Use this identifier to quote or link this document: http://hdl.handle.net/2072/254118

Characterization of patients with different ventricular ejection fractions using blood pressure signal analysis
Arcentales, Andrés; Voss, Andreas; Caminal Magrans, Pere; Bayés-Genís, Antoni; Domingo, Mar Teresa; Giraldo Giraldo, Beatriz
Universitat Politècnica de Catalunya. Departament d'Enginyeria de Sistemes, Automàtica i Informàtica Industrial; Universitat Politècnica de Catalunya. SISBIO - Senyals i Sistemes Biomèdics
Ischemic and dilated cardiomyopathy are associated with disorders of myocardium. Using the blood pressure (BP) signal and the values of the ventricular ejection fraction, we obtained parameters for stratifying cardiomyopathy patients as low- and high-risk. We studied 48 cardiomyopathy patients characterized by NYHA =2: 19 patients with dilated cardiomyopathy (DCM) and 29 patients with ischemic cardiomyopathy (ICM). The left ventricular ejection fraction (LVEF) percentage was used to classify patients in low risk (LR: LVEF > 35%, 17 patients) and high risk (HR: LVEF = 35%, 31 patients) groups. From the BP signal, we extracted the upward systolic slope (BP sl), the difference between systolic and diastolic BP (BPA), and systolic time intervals (STI). When we compared the LR and HR groups in the time domain analysis, the best parameters were standard deviation (SD) of 1=STI, kurtosis (K) of BPsl, and K of BPA. In the frequency domain analysis, very low frequency (VLF) and high frequency (HF) bands showed statistically significant differences in comaprisons of LR and HR groups. The area under the curve of power spectral density was the best parameter in all classifications, and particularly in the very-low-and high- frequency bands (p < 0.001). These parameters could help to improve the risk stratification of cardiomyopathy patients.
2015-09-14
Àrees temàtiques de la UPC::Enginyeria biomèdica::Electrònica biomèdica
Blood flow -- Computer simulation
Flux sanguini -- Simulació per ordinador
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