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King's Research Portal
Article . 2022
License: CC BY NC ND
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Computer Methods and Programs in Biomedicine
Article . 2022 . Peer-reviewed
License: Elsevier TDM
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DBLP
Article . 2025
Data sources: DBLP
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Estimation of central pulse wave velocity from radial pulse wave analysis

Authors: Yang Yao 0001; Shuran Zhou; Jordi Alastruey; Liling Hao; Stephen E. Greenwald; Yuelan Zhang; Lin Xu 0006; +2 Authors

Estimation of central pulse wave velocity from radial pulse wave analysis

Abstract

Arterial stiffness, commonly assessed by carotid-femoral pulse wave velocity (cfPWV), is an independent biomarker for cardiovascular disease. The measurement of cfPWV, however, has been considered impractical for routine clinical application. Pulse wave analysis using a single pulse wave measurement in the radial artery is a convenient alternative. This study aims to identify pulse wave features for a more accurate estimation of cfPWV from a single radial pulse wave measurement.From a dataset of 140 subjects, cfPWV was measured and the radial pulse waveform was recorded for 30 s twice in succession. Features were extracted from the waveforms in the time and frequency domains, as well as by wave separation analysis. All-possible regressions with bootstrapping, McHenry's select algorithm, and support vector regression were applied to compute models for cfPWV estimation.The correlation coefficients between the measured and estimated cfPWV were r = 0.81, r = 0.81, and r = 0.8 for all-possible regressions, McHenry's select algorithm, and support vector regression, respectively. The features selected by all-possible regressions are physiologically interpretable. In particular, the amplitude ratio of the diastolic peak to the notch of the radial pulse waveform (Rn,dr,P) is shown to be correlated with cfPWV. This correlation was further evaluated and found to be independent of wave reflections using a dataset (n = 3,325) of simulated pulse waves.The proposed method may serve as a convenient surrogate for the measurement of cfPWV. Rn,dr,P is associated with aortic pulse wave velocity and this association may not be dependent on wave reflection.

Country
United Kingdom
Keywords

Pulse wave velocity, Carotid Arteries, Wave separation analysis, Carotid-Femoral Pulse Wave Velocity, Radial Artery, 610, Humans, Blood Pressure, Pulse Wave Analysis, Arterial stiffness, Pulse wave analysis

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    selected citations
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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    14
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
14
Top 10%
Top 10%
Top 10%
Green