A Minimally Invasive Method for Beat-by-Beat Estimation of Cardiac Pressure-Volume Loops

Shaun Davidson, Chris Pretty, Shun Kamoi, Thomas Desaive, J. Geoffrey Chase

Abstract

This paper develops a minimally invasive means of estimating a patient-specific cardiac pressure-volume loop beat-to-beat. This method involves estimating the left ventricular pressure and volume waveforms using clinically available information including heart rate and aortic pressure, supported by a baseline echocardiography reading. Validation of the method was performed across an experimental data set spanning 5 Piétrain pigs, 46,318 heartbeats and a diverse clinical protocol. The method was able to accurately locate a pressure-volume loop, identifying the end-diastolic volume, end-systolic volume, mean-diastolic pressure and mean-systolic pressure of the ventricle with reasonable accuracy. While there were larger percentage errors associated with stroke work derived from the estimated pressure-volume loops, there was a strong correlation (average R value of 0.83) between the estimated and measured stroke work values. These results provide support for the potential of the method to track patient condition, in real-time, in a clinical environment. This method has the potential to yield additional information from readily available waveforms to aid in clinical decision making.

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Paper Citation


in Harvard Style

Davidson S., Pretty C., Kamoi S., Desaive T. and Chase J. (2017). A Minimally Invasive Method for Beat-by-Beat Estimation of Cardiac Pressure-Volume Loops . In Proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 4: BIOSIGNALS, (BIOSTEC 2017) ISBN 978-989-758-212-7, pages 54-63. DOI: 10.5220/0006140200540063


in Bibtex Style

@conference{biosignals17,
author={Shaun Davidson and Chris Pretty and Shun Kamoi and Thomas Desaive and J. Geoffrey Chase},
title={A Minimally Invasive Method for Beat-by-Beat Estimation of Cardiac Pressure-Volume Loops},
booktitle={Proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 4: BIOSIGNALS, (BIOSTEC 2017)},
year={2017},
pages={54-63},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0006140200540063},
isbn={978-989-758-212-7},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 4: BIOSIGNALS, (BIOSTEC 2017)
TI - A Minimally Invasive Method for Beat-by-Beat Estimation of Cardiac Pressure-Volume Loops
SN - 978-989-758-212-7
AU - Davidson S.
AU - Pretty C.
AU - Kamoi S.
AU - Desaive T.
AU - Chase J.
PY - 2017
SP - 54
EP - 63
DO - 10.5220/0006140200540063