Impact and management of physiological calibration in spectral analysis of blood pressure variability

Physiological calibration (Physiocal) improves the quality of continuous blood pressure (BP) signal from finger. However, the effects of Physiocal on spectral characteristics of systolic BP (SBP) variability are not well-known. We tested the hypothesis that the use of Physiocal may alter the results...

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Main Authors: Antti M Kiviniemi, Heidi eHintsala, Arto J Hautala, Tiina M Ikäheimo, Jouni J Jaakkola, Suvi eTiinanen, Tapio eSeppänen, Mikko Paavo Tulppo
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-12-01
Series:Frontiers in Physiology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fphys.2014.00473/full
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author Antti M Kiviniemi
Heidi eHintsala
Arto J Hautala
Tiina M Ikäheimo
Jouni J Jaakkola
Suvi eTiinanen
Tapio eSeppänen
Mikko Paavo Tulppo
author_facet Antti M Kiviniemi
Heidi eHintsala
Arto J Hautala
Tiina M Ikäheimo
Jouni J Jaakkola
Suvi eTiinanen
Tapio eSeppänen
Mikko Paavo Tulppo
author_sort Antti M Kiviniemi
collection DOAJ
description Physiological calibration (Physiocal) improves the quality of continuous blood pressure (BP) signal from finger. However, the effects of Physiocal on spectral characteristics of systolic BP (SBP) variability are not well-known. We tested the hypothesis that the use of Physiocal may alter the results on SBP variability when compared with BP recording without Physiocal. Continuous BP was recorded simultaneously from fingers of both arms during 10-min standing by two Nexfin devices, one with (ON) and the other without (OFF) Physiocal (n=19). Missing SBP values in ON signal were linearly interpolated over Physiocal sequences (ON_inter). The OFF signal was analyzed without any corrections (OFF_reference) and after linear interpolation of corresponding sequences when Physiocal appeared in the ON signal (OFF_inter). Mean low frequency power of SBP oscillations (LF_SBP, 0.04-0.15 Hz) did not differ between the OFF_reference, OFF_inter and ON_inter. However, LF_SBP deviated more from OFF_reference when analysed from ON_inter compared with the analysis from OFF_inter (median [interquartile range]: 14.7 [4.6-38.6] vs. 0.9 [0.5-1.8] %, p<0.05). In conclusion, the use of Physiocal had a significant effect on the spectral SBP variability that overwhelms the impact of linear interpolation of short data sequences. Therefore, caution is needed when comparing SBP variability between BP datasets acquired with and without Physiocal.
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spelling doaj.art-ca0b4218c4844fa9991da73876475b302022-12-21T17:48:01ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2014-12-01510.3389/fphys.2014.00473116234Impact and management of physiological calibration in spectral analysis of blood pressure variabilityAntti M Kiviniemi0Heidi eHintsala1Arto J Hautala2Tiina M Ikäheimo3Jouni J Jaakkola4Suvi eTiinanen5Tapio eSeppänen6Mikko Paavo Tulppo7VerveUniversity of OuluVerveUniversity of OuluUniversity of OuluUniversity of OuluUniversity of OuluVervePhysiological calibration (Physiocal) improves the quality of continuous blood pressure (BP) signal from finger. However, the effects of Physiocal on spectral characteristics of systolic BP (SBP) variability are not well-known. We tested the hypothesis that the use of Physiocal may alter the results on SBP variability when compared with BP recording without Physiocal. Continuous BP was recorded simultaneously from fingers of both arms during 10-min standing by two Nexfin devices, one with (ON) and the other without (OFF) Physiocal (n=19). Missing SBP values in ON signal were linearly interpolated over Physiocal sequences (ON_inter). The OFF signal was analyzed without any corrections (OFF_reference) and after linear interpolation of corresponding sequences when Physiocal appeared in the ON signal (OFF_inter). Mean low frequency power of SBP oscillations (LF_SBP, 0.04-0.15 Hz) did not differ between the OFF_reference, OFF_inter and ON_inter. However, LF_SBP deviated more from OFF_reference when analysed from ON_inter compared with the analysis from OFF_inter (median [interquartile range]: 14.7 [4.6-38.6] vs. 0.9 [0.5-1.8] %, p<0.05). In conclusion, the use of Physiocal had a significant effect on the spectral SBP variability that overwhelms the impact of linear interpolation of short data sequences. Therefore, caution is needed when comparing SBP variability between BP datasets acquired with and without Physiocal.http://journal.frontiersin.org/Journal/10.3389/fphys.2014.00473/fullAutonomic Nervous SystemSignal processingPhysiocalNexfinself-adjustment
spellingShingle Antti M Kiviniemi
Heidi eHintsala
Arto J Hautala
Tiina M Ikäheimo
Jouni J Jaakkola
Suvi eTiinanen
Tapio eSeppänen
Mikko Paavo Tulppo
Impact and management of physiological calibration in spectral analysis of blood pressure variability
Frontiers in Physiology
Autonomic Nervous System
Signal processing
Physiocal
Nexfin
self-adjustment
title Impact and management of physiological calibration in spectral analysis of blood pressure variability
title_full Impact and management of physiological calibration in spectral analysis of blood pressure variability
title_fullStr Impact and management of physiological calibration in spectral analysis of blood pressure variability
title_full_unstemmed Impact and management of physiological calibration in spectral analysis of blood pressure variability
title_short Impact and management of physiological calibration in spectral analysis of blood pressure variability
title_sort impact and management of physiological calibration in spectral analysis of blood pressure variability
topic Autonomic Nervous System
Signal processing
Physiocal
Nexfin
self-adjustment
url http://journal.frontiersin.org/Journal/10.3389/fphys.2014.00473/full
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