Attenuation of systolic blood pressure and pulse transit time hysteresis during exercise and recovery in cardiovascular patients

IEEE Transactions on Biomedical Engineering

Volumn 61, Issue 2, 2014, Pages 346-352

  Liu, Qing ^a   Yan, Bryan P ^c   Yu, Cheuk Man ^c   Zhang, Yuan Ting ^a,b   Poon, Carmen C Y ^a  

^a CHINESE UNIVERSITY OF HONG KONG   (Hong Kong)

^b SHENZHEN INSTITUTES OF ADVANCED TECHNOLOGY   (China)

^c CHINESE UNIVERSITY OF HONG KONG   (Hong Kong)

Author keywords

Cuffless blood pressure (BP); mobile health; pulse transit time (PTT); vascular smooth muscle (VSM) tone; wearable device

Indexed keywords

CUFFLESS; MOBILE HEALTH; PULSE TRANSIT TIME; VASCULAR SMOOTH MUSCLES; WEARABLE DEVICES;

BLOOD PRESSURE; ESTIMATION; HYSTERESIS; MECHANICAL PROPERTIES; MUSCLE;

PATIENT REHABILITATION;

ADRENERGIC SYSTEM; ADULT; AGED; ARTICLE; AUTONOMIC NEUROPATHY; BLOOD PRESSURE; BLOOD VESSEL TONE; BRACHIAL ARTERY; CARDIOVASCULAR DISEASE; CARDIOVASCULAR PARAMETERS; CARDIOVASCULAR RISK; CLINICAL TRIAL; CONTROLLED STUDY; DYNAMIC EXERCISE; ELECTROCARDIOGRAM; EXERCISE RECOVERY; EXERCISE TEST; FEMALE; HUMAN; HYSTERESIS; MALE; MIDDLE AGED; PHOTOELECTRIC PLETHYSMOGRAPHY; PROTHROMBIN TIME; PULSE TRANSMIT TIME; QUANTITATIVE ANALYSIS; RADIAL ARTERY; SYMPATHETIC TONE; SYSTOLIC BLOOD PRESSURE; VASCULAR SMOOTH MUSCLE;

ADULT; AGED; BLOOD PRESSURE; BLOOD PRESSURE MONITORING, AMBULATORY; CARDIOVASCULAR DISEASES; CASE-CONTROL STUDIES; EXERCISE; FEMALE; HUMANS; MALE; MIDDLE AGED; MUSCLE, SMOOTH, VASCULAR; PULSE WAVE ANALYSIS; SIGNAL PROCESSING, COMPUTER-ASSISTED;

EID: 84893286452     PISSN: 00189294     EISSN: 15582531     Source Type: Journal    
DOI: 10.1109/TBME.2013.2286998     Document Type: Article

References (31)

