Physiological measurement最新文献

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Assessment of the relational strength between triggers detected in physiological signals and the occurrence of atrial fibrillation episodes. 评估生理信号中检测到的触发因素与心房颤动发作之间的关系强度。
IF 3.2 4区 医学
Physiological measurement Pub Date : 2024-09-11 DOI: 10.1088/1361-6579/ad79b3
Vilma Pluščiauskaitė,Andrius Sološenko,Karolina Jančiulevičiūtė,Vaidotas Marozas,Leif Sörnmo,Andrius Petrėnas
{"title":"Assessment of the relational strength between triggers detected in physiological signals and the occurrence of atrial fibrillation episodes.","authors":"Vilma Pluščiauskaitė,Andrius Sološenko,Karolina Jančiulevičiūtė,Vaidotas Marozas,Leif Sörnmo,Andrius Petrėnas","doi":"10.1088/1361-6579/ad79b3","DOIUrl":"https://doi.org/10.1088/1361-6579/ad79b3","url":null,"abstract":"Despite the growing interest in understanding the role of triggers in paroxysmal atrial fibrillation (AF), solutions beyond questionnaires to identify a broader range of triggers remain lacking. This study aims to investigate the relation between triggers detected in wearable-based physiological signals and the occurrence of AF episodes.&#xD; &#xD;Methods: Week-long physiological signals were collected during everyday activities from 35 patients with paroxysmal AF, employing an ECG patch attached to the chest and a photoplethysmogram (PPG)-based wrist-worn device. The signals acquired by the patch were used for detecting triggers of physical exertion, psychophysiological stress, lying on the left side, and sleep disturbances, as well as to annotate AF episodes. To assess the relation between detected triggers and the occurrence of AF episodes, a measure of relational strength is employed accounting for pre- and post-trigger AF burden. The utility of ECG- and PPG-based AF detectors in determining AF burden and assessing the relational strength is also analyzed.&#xD; &#xD;Results: Physical exertion emerged as the trigger associated with the largest increase in relational strength for the largest number of patients (p< 0.01). On the other hand, no significant difference was observed for psychophysiological stress and sleep disorders. When AF episodes are captured using AF detectors, the relational strength exhibits a moderate correlation with the relational strength of the annotated AF, withr= 0.66 for ECG-based AF detection andr= 0.62 for PPG-based AF detection.&#xD; &#xD;Conclusions: The findings indicate a patient-specific increase in relational strength for all four types of triggers.&#xD; &#xD;Significance: The proposed approach has the potential to facilitate the implementation of longitudinal studies and can serve as a less biased alternative to questionnaire-based AF trigger detection.","PeriodicalId":20047,"journal":{"name":"Physiological measurement","volume":"9 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in physiological signal entropy in patients with obstructive sleep apnoea: a systematic review. 阻塞性睡眠呼吸暂停患者生理信号熵的变化:系统综述。
IF 3.2 4区 医学
Physiological measurement Pub Date : 2024-09-11 DOI: 10.1088/1361-6579/ad79b4
Nawal Ziyad Alotaibi,Maggie Cheung,Amar Shah,John Hurst,Alireza Mani,Swapna Mandal
{"title":"Changes in physiological signal entropy in patients with obstructive sleep apnoea: a systematic review.","authors":"Nawal Ziyad Alotaibi,Maggie Cheung,Amar Shah,John Hurst,Alireza Mani,Swapna Mandal","doi":"10.1088/1361-6579/ad79b4","DOIUrl":"https://doi.org/10.1088/1361-6579/ad79b4","url":null,"abstract":"Background and Objective Obstructive sleep apnoea (OSA) affects an estimated 936 million people worldwide, yet only 15% receive a definitive diagnosis. Diagnosis of OSA poses challenges due to the dynamic nature of physiological signals such as oxygen saturation (SpO2) and heart rate variability (HRV). Linear analysis methods may not fully capture the irregularities present in these signals. The application of entropy of routine physiological signals offers a promising method to better measure variabilities in dynamic biological data. This review aims to explore entropy changes in physiological signals among individuals with OSA.