Jimenez Raymond, Yurk Dominic, Dell Steven, Rutledge Austin C, Fu Matt K, Dempsey William P, Abu-Mostafa Yaser, Rajagopal Aditya, Brinley Rajagopal Alaina
Esperto Medical, Inc., 300 Spectrum Center Drive, Suite 400, Irvine, CA 92618, USA.
Department of Electrical Engineering, California Institute of Technology, 1200 East California Blvd, Pasadena, CA 91125, USA.
PNAS Nexus. 2024 Jul 30;3(7):pgae252. doi: 10.1093/pnasnexus/pgae252. eCollection 2024 Jul.
Cardiovascular disease is the leading cause of death worldwide. Existing methods for continuous, noninvasive blood pressure (BP) monitoring suffer from poor accuracy, uncomfortable form factors, or a need for frequent calibration, limiting their adoption. We introduce a new framework for continuous BP measurement that is noninvasive and calibration-free called resonance sonomanometry. The method uses ultrasound imaging to measure both the arterial dimensions and artery wall resonances that are induced by acoustic stimulation, which offers a direct measure of BP by a fully determined physical model. The approach and model are validated in vitro using arterial mock-ups and then in multiple arteries in human subjects. This approach offers the promise of robust continuous BP measurements, providing significant benefits for early diagnosis and treatment of cardiovascular disease.
心血管疾病是全球主要的死亡原因。现有的连续无创血压监测方法存在准确性差、外形不舒适或需要频繁校准等问题,限制了它们的应用。我们引入了一种名为共振超声测压法的新框架,用于连续无创血压测量,该方法无需校准。该方法利用超声成像来测量动脉尺寸和由声学刺激引起的动脉壁共振,通过一个完全确定的物理模型提供血压的直接测量。该方法和模型首先在体外使用动脉模型进行验证,然后在人体受试者的多条动脉中进行验证。这种方法有望实现可靠的连续血压测量,为心血管疾病的早期诊断和治疗带来显著益处。