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August 9, 2016Scientific Reports198 citationsOpen Access

Ballistocardiogram: Mechanism and Potential for Unobtrusive Cardiovascular Health Monitoring

CKChang‐Sei KimSOStephanie L. OberMMM. Sean McMurtry

Key Result

A mathematical model revealed that blood pressure gradients in the ascending and descending aorta are the principal mechanism for the genesis of ballistocardiogram waves, predicting major I, J, and K waves in over 91% of patients.

Study Design

Type

Observational (n=21)

Multicenter

No

Structured PICO

P
Population
21 cardiac surgical patients (14.3% female, aged 51-79) with invasive blood pressure waveforms used to validate a mathematical model of the ballistocardiogram.
E
Exposure
Mathematical modeling of the ballistocardiography (BCG) waveform based on blood pressure gradients in the ascending and descending aorta
O
Outcome
Validity of the mathematical model to predict the presence, timings, and amplitudes of major BCG waves (I, J, and K waves)surrogate

A simple mathematical model demonstrates that the principal mechanism for the genesis of ballistocardiography (BCG) waves is blood pressure gradients in the ascending and descending aorta.

Limitations

  • Patient data did not include BCG measurements, preventing validation against BCG waveforms measured in the same subjects.
  • The exact location of the outlet of the descending tube in the model was not established.
  • The insight gained from the model has yet to be translated to actual techniques for estimating clinically significant cardiovascular parameters from the BCG waveform.
  • Patient data did not include BCG measurements, preventing validation of predicted BCG against measured BCG in the same subject
  • Exact location of the outlet of the descending tube was not established
  • Insight gained has yet to be translated to actual techniques for estimating clinically significant cardiovascular parameters

Abstract

For more than a century, it has been known that the body recoils each time the heart ejects blood into the arteries. These subtle cardiogenic body movements have been measured with increasingly convenient ballistocardiography (BCG) instruments over the years. A typical BCG measurement shows several waves, most notably the "I", "J", and "K" waves. However, the mechanism for the genesis of these waves has remained elusive. We formulated a simple mathematical model of the BCG waveform. We showed that the model could predict the BCG waves as well as physiologic timings and amplitudes of the major waves. The validated model reveals that the principal mechanism for the genesis of the BCG waves is blood pressure gradients in the ascending and descending aorta. This new mechanistic insight may be exploited to allow BCG to realize its potential for unobtrusive monitoring and diagnosis of cardiovascular health and disease.

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Cite This Study

Kim et al. (2016) conducted an observational in Cardiac surgery (n=21). Mathematical model of BCG waveform was evaluated on Prediction of major I, J, and K waves. A mathematical model revealed that blood pressure gradients in the ascending and descending aorta are the principal mechanism for the genesis of ballistocardiogram waves, predicting major I, J, and K waves in over 91% of patients.

synapsesocial.com/papers/6a7070898031ec7bb1dc567chttps://doi.org/10.1038/srep31297
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