Validation of Noninvasive Derivation of the Central Aortic Pressure Waveform from Fingertip Photoplethysmography Using a Novel Selective Transfer Function Method’, PULSE, 12(1), 95-105. https://doi.org/10.1159/000540666
BibTeX
@article{jamesrcox2024,
  title = {Validation of Noninvasive Derivation of the Central Aortic Pressure Waveform from Fingertip Photoplethysmography Using a Novel Selective Transfer Function Method},
  author = {James R. Cox and Ehad Akeila and Alberto Avolio and Mark Butlin and Catherine Liao and Gisele J. Bentley and Ahmad Qasem},
  journal = {PULSE},
  year = {2024},
  volume = {12},
  number = {1},
  pages = {95-105},
  doi = {10.1159/000540666},
  url = {https://doi.org/10.1159/000540666}
}

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