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单部位估计动脉脉搏波速度的新方法。

New method for estimating arterial pulse wave velocity at single site.

作者信息

Abdessalem Khaled Ben, Flaud Patrice, Zobaidi Samir

机构信息

a Research Laboratory in Biophysics and Medical Technologies , ISTM Tunis , Tunis , Tunisia.

b Department of Physics, College of Science , Majmaah University , Majmaah , Saudi Arabia.

出版信息

Comput Methods Biomech Biomed Engin. 2018 Jan;21(1):55-64. doi: 10.1080/10255842.2017.1423290. Epub 2018 Jan 15.

DOI:10.1080/10255842.2017.1423290
PMID:29334240
Abstract

The clinical importance of measuring local pulse wave velocity (PWV), has encouraged researchers to develop several local methods to estimate it. In this work, we proposed a new method, the sum-of-squares method [Formula: see text], that allows the estimations of PWV by using simultaneous measurements of blood pressure (P) and arterial diameter (D) at single-location. Pulse waveforms generated by: (1) two-dimensional (2D) fluid-structure interaction simulation (FSI) in a compliant tube, (2) one-dimensional (1D) model of 55 larger human systemic arteries and (3) experimental data were used to validate the new formula and evaluate several classical methods. The performance of the proposed method was assessed by comparing its results to theoretical PWV calculated from the parameters of the model and/or to PWV estimated by several classical methods. It was found that values of PWV obtained by the developed method [Formula: see text] are in good agreement with theoretical ones and with those calculated by PA-loop and DP-loop. The difference between the PWV calculated by [Formula: see text] and PA-loop does not exceed 1% when data from simulations are used, 3% when in vitro data are used and 5% when in vivo data are used. In addition, this study suggests that estimated PWV from arterial pressure and diameter waveforms provide correct values while methods that require flow rate (Q) and velocity (U) overestimate or underestimate PWV.

摘要

测量局部脉搏波速度(PWV)的临床重要性促使研究人员开发了多种局部方法来进行估计。在这项工作中,我们提出了一种新方法,即平方和法[公式:见原文],该方法允许通过在单一位置同时测量血压(P)和动脉直径(D)来估计PWV。由以下方式生成的脉搏波形:(1)在顺应性管中的二维(2D)流固相互作用模拟(FSI),(2)55条较大人体全身动脉的一维(1D)模型,以及(3)实验数据,用于验证新公式并评估几种经典方法。通过将其结果与根据模型参数计算的理论PWV和/或与几种经典方法估计的PWV进行比较,来评估所提出方法的性能。结果发现,通过所开发的方法[公式:见原文]获得的PWV值与理论值以及通过PA环和DP环计算的值高度一致。当使用模拟数据时,由[公式:见原文]计算的PWV与PA环之间的差异不超过1%,使用体外数据时为3%,使用体内数据时为5%。此外,本研究表明,从动脉压力和直径波形估计的PWV能提供正确的值,而需要流量(Q)和速度(U)的方法会高估或低估PWV。

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