1. S. Mendis, P.Puska, andB. Norrving Eds., Global Atlas on Cardiovascular Disease Prevention and Control. Geneva, Switzerland: World Health Organization, 2011.
2. C. R.Cole, E. H.Blackstone, F. J.Pashkow, C. E. Snader, andM. S.Lauer, "Heart-rate recovery immediately after exercise as a predictor of mortality, " N. Engl. J. Med., vol. 341, no. 18, pp. 1351-1357, 1999.
3. J. N. Cohn, T. B. Levine, M. T. Olivari, V. Garberg, D. Lura, G. S. Francis, A. B. Simon, and T. Rector, "Plasma norepinephrine as a guide to prognosis in patients with chronic congestive heart failure, " N. Engl. J. Med., vol. 311, no. 13, pp. 819-823, 1984. (Pubitemid 14035089)
4. C. R. Benedict, B. Shelton, D. E. Johnstone, G. Francis, B. Greenberg, M. Konstam, J. L. Probstfield, and S. Yusuf, "Prognostic significance of plasma norepinephrine in patients with asymptomatic left ventricular dysfunction, " Circulation, vol. 94, no. 4, pp. 690-697, 1996. (Pubitemid 26289223)
5. S. C. Malpas, "Sympathetic nervous system overactivity and its role in the development of cardiovascular disease, " Physiol. Rev., vol. 90, no. 2, pp. 513-557, 2010.
6. C. C. Y. Poon and Y. T. Zhang, "Cuff-less and noninvasive measurements of arterial blood pressure by pulse transit time, " in Proc. IEEE 27th Annu. Int. Eng. Med. Biol. Soc., Shanghai, China, 2005, pp. 5877-5880. (Pubitemid 46230299)
7. M. Y. M. Wong, C. C. Y. Poon, and Y. T. Zhang, "An evaluation of the cuffless blood pressure estimation based on pulse transit time technique: A half year study on normotensive subjects, " Cardiovasc. Eng., vol. 9, no. 1, pp. 32-38, 2009.
8. G. Q. Zhang, M. W. Gao, D. Xu, N. B. Olivier, and R. Mukkamala, "Pulse arrival time is not an adequate surrogate for pulse transit time as a marker of blood pressure, " J. Appl. Physiol., vol. 111, no. 6, pp. 1681-1686, 2011.
9. R. A. Payne, C. N. Symeonides, D. J. Webb, and S. R. J. Maxwell, "Pulse transit time measured from the ECG: An unreliable marker of beat-to-beat blood pressure, " J. Appl. Physiol., vol. 100, no. 1, pp. 136-141, 2006. (Pubitemid 43671100)
10. J. Proenca, J. Muehlsteff, X. Aubert, and P. Carvalho, "Is pulse transit time a good indicator of blood pressure changes during short physical exercise in a young population?, " in Proc. IEEE 32nd Annu. Int. Conf. Eng. Med. Biol. Soc., Buenos Aires, Argentina, 2010, pp. 598-601.
11. W. W. Nichols and M. F. O'Rourke, McDonald's Blood Flow in Arteries: Theoretic, Experimental, and Clinical Principles, 5th ed. London, U.K.: E. Arnold, 2005.
12. M. A. Zulliger, N. T. M. R. Kwak, T. Tsapikouni, and N. Stergiopulos, "Effectsoflongitudinal stretch onVSM tone and distensibility of muscular conduit arteries, " Amer. J. Physiol. Heart Circ. Physiol., vol. 283, no. 6, pp. H2599-H2605, 2002. (Pubitemid 35345968)
13. S. Kinlay, M. A. Creager, M. Fukumoto, H. Hikita, J. C. Fang, A. P. Selwyn, and P. Ganz, "Endothelium-derived nitric oxide regulates arterial elasticity in human arteries in vivo, " Hypertension, vol. 38, no. 5, pp. 1049-1053, 2001. (Pubitemid 34252804)
14. P. B. Dobrin and A. A. Rovick, "Influence of vascular smooth muscle on contractile mechanics and elasticity of arteries, " Amer. J. Physiol., vol. 217, no. 6, pp. 1644-1651, 1969.
15. R. Klabunde, Cardiovascular Physiology Concepts. Baltimore, MD, USA: Williams & Wilkins, 2011.
16. K. F. Harris and K. A. Matthews, "Interactions between autonomic nervous system activity and endothelial function: A model for the development of cardiovascular disease, " Psychosom. Med., vol. 66, no. 2, pp. 153-164, 2004. (Pubitemid 38393223)
