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Use of regression equation of peripheral pulse timing characteristics to predict hypertension in children
J Y A Foo1, S J Wilson, G R Williams
1School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, Australia 4072.
Insights
Pulse transit time (PTT) can identify hypertensive children. This non-invasive method shows potential for continuous monitoring of arterial stiffening in pediatric hypertension.
Area of Science:
- Cardiovascular Physiology
- Pediatric Cardiology
- Biomedical Engineering
Background:
- Arterial stiffening is linked to cardiovascular diseases like hypertension.
- Current methods for assessing arterial stiffness, such as mercury sphygmomanometry, are not suitable for continuous monitoring.
- Pulse wave velocity is a direct but often invasively measured indicator of arterial stiffening.
Purpose of the Study:
- To investigate the utility of pulse transit time (PTT) predictive equations in identifying hypertensive children.
- To assess PTT as a potential non-invasive diagnostic tool for pediatric hypertension.
Main Methods:
- Utilized regression equations previously formulated for healthy Caucasian children.
- Recruited three additional Caucasian male children with diagnosed clinical hypertension for a continued study.
- Analyzed mean PTT values to determine if predictive equations could differentiate hypertensive from healthy children.
Main Results:
- The PTT predictive equations successfully identified hypertensive children compared to their normal counterparts.
- A statistically significant difference (p<0.05) was observed, indicating the effectiveness of PTT in this context.
- The study demonstrated the feasibility of using PTT for distinguishing hypertensive pediatric subjects.
Conclusions:
- Pulse transit time (PTT) is a valuable diagnostic tool for identifying hypertension in children.
- PTT holds significant potential as a non-invasive, continuous monitoring method for arterial stiffening in pediatric populations.
- Further research can validate PTT's role in managing and diagnosing pediatric cardiovascular conditions.
Abstract:
Studies have shown that an increase in arterial stiffening can indicate the presence of cardiovascular diseases like hypertension. Current gold standard in clinical practice is by measuring the blood pressure of patients using a mercury sphygmomanometer. However, the nature of this technique is not suitable for prolonged monitoring. It has been established that pulse wave velocity is a direct measure of arterial stiffening. However, its usefulness is hampered by the absence of techniques to estimate it non-invasively. Pulse transit time (PTT) is a simple and non-intrusive method derived from pulse wave velocity. It has shown its capability in childhood respiratory sleep studies. Recently, regression equations that can predict PTT values for healthy Caucasian children were formulated. However, its usefulness to identify hypertensive children based on mean PTT values has not been investigated. This was a continual study where 3 more Caucasian male children with known clinical hypertension were recruited. Results indicated that the PTT predictive equations are able to identify hypertensive children from their normal counterparts in a significant manner (p<0.05). Hence, PTT can be a useful diagnostic tool in identifying hypertension in children and shows potential to be a non-invasive continual monitor for arterial stiffening.
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