Why the study?
Oscillometric cuff-based noninvasive blood pressure measurement commonly uses linear or step deflation, prompting the design and clinical validation of a novel step deflation algorithm and module.
Does a novel oscillometric step deflation algorithm with curve fitting improve the accuracy of noninvasive blood pressure measurement compared to standard auditory methods?
Does a novel oscillometric step deflation algorithm with curve fitting improve the accuracy of noninvasive blood pressure measurement compared to standard auditory methods?
A novel oscillometric step deflation algorithm using quadratic or cubic curve fitting provides accurate noninvasive blood pressure measurements that meet international BHS and AAMI standards.
Validated step-deflation oscillometry supports technical feasibility for noninvasive BP; leaves open superiority to linear deflation in practice.
Background: One of the most prevalent methods in noninvasive blood pressure (BP) measurement with cuff is oscillometric, which has two different types of deflation, including linear and step deflation. With this approach, in addition to designing a novel algorithm by the step deflation method, a sample of its module was constructed and validated during clinical tests in different hospitals. Method: In this study, by controlling the valve, the pressure would be deflated through optimized steps. By real-time processing on the obtained signal from the pressure sensor, pulses in each step would be extracted. After that, in offline mode, mean arterial pressure is estimated based on curve fitting. Result: A BP simulator, various modules, and an auditory method were used to validate the algorithm and its results. During clinical tests, 80 people (men and women), 11 dialysis patients, and 69 non-dialysis (healthy or with other diseases) in the age range of 17-85 years participated. Conclusion: The obtained results compared with the BP simulator are in the standard range according to the international medical standards of the British Hypertension Society (BHS) and the US Association for the Advancement of Medical Instrumentation (AAMI), which are the global standard of comparison in this field.
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Yazdchi et al. (2022) studied this question.
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