Department of Mechanical and Aerospace Engineering, Old Dominion University, Norfolk, VA, 23529, USA.
Department of Human Movement Sciences, Old Dominion University, Norfolk, VA, 23529, USA.
Biomech Model Mechanobiol. 2019 Dec;18(6):1629-1638. doi: 10.1007/s10237-019-01165-x. Epub 2019 May 9.
Arterial wall parameters (i.e., radius and viscoelasticity) are prognostic markers for cardiovascular diseases (CVD), but their current monitoring systems are too complex for home use. Our objective was to investigate whether model-based analysis of arterial pulse signals allows tracking changes in arterial wall parameters using a microfluidic-based tactile sensor. The sensor was used to measure an arterial pulse signal. A data-processing algorithm was utilized to process the measured pulse signal to obtain the radius waveform and its first-order and second-order derivatives, and extract their key features. A dynamic system model of the arterial wall and a hemodynamic model of the blood flow were developed to interpret the extracted key features for estimating arterial wall parameters, with no need of calibration. Changes in arterial wall parameters were introduced to healthy subjects ([Formula: see text]) by moderate exercise. The estimated values were compared between pre-exercise and post-exercise for significant difference ([Formula: see text]). The estimated changes in the radius, elasticity and viscosity were consistent with the findings in the literature (between pre-exercise and 1 min post-exercise: - 11% ± 4%, 55% ± 38% and 28% ± 11% at the radial artery; - 7% ± 3%, 36% ± 28% and 16% ± 8% at the carotid artery). The model-based analysis allows tracking changes in arterial wall parameters using a microfluidic-based tactile sensor. This study shows the potential of developing a solution to at-home monitoring of the cardiovascular system for early detection, timely intervention and treatment assessment of CVD.
动脉壁参数(如半径和粘弹性)是心血管疾病(CVD)的预后标志物,但目前的监测系统对于家庭使用来说过于复杂。我们的目的是研究基于模型的动脉脉搏信号分析是否可以使用基于微流控的触觉传感器来跟踪动脉壁参数的变化。该传感器用于测量动脉脉搏信号。使用数据处理算法处理测量的脉搏信号,以获得半径波形及其一阶和二阶导数,并提取其关键特征。开发了动脉壁的动态系统模型和血流的血液动力学模型,以解释提取的关键特征,用于估计动脉壁参数,而无需校准。通过适度运动向健康受试者引入动脉壁参数的变化([Formula: see text])。在运动前和运动后对估计值进行比较,以确定是否有显著差异([Formula: see text])。半径、弹性和粘度的估计变化与文献中的发现一致(运动前和运动后 1 分钟:桡动脉处为-11%±4%、55%±38%和 28%±11%;颈动脉处为-7%±3%、36%±28%和 16%±8%)。基于模型的分析允许使用基于微流控的触觉传感器来跟踪动脉壁参数的变化。这项研究表明,有可能开发出一种用于在家监测心血管系统的解决方案,以实现 CVD 的早期检测、及时干预和治疗评估。