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Correlation analysis of human upper arm parameters to oscillometric signal in automatic blood pressure measurement
Bomi Lee1, Jae-Hak Jeong1, Junki Hong1
1Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, 34141, Republic of Korea.
Insights
This study demonstrates that automatic sphygmomanometers can estimate brachial artery diameter by analyzing the oscillometric signal. This offers a novel, non-invasive method for monitoring cardiovascular risk factors during routine blood pressure measurement.
Area of Science:
- Biomedical Engineering
- Cardiovascular Physiology
Background:
- Cardiovascular diseases are a leading global cause of mortality.
- Automatic sphygmomanometers are widely used for blood pressure monitoring.
- Accurate cardiovascular health monitoring is crucial.
Purpose of the Study:
- To investigate the correlation between upper arm parameters and oscillometric signals from automatic sphygmomanometers.
- To determine if brachial artery diameter can be estimated using these devices.
- To explore a novel method for cardiovascular risk assessment.
Main Methods:
- Analytical, numerical, and experimental investigations were conducted.
- Parametric studies focused on the influence of brachial artery dimensions.
- Experiments utilized a cardiovascular simulator and upper arm phantoms with varying artery radii.
Main Results:
- The inner radius of the brachial artery was identified as the most influential parameter on oscillometric signal amplitude.
- A 10% variation in artery radius resulted in a 6.5% change in oscillometric signal amplitude.
- The oscillometric signal reliably indicates brachial artery diameter.
Conclusions:
- The oscillometric signal from automatic sphygmomanometers can be used to evaluate brachial artery diameter.
- This provides a novel method for monitoring cardiovascular risks (hypertension, diabetes, obesity).
- Routine blood pressure measurements can be leveraged for enhanced cardiovascular health surveillance.
Abstract:
Cardiovascular diseases are the leading cause of global deaths, making cardiovascular health monitoring important. Measuring blood pressure using an automatic sphygmomanometer is the most widely used method to monitor cardiovascular health due to its accessibility, convenience, and strong correlation with cardiovascular diseases. In this work, in order to estimate brachial artery diameter, stiffness, or thickness using an automatic sphygmomanometer, the correlation between upper arm parameters and the oscillometric signal was intensively investigated through analytical, numerical, and experimental approaches. The parametric studies commonly revealed that the inner radius of the brachial artery is the most influential parameter in determining the amplitude of the oscillometric signal. The experimental results of using a cardiovascular simulator (a virtual patient) combined with upper arm phantoms with various inner radii of the brachial artery showed a 6.5% change in the oscillometric signal amplitude with a 10% artery radius variation. It was concluded that the oscillometric signal can be used to evaluate brachial artery diameter. Based on the clinical relationship between brachial artery diameter and cardiovascular risk factors such as hypertension, diabetes, and obesity, this study showed and verified a novel method to monitor brachial artery diameter and hence, cardiovascular risks while measuring blood pressure.
Related Concept Videos
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Pre-Procedural Guidelines for Assessing Blood Pressure
Assessment of blood pressure in brachial artery(two-step method)
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Measurement of Blood Pressure
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement

