Effects of non-physiological blood pressure artefacts on cerebral autoregulation

Copyright © 2017 IPEM. Published by Elsevier Ltd. All rights reserved..

Cerebral autoregulation refers to the brain's regulation mechanisms that aim to maintain the cerebral blood flow approximately constant. It is often assessed by the autoregulation index (ARI). ARI uses arterial blood pressure and cerebral blood flow velocity time series to produce a ten-scale index of autoregulation performance (0 denoting the absence of and 9 the strongest autoregulation). Unfortunately, data are rarely free from various artefacts. Here, we consider four of the most common non-physiological blood pressure artefacts (saturation, square wave, reduced pulse pressure and impulse) and study their effects on ARI for a range of different artefact sizes. We show that a sufficiently large saturation and square wave always result in ARI reaching the maximum value of 9. The pulse pressure reduction and impulse artefact lead to more diverse behaviour. Finally, we characterized the critical size of artefacts, defined as the minimum artefact size that, on average, leads to a 10% deviation of ARI.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:47

Enthalten in:

Medical engineering & physics - 47(2017) vom: 17. Sept., Seite 218-221

Sprache:

Englisch

Beteiligte Personen:

Mahdi, Adam [VerfasserIn]
Rutter, Erica M [VerfasserIn]
Payne, Stephen J [VerfasserIn]

Links:

Volltext

Themen:

Arterial blood pressure
Blood pressure artefacts
Cerebral autoregulation
Cerebral blood flow
Evaluation Study
Journal Article

Anmerkungen:

Date Completed 27.03.2018

Date Revised 10.12.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.medengphy.2017.06.007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM27370415X