H. Shimazu

Noninvasive automatic monitoring of instantaneous arterial blood pressure using the vascular unloading technique

For the noninvasive monitoring of the beat-to-beat systolic and diastolic pressure and pressure waveform in the human finger, a new automated instrument was designed. This measurement is based on a principle called the vascular unloading technique. Using a hydraulic servocontrol system, the vascular volume change caused by intra-arterial pressure change can be compensated by applying counter pressure to maintain a constant vascular volume in the unloaded state. In this state the controlled counterpressure instantaneously follows the intra-arterial pressure. In this instrument all the necessary procedures, such as the setting of the reference value for the servocontrol, control of the servogain, processing and displaying of the data on a recorder, were carried out automatically. The simultaneous comparison of data with direct measurements and a few examples of the indirect pressure recordings by this instrument are shown and the principles, operation and evaluation of this method are described. This instrument was shown to permit the nonivasive and accurate tracking of instantaneous arterial pressure and to perform acceptably over a wide range of arterial pressure.

Noninvasive Measurement of the Volume Elastic Modulus in Finger Arteries Using Photoelectric Plethysmography

A method for the nonivasive measurement of the volume elastic modulus (Ev) in human finger arteries was developed. The volume change ratio and pulse pressure in the arteries were simultaneously determined by a transmittance type infrared photoelectric plethysmograph and a volume oscillometric sphygmomanometer using an occlusive cuff. The Ev values could be obtained at a desired transmural pressure level of the arteries which was controlled by the cuff. A clear difference was revealed between the Ev values obtained in the fingers of two male subjects of 33 and 65 years old. The values determined by this method were compared to those calculated from pulse wave propagation velocity (Evp) obtained simultaneously in the fingers of 11 subjects. The linear regression equation was Ev = 1.31 Evp ¿0.117 with a correlation coefficient r = 0.893 (n = 39). These results suggest that this should be a useful and noninvasive method of evaluating changes in arterial elasticity accompanying aging and perhaps influenced by accompanying hypertension or arteriosclerosis.

Electric impedance cuff for the indirect measurement of blood pressure and volume elastic modulus in human limb and finger arteries

AbstractA new plethysmograph, the electric impedance cuff, was designed for the indirect measurement of blood pressure, volume elastic modulus Ev and compliance Ca in human limb arteries. This comprises a compression chamber filled with electrolyte solution and a tetrapolar electric impedance plethysmograph whose electrodes are placed inside the chamber; the former for controlling transmural arterial pressure Pt, and the latter for detecting total limb volume Vo, mean arterial volume

Long-term ambulatory monitoring of indirect arterial blood pressure using a volume-oscillometric method.

\bar V_a

Vibration technique for indirect measurement of diastolic arterial pressure in human fingers.

and its variation ΔVa. Systolic and mean arterial pressure in the upper arms, forearms and fingers were measured by detecting pulsatile impedance variation during the gradual (3–5 mm Hg per heart beat) increase (or decrease) in chamber pressure by the volume oscillometric technique. Diastolic and pulse pressure ΔP were calculated from these pressure values. Compliance Ca=ΔV/ΔP and volume elastic modulus

Ambulatory monitoring of indirect beat-to-beat arterial pressure in human fingers by a volume-compensation method

E_v = \Delta P/(\Delta V_a /\bar V_a )