17. M. H. Laughlin and D. H. Korzick, "Vascular smooth muscle: Integrator of vasoactive signals during exercise hyperemia, " Med. Sci. Sports Exerc., vol. 33, no. 1, pp. 81-91, Jan. 2001. (Pubitemid 32064403)
18. D. J. Pelchovitz, J. Ng, A. B. Chicos, D. W. Bergner, and J. J. Goldberger, "QT-RR hysteresis is caused by differential autonomic states during exercise and recovery, " Amer. J. Physiol. Heart Circ. Physiol., vol. 302, no. 12, pp. H2567-H2573, 2012.
19. W. Lu, H. Li, S. Tao, D. Zhang, Z. Jiang, L. Cui, J. Tu, and D. Gou, "Research on the main elements influencing blood pressure measurement by pulse wave velocity, " Front. Med. Biol. Eng., vol. 4, no. 3, pp. 189-199, 1992.
20. F. E. I. Cabrera, D. Bia, Y.Zócalo, andR. L.Armentano, "Smooth muscle-dependent changes in aortic wall dynamics during intra-aortic counterpul-sation in an animal model of acute heart failure, " Int. J. Artif. Organs., vol. 32, no. 6, pp. 354-361, 2009.
21. G. S. Francis and J. N. Cohn, "The autonomic nervous system in congestive heart failure, " Annu. Rev. Med., vol. 37, no. 1, pp. 235-247, 1986.
22. G. Hasenfuss, "Animal models of human cardiovascular disease, heart failure and hypertrophy, " Cardiovasc. Res., vol. 39, no. 1, pp. 60-76, 1998. (Pubitemid 28322380)
23. G. Grassi, G. Seravalle, F. Quarti-Trevano, R. Dell'Oro, G. Bolla, and G. Mancia, "Effects of hypertension and obesity on the sympathetic activation of heart failure patients, " Hypertension, vol. 42, no. 5, pp. 873-877, 2003. (Pubitemid 37413723)
24. B. P. M. Imholz, W. Wieling, G. A. van Montfrans, and K. H. Wesseling, "Fifteen years experience with finger arterial pressure monitoring: Assessment of the technology, " Cardiovasc. Res., vol. 38, no. 3, pp. 605-616, Jun. 1998. (Pubitemid 28319870)
25. M. Bernardi, A. Rubboli, F. Trevisani, C. Cancellieri, A. Ligabue, M. Baraldini, and G. Gasbarrini, "Reduced cardiovascular responsiveness to exercise-induced sympathoadrenergic stimulation in patients with cirrhosis, " J. Hepatol., vol. 12, no. 2, pp. 207-216, 1991.
26. J. L. Pépin, N. Delavie, I. Pin, C. Deschaux, J. Argod, M. Bost, and P. Levy, "Pulse transit time improves detection of sleep respiratory events and microarousals in children, " Chest, vol. 127, no. 3, pp. 722-730, 2005. (Pubitemid 40775498)
27. S. E. Brietzke, E. S. Katz, and D. W. Roberson, "Pulse transit time as a screening test for pediatric sleep-related breathing disorders, " Arch. Otolaryngol. Head Neck Surg., vol. 133, no. 10, pp. 980-984, 2007. (Pubitemid 47607579)
28. T. Weiss, A. Del Bo, N. Reichek, and K. Engelman, "Pulse transit time in the analysis of autonomic nervous system effects on the cardiovascular system, " Psychophysiology, vol. 17, no. 2, pp. 202-207, 1980. (Pubitemid 10130154)
29. J. Y. A. Foo and C. S. Lim, "Pulse transit time as an indirect marker for variations in cardiovascular related reactivity, " Technol. Health Care, vol. 14, no. 2, pp. 97-108, 2006.
30. J. J. Goldberger, F. K. Le, M. Lahiri, P. J. Kannankeril, J. Ng, and A. H. Kadish, "Assessment of parasympathetic reactivation after exercise, " Amer. J. Physiol. Heart Circ. Physiol., vol. 290, no. 6, pp. H2446-H2452, 2006. (Pubitemid 43846074)
31. A. B. Chicos, P. J. Kannankeril, A. H. Kadish, and J. J. Goldberger, "Parasympathetic effects on cardiac electrophysiology during exercise and recovery in patients with left ventricular dysfunction, " Amer. J. Physiol. Heart Circ. Physiol., vol. 297, no. 2, pp. H743-H749, 2009.