&#xD;Methods Keyword and title searches were performed on Medline, Embase, Scopus, and CINAHL databases. Studies had to analyse physiological signals in OSA using entropy. Quality assessment used the Newcastle-Ottawa Scale. Evidence was qualitatively synthesized, considering entropy signals, entropy type, and time-series length.&#xD;Main results Twenty-two studies were included. Multiple physiological signals related to OSA, including SpO2, HRV, and the oxygen desaturation index (ODI), have been investigated using entropy. Results revealed a significant decrease in HRV entropy in those with OSA compared to control groups. Conversely, SpO2 and ODI entropy values were increased in OSA. Despite variations in entropy types, time scales, and data extraction devices, studies using receiver operating characteristic (ROC) curves demonstrated a high discriminative accuracy (>80% AUC) in distinguishing OSA patients from control groups. &#xD;Conclusions This review highlights the potential of SpO2 entropy analysis in developing new diagnostic indices for patients with OSA. Further investigation is needed before applying this technique clinically.&#xD;&#xD.","PeriodicalId":20047,"journal":{"name":"Physiological measurement","volume":"152 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Millimeter wave radiation to measure blood flow in healthy human subjects. 用毫米波辐射测量健康人的血流量。
IF 3.2 4区 医学
Physiological measurement Pub Date : 2024-09-10 DOI: 10.1088/1361-6579/ad7931
Julia Louise Nelson,Connor Cobb,Joshua L Keller,Miranda K Traylor,David Arthur Nelson,Christopher Michael Francis
{"title":"Millimeter wave radiation to measure blood flow in healthy human subjects.","authors":"Julia Louise Nelson,Connor Cobb,Joshua L Keller,Miranda K Traylor,David Arthur Nelson,Christopher Michael Francis","doi":"10.1088/1361-6579/ad7931","DOIUrl":"https://doi.org/10.1088/1361-6579/ad7931","url":null,"abstract":"OBJECTIVEPeripheral Artery Disease (PAD) is a progressive cardiovascular condition affecting 8-10 million adults in the United States. PAD elevates the risk of cardiovascular events, but up to 50% of people with PAD are asymptomatic and undiagnosed. In this study, we tested the ability of a device, REFLO (Rapid Electromagnetic FLOw), to identify low blood flow using electromagnetic radiation and dynamic thermography toward a non-invasive PAD diagnostic.APPROACHDuring REFLO radio frequency (RF) irradiation, the rate of temperature increase is a function of the rate of energy absorption and blood flow to the irradiated tissue. For a given rate of RF energy absorption, a slow rate of temperature increase implies a large blood flow rate to the tissue. This is due to the cooling effect of the blood. Post-irradiation, a slow rate of temperature decrease is associated with a low rate of blood flow to the tissue. Here, we performed two cohorts of controlled flow experiments on human calves during baseline, occluded, and post-occluded conditions. Nonlinear regression was used to fit temperature data and obtain the rate constant, which was used as a metric for blood flow.MAIN RESULTSIn the pilot study, (N = 7) REFLO distinguished between baseline and post-occlusion during the irradiation phase, and between baseline and occlusion in the post-irradiation phase. In the reliability study, (N = 5 with 3 visits each), two-way ANOVA revealed that flow and subject significantly affected skin heating and cooling rates, while visit did not.SIGNIFICANCEResults suggest that MMW irradiation can be used to distinguish between blood flow rates in humans. Utilizing the rate of skin cooling rather than heating is more consistent for distinguishing flow. Future modifications and clinical testing will aim to improve REFLO's ability to distinguish between flow rates and evaluate its ability to accurately identify PAD.","PeriodicalId":20047,"journal":{"name":"Physiological measurement","volume":"11 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to quantify sleepiness during an attempt to sleep? 如何量化试图入睡时的困倦感?
