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基于桡动脉压力测量的中心动脉压和患者特定模型参数估计。

Central arterial pressure and patient-specific model parameter estimation based on radial pressure measurements.

机构信息

Department of Hydrodynamic Systems, Budapest University of Technology and Economics, Budapest, Hungary.

Research Center for Sport Physiology, University of Physical Education, Budapest, Hungary.

出版信息

Comput Methods Biomech Biomed Engin. 2023 Sep;26(11):1320-1329. doi: 10.1080/10255842.2022.2115292. Epub 2022 Aug 25.

Abstract

One-dimensional arterial flow simulations are suitable to estimate the aortic pressure from peripheral measurements in a patient-specific arterial network. This study introduces a reduction of the system parameters, and a novel calculation method to estimate the patient-specific set and the aortic curve based on radial applanation tonometry. Peripheral and aortic pressure curves were measured in patients, optimization were carried out. The aortic pressure curves were reproduced well, with an overestimation of the measured Systolic and Mean Blood Pressures on average by 0.6 and 0.5 mmHg respectively, and the Root Mean Square Difference of the curves was 3 mmHg on average.

摘要

一维动脉血流模拟适用于根据特定患者的动脉网络中的外周测量值来估计主动脉压力。本研究介绍了一种系统参数的简化方法,以及一种基于径向触诊血压测量法来估计特定患者的设定值和主动脉曲线的新计算方法。在患者中测量了外周和主动脉压力曲线,并进行了优化。主动脉压力曲线的再现效果良好,平均高估了测量的收缩压和平均血压分别为 0.6mmHg 和 0.5mmHg,曲线的均方根差平均为 3mmHg。

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