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Published in: Journal of Clinical Monitoring and Computing 2/2019

Open Access 01-04-2019 | Original Research

Comparison between pulse wave velocities measured using Complior and measured using Biopac

Authors: Marit H. N. van Velzen, Robert Jan Stolker, Arjo J. Loeve, Sjoerd P. Niehof, Egbert G. Mik

Published in: Journal of Clinical Monitoring and Computing | Issue 2/2019

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Abstract

Arterial stiffness is a reliable prognostic parameter for cardiovascular diseases. The effect of change in arterial stiffness can be measured by the change of the pulse wave velocity (PWV). The Complior system is widely used to measure PWV between the carotid and radial arteries by means of piezoelectric clips placed around the neck and the wrist. The Biopac system is an easier to use alternative that uses ECG and simple optical sensors to measure the PWV between the heart and the fingertips, and thus extends a bit more to the peripheral vasculature compared to the Complior system. The goal of this study was to test under various conditions to what extent these systems provide comparable and correlating values. 25 Healthy volunteers, 20–30 years old, were measured in four sequential position: sitting, lying, standing and sitting. The results showed that the Biopac system measured consistently and significantly lower PWV values than the Complior system, for all positions. Correlation values and Bland–Altman plots showed that despite the difference in PWV magnitudes obtained by the two systems the measurements did agree well. Which implies that as long as the differences in PWV magnitudes are taken into account, either system could be used to measure PWV changes over time. However, when basing diagnosis on absolute PWV values, one should be very much aware of how the PWV was measured and with what system.
Literature
1.
go back to reference Cruickshank K, Riste L, Anderson SG, Wright JS, Dunn G, Gosling RG. Aortic pulse-wave velocity and its relationship to mortality in diabetes and glucose intolerance: an integrated index of vascular function? Circulation. 2002;106(16):2085–90.CrossRefPubMed Cruickshank K, Riste L, Anderson SG, Wright JS, Dunn G, Gosling RG. Aortic pulse-wave velocity and its relationship to mortality in diabetes and glucose intolerance: an integrated index of vascular function? Circulation. 2002;106(16):2085–90.CrossRefPubMed
2.
go back to reference Blacher J, Guerin AP, Pannier B, Marchais SJ, Safar ME, London GM. Impact of aortic stiffness on survival in end-stage renal disease. Circulation. 1999;99(18):2434–9.CrossRefPubMed Blacher J, Guerin AP, Pannier B, Marchais SJ, Safar ME, London GM. Impact of aortic stiffness on survival in end-stage renal disease. Circulation. 1999;99(18):2434–9.CrossRefPubMed
3.
go back to reference Laurent S, Boutouyrie P, Asmar R, Gautier I, Laloux B, Guize L, Ducimetiere P, Benetos A. Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients. Hypertension. 2001;37(5):1236–41.CrossRefPubMed Laurent S, Boutouyrie P, Asmar R, Gautier I, Laloux B, Guize L, Ducimetiere P, Benetos A. Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients. Hypertension. 2001;37(5):1236–41.CrossRefPubMed
4.
go back to reference Avolio AP, Chen SG, Wang RP, Zhang CL, Li MF, O’Rourke MF. Effects of aging on changing arterial compliance and left ventricular load in a northern Chinese urban community. Circulation. 1983;68(1):50–8.CrossRefPubMed Avolio AP, Chen SG, Wang RP, Zhang CL, Li MF, O’Rourke MF. Effects of aging on changing arterial compliance and left ventricular load in a northern Chinese urban community. Circulation. 1983;68(1):50–8.CrossRefPubMed
6.
go back to reference Asmar R, Benetos A, Topouchian J, Laurent P, Pannier B, Brisac AM, Target R, Levy BI. Assessment of arterial distensibility by automatic pulse wave velocity measurement: validation and clinical application studies. Hypertension. 1995;26(3):485–90.CrossRefPubMed Asmar R, Benetos A, Topouchian J, Laurent P, Pannier B, Brisac AM, Target R, Levy BI. Assessment of arterial distensibility by automatic pulse wave velocity measurement: validation and clinical application studies. Hypertension. 1995;26(3):485–90.CrossRefPubMed