IF 3.2 4区 医学
Physiological measurement Pub Date : 2024-09-10 DOI: 10.1088/1361-6579/ad7930
Arcady Putilov,Dmitry Sveshnikov,Elena Yakunina,Olga Mankaeva,Alexandra Puchkova,Dmitry Shumov,Eugenia Gandina,Anton Taranov,Natalya Ligun,Olga Donskaya,Evgeniy Verevkin,Vladimir Dorokhov
{"title":"How to quantify sleepiness during an attempt to sleep?","authors":"Arcady Putilov,Dmitry Sveshnikov,Elena Yakunina,Olga Mankaeva,Alexandra Puchkova,Dmitry Shumov,Eugenia Gandina,Anton Taranov,Natalya Ligun,Olga Donskaya,Evgeniy Verevkin,Vladimir Dorokhov","doi":"10.1088/1361-6579/ad7930","DOIUrl":"https://doi.org/10.1088/1361-6579/ad7930","url":null,"abstract":"BACKGROUNDSleepiness assessment tools were mostly developed for detection of an elevated sleepiness level in the condition of sleep deprivation and several medical conditions. However, sleepiness occurs in various other conditions including the transition from wakefulness to sleep during an everyday attempt to get sleep.OBJECTIVEWe examined whether objective sleepiness indexes can be implicated in detection of fluctuations in sleepiness level during the polysomnographically-monitored attempt to sleep, i.e., in the absence of self-reports on perceived sleepiness level throughout such an attempt.APPROACHThe polysomnographic signals were recorded in the afternoon throughout 106 90-min napping attempts of 53 university students (28 females). To calculate two objective sleepiness indexes, the electroencephalographic (EEG) spectra were averaged on 30-s epochs of each record, assigned to one of 5 sleep-wake stages, and scored using either the frequency weighting curve for sleepiness substate of wake state or loadings of each frequency on the 2nd principal component of variation in the EEG spectrum (either sleepiness score or PC2 score, respectively).MAIN RESULTSWe showed that statistically significant fluctuations in these two objective sleepiness indexes during epochs assigned to wake stage can be described in terms of the changes in verbally anchored levels of subjective sleepiness assessed by scoring on the 9-step Karolinska Sleepiness Scale.SIGNIFICANCEThe results afford new opportunities to elaborate importance of intermediate substates between wake and sleep states for sleep-wake dynamics in healthy individuals and patients with disturbed sleep.","PeriodicalId":20047,"journal":{"name":"Physiological measurement","volume":"38 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of non-invasive magnetomyography to Brink score for assessment of pelvic floor muscle strength. 在评估盆底肌肉力量方面,非侵入性磁测图与布林克评分的比较。
IF 3.2 4区 医学
Physiological measurement Pub Date : 2024-09-09 DOI: 10.1088/1361-6579/ad78a3
Luis Mercado,Sallie Oliphant,Diana Escalona-Vargas,Eric R Siegel,Heather Moody,Hari Eswaran
{"title":"Comparison of non-invasive magnetomyography to Brink score for assessment of pelvic floor muscle strength.","authors":"Luis Mercado,Sallie Oliphant,Diana Escalona-Vargas,Eric R Siegel,Heather Moody,Hari Eswaran","doi":"10.1088/1361-6579/ad78a3","DOIUrl":"https://doi.org/10.1088/1361-6579/ad78a3","url":null,"abstract":"&#xD;Levator ani muscles undergo significant stretching and micro-trauma at childbirth. The goal was to assess the neuromuscular integrity of this muscle group by means of magnetomyography and correlate with Brink score - a commonly used digital assessment of pelvic floor muscle strength.&#xD;Methods:&#xD;Non-invasive magnetomyography (MMG) data was collected on 22 pregnant women during rest and voluntary contraction of the pelvic-floor muscles (Kegels). The mean amplitude and power spectral density (PSD) of the Kegels were correlated to Brink pressure score.&#xD;Results:&#xD;The Brink's scores demonstrated medium correlations (≥0.3) with MMG amplitude and PSD with the average Kegel of medium intensity and rest. Data showed that the \"resting state\" of the pelvic floor is, in actuality, quite dynamic and may have implications for pelvic floor disorder propensity postpartum.&#xD;Conclusion:&#xD;These results confirm the ability of non-invasive magnetomyography to reliably capture pelvic floor contraction as these signals correlate with clinical measure.&#xD.","PeriodicalId":20047,"journal":{"name":"Physiological measurement","volume":"36 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Machine learning-enhanced electrical impedance myography to diagnose and track spinal muscular atrophy progression. 机器学习增强型电阻抗肌电图诊断和跟踪脊髓性肌肉萎缩症的进展。
IF 2.3 4区 医学
Physiological measurement Pub Date : 2024-09-06 DOI: 10.1088/1361-6579/ad74d5
Buket Sonbas Cobb, Stephen J Kolb, Seward B Rutkove
