A minimally invasive method for beat-by-beat estimation of cardiac pressure-volume loops

Davidson, S.; Pretty, C.; Kamoi, S.; Desaive, Thomas; Chase, J. G.; Maciel, C. D.; Gamboa, H.; Vaz, M.; Fred, A.

doi:10.5220/0006140200540063

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A minimally invasive method for beat-by-beat estimation of cardiac pressure-volume loops

Davidson, S.; Pretty, C.; Kamoi, S. et al.

2017 • In Maciel, C.D.; Gamboa, H.; Vaz M., Fred A. (Eds.) BIOSIGNALS 2017 - 10th International Conference on Bio-Inspired Systems and Signal Processing, Proceedings; Part of 10th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2017

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https://hdl.handle.net/2268/248153

DOI
10.5220/0006140200540063

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Keywords :

Cardiovascular Signals; Clinical Monitoring; Pressure-Volume Loops; Stroke Work; Biomedical engineering; Decision making; Echocardiography; Signal processing; Clinical decision making; Clinical environments; End-systolic volumes; Pressure volumes; Reasonable accuracy; Blood pressure

Abstract :

[en] This paper develops a minimally invasive means of estimating a patient-specific cardiac pressure-volume loop beat-to-beat. This method involves estimating the left ventricular pressure and volume waveforms using clinically available information including heart rate and aortic pressure, supported by a baseline echocardiography reading. Validation of the method was performed across an experimental data set spanning 5 Piétrain pigs, 46,318 heartbeats and a diverse clinical protocol. The method was able to accurately locate a pressure-volume loop, identifying the end-diastolic volume, end-systolic volume, mean-diastolic pressure and mean-systolic pressure of the ventricle with reasonable accuracy. While there were larger percentage errors associated with stroke work derived from the estimated pressure-volume loops, there was a strong correlation (average R value of 0.83) between the estimated and measured stroke work values. These results provide support for the potential of the method to track patient condition, in real-time, in a clinical environment. This method has the potential to yield additional information from readily available waveforms to aid in clinical decision making. Copyright © 2017 by SCITEPRESS – Science and Technology Publications, Lda. All rights reserved.

Disciplines :

Anesthesia & intensive care

Author, co-author :

Davidson, S.; Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand

Pretty, C.; Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand

Kamoi, S.; Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand

Desaive, Thomas ; Université de Liège - ULiège > Département d'astrophys., géophysique et océanographie (AGO) > Thermodynamique des phénomènes irréversibles

Chase, J. G.; Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand

Maciel, C. D.

Gamboa, H.

Vaz, M.

Fred, A.

Language :

English

Title :

A minimally invasive method for beat-by-beat estimation of cardiac pressure-volume loops

Publication date :

2017

Event name :

10th International Conference on Bio-Inspired Systems and Signal Processing, BIOSIGNALS 2017 - Part of 10th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2017

Event date :

21 February 2017 through 23 February 2017

Audience :

International

Main work title :

BIOSIGNALS 2017 - 10th International Conference on Bio-Inspired Systems and Signal Processing, Proceedings; Part of 10th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2017

Editor :

Maciel, C.D.

Gamboa, H.

Vaz M., Fred A.

Publisher :

SciTePress

ISBN/EAN :

978-989758212-7

Pages :

54-63

Peer reviewed :

Peer reviewed

Funders :

INSTICC - Institute for Systems and Technologies of Information, Control and Communication

Commentary :

134847 9789897582127

Available on ORBi :

since 08 June 2020

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