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Automatic or manual arterial path for the ankle-brachial differences pulse wave velocity


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Title: Automatic or manual arterial path for the ankle-brachial differences pulse wave velocity
Authors : Sánchez Muñoz-Torrero, Juan Francisco
Calderón García, Julián Fernando
Nicolás Jiménez, Jorge Manuel de
García Ortiz, Luis
Rodilla Sala, Enrique
Gómez Marcos, Manuel Ángel
Suárez Fernández, Carmen
Cordovilla Guardia, Sergio
Rico Martín, Sergio
Keywords: Ritmo cardíaco - Medición - Modelos matemáticos.Pulse - Mensuration - Mathematical models.Cardiovascular system - Diseases - Risk factors.Pulso - Medición - Modelos matemáticos.Presión sanguínea - Medición - Modelos matemáticos.Hipertensión.Hypertension.Enfermedades cardiovasculares - Factores de riesgo.Blood pressure - Measurement - Mathematical models.
Publisher: PLOS.
Citation: Munoz-Torrero, JFS., Calderon-Garcia, JF., Nicolas-Jimenez, JM. de., Garcia-Ortiz, L., Rodilla-Salas, E., Gomez-Marcos, MA. et al. (2018). Automatic or manual arterial path for the ankle-brachial differences pulse wave velocity. Plos One, vol. 13, n. 11, art. e0206434. DOI: https://doi.org/10.1371/journal.pone.0206434
Abstract: An automated method for measuring arterial path length with devices that determine pulse wave velocity (PWV) in peripheral arteries is frequently applied. We aimed to compare arterial path length measurements based on mathematical height-based formulas with those measured manually and to assess whether the ankle-brachial difference (abD-PWV) measured with the VOPITB device is comparable to that obtained by manual measurements. In 245 patients, a metric measuring tape was used to determine the arterial path length from the suprasternal notch to the midpoint of the VOPITB cuffs wrapped around the extremities, and the results were compared with those obtained with height-based formulas. We examined the relationship between the abD-PWV measured with both methods. The arterial path length measured manually was shorter than that calculated automatically by 5 ± 2 and 30 ± 4 cm—of 13% and 21% for the arms and legs, respectively (difference of 13% and 21%). As a result, the abD-PWV calculated with the automatic method was greater (automatic abDPWV vs. manual: 462 ± 90 vs. 346 ± 79 cm/s). The Blant Altman plot showed a percentage error of: 15,2%, 7,5% and 17,3% for heart-brachial, heart-ankle length and abD-PWV respectively. In conclusion there were significant differences between manual and automated arterial length measurements and it translates into difference abD-PWV calculate from both methods. However, the Bland-Alman plot showed that abD-PWV was comparable for both techniques. The advantages of height-based formulas for the calculation of arterial path lengths suggest that they may be the recommended method for measuring the abDPWV.
Description: Este artículo se encuentra disponible en la página web de la revista en la siguiente URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0206434
URI: http://hdl.handle.net/10637/10523
Rights : http://creativecommons.org/licenses/by/4.0/deed.es
ISSN: 1932-6203.
Issue Date: 1-Nov-2018
Center : Universidad Cardenal Herrera-CEU
Appears in Collections:Dpto. Medicina y Cirugía





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