{"title":"Machine learning-enhanced electrical impedance myography to diagnose and track spinal muscular atrophy progression.","authors":"Buket Sonbas Cobb, Stephen J Kolb, Seward B Rutkove","doi":"10.1088/1361-6579/ad74d5","DOIUrl":"10.1088/1361-6579/ad74d5","url":null,"abstract":"<p><p><i>Objective.</i>To evaluate electrical impedance myography (EIM) in conjunction with machine learning (ML) to detect infantile spinal muscular atrophy (SMA) and disease progression.<i>Approach</i>. Twenty-six infants with SMA and twenty-seven healthy infants had been enrolled and assessed with EIM as part of the NeuroNEXT SMA biomarker study. We applied a variety of modern, supervised ML approaches to this data, first seeking to differentiate healthy from SMA muscle, and then, using the best method, to track SMA progression.<i>Main Results.</i>Several of the ML algorithms worked well, but linear discriminant analysis (LDA) achieved 88.6% accuracy on subject muscles studied. This contrasts with a maximum of 60% accuracy that could be achieved using the single or multifrequency assessment approaches available at the time. LDA scores were also able to track progression effectively, although a multifrequency reactance-based measure also performed very well in this context.<i>Significance.</i>EIM enhanced with ML promises to be effective for providing effective diagnosis and tracking children and adults with SMA treated with currently available therapies. The normative trends identified here may also inform future applications of the technology in very young children. The basic analyses applied here could also likely be applied to other neuromuscular disorders characterized by muscle atrophy.</p>","PeriodicalId":20047,"journal":{"name":"Physiological measurement","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11446569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuromuscular disease auxiliary diagnosis using a portable magnetomyographic system. 使用便携式磁测图系统进行神经肌肉疾病辅助诊断。
IF 2.3 4区 医学
Physiological measurement Pub Date : 2024-09-06 DOI: 10.1088/1361-6579/ad65b0
Yutong Wei, Yan Chen, Chaofeng Ye
{"title":"Neuromuscular disease auxiliary diagnosis using a portable magnetomyographic system.","authors":"Yutong Wei, Yan Chen, Chaofeng Ye","doi":"10.1088/1361-6579/ad65b0","DOIUrl":"10.1088/1361-6579/ad65b0","url":null,"abstract":"<p><p><i>Objective</i>. The measurement of electromyography (EMG) signals with needle electrodes is widely used in clinical settings for diagnosing neuromuscular diseases. Patients experience pain during needle EMG testing. It is significant to develop alternative diagnostic modalities.<i>Approach</i>. This paper proposes a portable magnetomyography (MMG) measurement system for neuromuscular disease auxiliary diagnosis. Firstly, the design and operating principle of the system are introduced. The feasibility of using the system for auxiliary diagnosis of neuromuscular diseases is then studied. The magnetic signals and needle EMG signals of thirty subjects were collected and compared.<i>Main results</i>. It is found that the amplitude of muscle magnetic field signal increases during mild muscle contraction, and the signal magnitudes of the patients are smaller than those of normal subjects. The diseased muscles tested in the experiment can be distinguished from the normal muscles based on the signal amplitude, using a threshold value of 6 pT. The MMG diagnosis results align well with the needle EMG diagnosis. In addition, the MMG measurement indicates that there is a persistence of spontaneous activity in the diseased muscle.<i>Significance.</i>The experimental results demonstrate that it is feasible to auxiliary diagnose neuromuscular diseases using the portable MMG system, which offers the advantages of non-contact and painless measurements. After more in-depth, systematic, and quantitative research, the portable MMG could potentially be used for auxiliary diagnosis of neuromuscular diseases. The clinical trial registration number is ChiCTR2200067116.</p>","PeriodicalId":20047,"journal":{"name":"Physiological measurement","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Progression of total training volume in resistance training studies and its application to skeletal muscle growth. 阻力训练研究中总训练量的递增及其在骨骼肌生长中的应用。
IF 2.3 4区 医学
Physiological measurement Pub Date : 2024-09-04 DOI: 10.1088/1361-6579/ad7348
William B Hammert, Ryo Kataoka, Yujiro Yamada, Jun Seob Song, Anna Kang, Robert W Spitz, Jeremy P Loenneke
{"title":"Progression of total training volume in resistance training studies and its application to skeletal muscle growth.","authors":"William B Hammert, Ryo Kataoka, Yujiro Yamada, Jun Seob Song, Anna Kang, Robert W Spitz, Jeremy P Loenneke","doi":"10.1088/1361-6579/ad7348","DOIUrl":"10.1088/1361-6579/ad7348","url":null,"abstract":"<p><p>Progressive overload describes the gradual increase of stress placed on the body during exercise training, and is often quantified (i.e. in resistance training studies) through increases in total training volume (i.e. sets × repetitions × load) from the first to final week of the exercise training intervention. Within the literature, it has become increasingly common for authors to discuss skeletal muscle growth adaptations in the context of increases in total training volume (i.e. the magnitude progression in total training volume). The present manuscript discusses a physiological rationale for progressive overload and then explains why, in our opinion, quantifying the progression of total training volume within research investigations tells very little about muscle growth adaptations to resistance training. Our opinion is based on the following research findings: (1) a noncausal connection between increases in total training volume (i.e. progressively overloading the resistance exercise stimulus) and increases in skeletal muscle size; (2) similar changes in total training volume may not always produce similar increases in muscle size; and (3) the ability to exercise more and consequently amass larger increases in total training volume may not inherently produce more skeletal muscle growth. The methodology of quantifying changes in total training volume may therefore provide a means through which researchers can mathematically determine the total amount of external 'work' performed within a resistance training study. It may not, however, always explain muscle growth adaptations.