Automatic detection algorithm for establishing standard to identify "surge blood pressure".

Blood pressure (BP) variability is one of the important risk factors of cardiovascular disease (CVD). "Surge BP," which represents short-term BP variability, is defined as pathological exaggerated BP increase capable of triggering cardiovascular events. Surge BP is effectively evaluated by our new B...

Descripción completa

Detalles Bibliográficos
Publicado en:Medical & Biological Engineering & Computing Vol. 58; no. 6; pp. 1393 - 1405
Autores principales: Kokubo, Ayako, Kuwabara, Mitsuo, Nakajima, Hiroshi, Tomitani, Naoko, Yamashita, Shingo, Shiga, Toshikazu, Kario, Kazuomi
Formato: algorithm equations & formulas pictorial research tables/charts Journal Article
Publicado: Springer Nature Jun2020
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143136820&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 143136820
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        01400118
        PO0
      jtl: Medical & Biological Engineering & Computing
      issn: 01400118
      maglogo: N
    pubinfo:
      dt: Jun2020
      vid: 58
      iid: 6
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        143136820
        143136820
        NLM32281072
        143136820
        10.1007/s11517-020-02162-4
        NLM32281072
        143136820
      ppf: 1393
      ppct: 12
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Automatic detection algorithm for establishing standard to identify "surge blood pressure".
      aug:
        au:
          Kokubo, Ayako
          Kuwabara, Mitsuo
          Nakajima, Hiroshi
          Tomitani, Naoko
          Yamashita, Shingo
          Shiga, Toshikazu
          Kario, Kazuomi
        affil: Development center, Technology Development HQ, Omron Healthcare Co., Ltd, 53 Kunotsubo, Terado-cho, Muko, 617-0002, Kyoto, Japan
      sug:
        subj:
          Hypertension Diagnosis
          Blood Pressure Determination Methods
          Sleep Apnea, Obstructive Physiopathology
          Algorithms
          Sleep Apnea, Obstructive Diagnosis
          Middle Age
          Sleep Physiology
          Blood Pressure Monitoring, Ambulatory Methods
          Female
          Blood Pressure Monitoring, Ambulatory Equipment and Supplies
          Aged
          Blood Pressure Determination Equipment and Supplies
          Blood Pressure Physiology
          Male
          Blood Pressure Determination Standards
          Human
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: Blood pressure (BP) variability is one of the important risk factors of cardiovascular disease (CVD). "Surge BP," which represents short-term BP variability, is defined as pathological exaggerated BP increase capable of triggering cardiovascular events. Surge BP is effectively evaluated by our new BP monitoring device. To the best of our knowledge, we are the first to develop an algorithm for the automatic detection of surge BP from continuous "beat-by-beat" (BbB) BP measurements. It enables clinicians to save significant time identifying surge BP in big data from their patients' continuous BbB BP measurements. A total of 94 subjects (74 males and 20 females) participated in our study to develop the surge BP detection algorithm, resulting in a total of 3272 surges collected from the study subjects. The surge BP detection algorithm is a simple classification model based on supervised learning which formulates shape of surge BP as detection rules. Surge BP identified with our algorithm was evaluated against surge BP manually labeled by experts with 5-fold cross validation. The recall and precision of the algorithm were 0.90 and 0.64, respectively. Processing time on each subject was 11.0 ± 4.7 s. Our algorithm is adequate for use in clinical practice and will be helpful in efforts to better understand this unique aspect of the onset of CVD. Graphical abstract Surge blood pressure (surge BP) which is defined as pathological short-term (several tens of seconds) exaggerated BP increase capable of triggering cardiovascular events. We have already developed a wearable continuous beat-by-beat (bBb) BP monitoring device and observed surge BPs successfully in obstructive sleep apnea patients. In this, we developed an algorithm for the automatic detection of surge BP from continuous BbB BP measurements to save significant time identifying surge BP among > 30,000 BbB BP measurements. Our result shows this algorithm can correctly detect surge BPs with a recall of over 0.9.
      pubtype: Academic Journal
      doctype:
        algorithm
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N