7.
go back to reference Wilkinson IB, Fuchs SA, Jansen IM, Spratt JC, Murray GD, Cockcroft JR, Webb DJ. Reproducibility of pulse wave velocity and augmentation index measured by pulse wave analysis. J Hypertens. 1998;16(12 SUPPL.):2079–84.CrossRefPubMed Wilkinson IB, Fuchs SA, Jansen IM, Spratt JC, Murray GD, Cockcroft JR, Webb DJ. Reproducibility of pulse wave velocity and augmentation index measured by pulse wave analysis. J Hypertens. 1998;16(12 SUPPL.):2079–84.CrossRefPubMed
8.
go back to reference Safar H, Mourad JJ, Safar M, Blacher J. Aortic pulse wave velocity, an independent marker of cardiovascular risk. Arch Mal Coeur Vaiss. 2002;95(12):1215–8.PubMed Safar H, Mourad JJ, Safar M, Blacher J. Aortic pulse wave velocity, an independent marker of cardiovascular risk. Arch Mal Coeur Vaiss. 2002;95(12):1215–8.PubMed
9.
go back to reference Jatoi NA, Mahmud A, Bennett K, Feely J. Assessment of arterial stiffness in hypertension: Comparison of oscillometric (arteriograph), piezoelectronic (Complior) and tonometric (SphygmoCor) techniques. J Hypertens. 2009;27(11):2186–91.CrossRefPubMed Jatoi NA, Mahmud A, Bennett K, Feely J. Assessment of arterial stiffness in hypertension: Comparison of oscillometric (arteriograph), piezoelectronic (Complior) and tonometric (SphygmoCor) techniques. J Hypertens. 2009;27(11):2186–91.CrossRefPubMed
10.
go back to reference Heesch CM. Reflexes that control cardiovascular function. Am J Physiol. 1999;277(6 Pt 2):S234–43. Heesch CM. Reflexes that control cardiovascular function. Am J Physiol. 1999;277(6 Pt 2):S234–43.
11.
go back to reference Weissler AM, Harris WS, Schoenfeld CD. Systolic time intervals in heart failure in man. Circulation. 1968;37(2):149–59.CrossRefPubMed Weissler AM, Harris WS, Schoenfeld CD. Systolic time intervals in heart failure in man. Circulation. 1968;37(2):149–59.CrossRefPubMed
12.
go back to reference Newlin DB, Levenson RW. Pre-ejection period: measuring beta-adrenergic influences upon the heart. Psychophysiology. 1979;16(6):546–53.CrossRefPubMed Newlin DB, Levenson RW. Pre-ejection period: measuring beta-adrenergic influences upon the heart. Psychophysiology. 1979;16(6):546–53.CrossRefPubMed
13.
go back to reference Kortekaas MC, van Velzen MHN, Grüne F, Niehof SP, Stolker RJ, Huygen FJPM. Small intra-individual variability of the pre-ejection period justifies the use of pulse transit time as approximation of the vascular transit. Submitted to PLoS One. 2018 Kortekaas MC, van Velzen MHN, Grüne F, Niehof SP, Stolker RJ, Huygen FJPM. Small intra-individual variability of the pre-ejection period justifies the use of pulse transit time as approximation of the vascular transit. Submitted to PLoS One. 2018
14.
go back to reference Clifford GD. Rpeakdetect function (ECG toolbox). 2008 Clifford GD. Rpeakdetect function (ECG toolbox). 2008
15.
go back to reference Van Velzen MHN, Loeve AJ, Kortekaas MC, Niehof SN, Mik EG, Stolker RJ. Effect of heat-induced pain stimuli on pulse transit time and pulse wave amplitude in healthy volunteers. Physiol Meas. 2015;37(1):52–66.CrossRefPubMed Van Velzen MHN, Loeve AJ, Kortekaas MC, Niehof SN, Mik EG, Stolker RJ. Effect of heat-induced pain stimuli on pulse transit time and pulse wave amplitude in healthy volunteers. Physiol Meas. 2015;37(1):52–66.CrossRefPubMed
17.
go back to reference Rajzer MWMMW.. Comparison of aortic pulse wave velocity measured by three techniques: Complior, SphygmoCor and Arteriograph. J Hypertens. 2008;26(10):2001–7.CrossRefPubMed Rajzer MWMMW.. Comparison of aortic pulse wave velocity measured by three techniques: Complior, SphygmoCor and Arteriograph. J Hypertens. 2008;26(10):2001–7.CrossRefPubMed
Metadata
Title
Comparison between pulse wave velocities measured using Complior and measured using Biopac
Authors
Marit H. N. van Velzen
Robert Jan Stolker
Arjo J. Loeve
Sjoerd P. Niehof
Egbert G. Mik
Publication date
01-04-2019
Publisher
Springer Netherlands
Published in
Journal of Clinical Monitoring and Computing / Issue 2/2019
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI
https://doi.org/10.1007/s10877-018-0165-9

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