</p>","PeriodicalId":20047,"journal":{"name":"Physiological measurement","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142046981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding the physiological transmission mechanisms of photoplethysmography signals: a comprehensive review. 了解光敏血压计信号的生理传输机制:全面综述。
IF 2.3 4区 医学
Physiological measurement Pub Date : 2024-08-27 DOI: 10.1088/1361-6579/ad6be4
Kai Li, Jiuai Sun
{"title":"Understanding the physiological transmission mechanisms of photoplethysmography signals: a comprehensive review.","authors":"Kai Li, Jiuai Sun","doi":"10.1088/1361-6579/ad6be4","DOIUrl":"10.1088/1361-6579/ad6be4","url":null,"abstract":"<p><p><i>Objective</i>. The widespread adoption of Photoplethysmography (PPG) as a non-invasive method for detecting blood volume variations and deriving vital physiological parameters reflecting health status has surged, primarily due to its accessibility, cost-effectiveness, and non-intrusive nature. This has led to extensive research around this technique in both daily life and clinical applications. Interestingly, despite the existence of contradictory explanations of the underlying mechanism of PPG signals across various applications, a systematic investigation into this crucial matter has not been conducted thus far. This gap in understanding hinders the full exploitation of PPG technology and undermines its accuracy and reliability in numerous applications.<i>Approach</i>. Building upon a comprehensive review of the fundamental principles and technological advancements in PPG, this paper initially attributes the origin of PPG signals to a combination of physical and physiological transmission processes. Furthermore, three distinct models outlining the concerned physiological transmission processes are synthesized, with each model undergoing critical examination based on theoretical underpinnings, empirical evidence, and constraints.<i>Significance</i>. The ultimate objective is to form a fundamental framework for a better understanding of physiological transmission processes in PPG signal generation and to facilitate the development of more reliable technologies for detecting physiological signals.</p>","PeriodicalId":20047,"journal":{"name":"Physiological measurement","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of pulse wave analysis indexes for critically ill patients: a narrative review. 危重病人脉搏波分析指标的作用:综述。
IF 2.3 4区 医学
Physiological measurement Pub Date : 2024-08-22 DOI: 10.1088/1361-6579/ad6acf
Marta Carrara, Riccardo Campitelli, Diletta Guberti, M Ignacio Monge Garcia, Manuela Ferrario
{"title":"The role of pulse wave analysis indexes for critically ill patients: a narrative review.","authors":"Marta Carrara, Riccardo Campitelli, Diletta Guberti, M Ignacio Monge Garcia, Manuela Ferrario","doi":"10.1088/1361-6579/ad6acf","DOIUrl":"10.1088/1361-6579/ad6acf","url":null,"abstract":"<p><p><i>Objective.</i>Arterial pulse wave analysis (PWA) is now established as a powerful tool to investigate the cardiovascular system, and several clinical studies have shown how PWA can provide valuable prognostic information over and beyond traditional cardiovascular risk factors. Typically these techniques are applied to chronic conditions, such as hypertension or aging, to monitor the slow structural changes of the vascular system which lead to important alterations of the arterial PW. However, their application to acute critical illness is not currently widespread, probably because of the high hemodynamic instability and acute dynamic alterations affecting the cardiovascular system of these patients.<i>Approach.</i>In this work we propose a review of the physiological and methodological basis of PWA, describing how it can be used to provide insights into arterial structure and function, cardiovascular biomechanical properties, and to derive information on wave propagation and reflection.<i>Main results.</i>The applicability of these techniques to acute critical illness, especially septic shock, is extensively discussed, highlighting the feasibility of their use in acute critical patients and their role in optimizing therapy administration and hemodynamic monitoring.<i>Significance.</i>The potential for the clinical use of these techniques lies in the ease of computation and availability of arterial blood pressure signals, as invasive arterial lines are commonly used in these patients. We hope that the concepts illustrated in the present review will soon be translated into clinical practice.</p>","PeriodicalId":20047,"journal":{"name":"Physiological measurement","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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