Cited by 104Non-Invasive Vital Sign MonitoringCardiovascular Health and Disease PreventionHemodynamic Monitoring and Therapy

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Noninvasive investigation of blood pressure changes using the pulse wave transit time: a novel approach in the monitoring of hemodialysis patients

Ahlstrom, Christer, Johansson, Anders, Uhlin, Fredrik, Länne, Toste, Ask, Per·2005·Journal of Artificial Organs

DOI 10.1007/s10047-005-0301-4

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Abstract

Severe blood pressure changes are well known in hemodialysis. Detection and prediction of these are important for the well-being of the patient and for optimizing treatment. New noninvasive methods for this purpose are required. The pulse wave transit time technique is an indirect estimation of blood pressure, and our intention is to investigate whether this technique is applicable for hemodialysis treatment. A measurement setup utilizing lower body negative pressure and isometric contraction was used to simulate dialysis-related blood pressure changes in normal test subjects. Systolic blood pressure levels were compared to different pulse wave transit times, including and excluding the cardiac preejection period. Based on the results of these investigations, a pulse wave transit time technique adapted for dialysis treatment was developed and tried out on patients. To determine systolic blood pressure in the normal group, the total pulse wave transit time was found most suitable (including the cardiac preejection period). Correlation coefficients were r = 0.80 +/- 0.06 (mean +/- SD) overall and r = 0.81 +/- 0.16 and r = 0.09 +/- 0.62 for the hypotension and hypertension phases, respectively. When applying the adapted technique in dialysis patients, large blood pressure variations could easily be detected when present. Pulse wave transit time is correlated to systolic blood pressure within the acceptable range for a trend-indicating system. The method's applicability for dialysis treatment requires further studies. The results indicate that large sudden pressure drops, like those seen in sudden hypovolemia, can be detected.

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Authors: Ahlstrom, C., Johansson, A., Uhlin, F., Länne, T., & Ask, P.
Affiliations: Linköping University (SE)
Linköping University Hospital (SE)
Corresponding author: Ahlstrom, Christer
ORCID: Ahlstrom, Christer
Johansson, Anders
Uhlin, Fredrik
Länne, Toste
Venue: Journal of Artificial Organs
Publisher: Springer Science and Business Media LLC
Published: 2005-10-20
Volume: 8
Issue: 3
Pages: 192-197
ISSN: 1434-7229 (ISSN-L)
1619-0904
DOI: 10.1007/s10047-005-0301-4
OpenAlex: W2047693489
Cited by: 104
References: 20
Citations by year: 2025: 1 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 2 · 2020: 8 · 2019: 10 · 2018: 7 · 2017: 5 · 2016: 8 · 2015: 6 · 2014: 10 · 2013: 4 · 2012: 2
FWCI: 4.68
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Artificial Organs (publishedVersion)
PubMed (publishedVersion)
Topics: Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
Keywords: pulse transit time, blood pressure monitoring, hemodialysis, non-invasive blood pressure estimation, systolic blood pressure, hypotension, hypertension, hypovolemia, lower body negative pressure, isometric contraction
MeSH terms: Adult, Aged, Blood Pressure, Blood Pressure Determination, Female, Renal Dialysis, Humans, Male, Monitoring, Physiologic, Pulse

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Noninvasive investigation of blood pressure changes using the pulse wave transit time: a novel approach in the monitoring of hemodialysis patients

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