Comparison of Systolic Blood Pressure Values Obtained by Photoplethysmography and by Korotkoff Sounds

In the current study, a non-invasive technique for systolic blood pressure (SBP) measurement based on the detection of photoplethysmographic (PPG) pulses during pressure-cuff deflation was compared to sphygmomanometry—the Korotkoff sounds technique. The PPG pulses disappear for cuff-pressures above...

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Main Authors: Michael Bursztyn, Iddo Z. Ben-Dov, Eran Shalom, Shlomo Engelberg, Ellie Hoffman, Yair Adar, Meir Nitzan
Format: Article
Language:English
Published: MDPI AG 2013-10-01
Series:Sensors
Subjects:
Online Access:http://www.mdpi.com/1424-8220/13/11/14797
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author Michael Bursztyn
Iddo Z. Ben-Dov
Eran Shalom
Shlomo Engelberg
Ellie Hoffman
Yair Adar
Meir Nitzan
author_facet Michael Bursztyn
Iddo Z. Ben-Dov
Eran Shalom
Shlomo Engelberg
Ellie Hoffman
Yair Adar
Meir Nitzan
author_sort Michael Bursztyn
collection DOAJ
description In the current study, a non-invasive technique for systolic blood pressure (SBP) measurement based on the detection of photoplethysmographic (PPG) pulses during pressure-cuff deflation was compared to sphygmomanometry—the Korotkoff sounds technique. The PPG pulses disappear for cuff-pressures above the SBP value and reappear when the cuff-pressure decreases below the SBP value. One hundred and twenty examinations were performed on forty subjects. In 97 examinations the two methods differed by less than 3 mmHg. In nine examinations the SBP value measured by PPG was higher than that measured by sphygmomanometry by 5 mmHg or more. In only one examination the former was lower by 5 mmHg or more than the latter. The appearance of either the PPG pulses or the Korotkoff sounds assures that the artery under the cuff is open during systolic peak pressure. In the nine examinations mentioned above the PPG pulses were observed while Korotkoff sounds were not detected, despite the open artery during systole. In these examinations, the PPG-based technique was more reliable than sphygmomanometry. The high signal-to-noise ratio of measured PPG pulses indicates that automatic measurement of the SBP by means of automatic detection of the PPG signals is feasible.
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spelling doaj.art-fb408e6392a0411fa672b484e09875822022-12-22T02:17:58ZengMDPI AGSensors1424-82202013-10-011311147971481210.3390/s131114797Comparison of Systolic Blood Pressure Values Obtained by Photoplethysmography and by Korotkoff SoundsMichael BursztynIddo Z. Ben-DovEran ShalomShlomo EngelbergEllie HoffmanYair AdarMeir NitzanIn the current study, a non-invasive technique for systolic blood pressure (SBP) measurement based on the detection of photoplethysmographic (PPG) pulses during pressure-cuff deflation was compared to sphygmomanometry—the Korotkoff sounds technique. The PPG pulses disappear for cuff-pressures above the SBP value and reappear when the cuff-pressure decreases below the SBP value. One hundred and twenty examinations were performed on forty subjects. In 97 examinations the two methods differed by less than 3 mmHg. In nine examinations the SBP value measured by PPG was higher than that measured by sphygmomanometry by 5 mmHg or more. In only one examination the former was lower by 5 mmHg or more than the latter. The appearance of either the PPG pulses or the Korotkoff sounds assures that the artery under the cuff is open during systolic peak pressure. In the nine examinations mentioned above the PPG pulses were observed while Korotkoff sounds were not detected, despite the open artery during systole. In these examinations, the PPG-based technique was more reliable than sphygmomanometry. The high signal-to-noise ratio of measured PPG pulses indicates that automatic measurement of the SBP by means of automatic detection of the PPG signals is feasible.http://www.mdpi.com/1424-8220/13/11/14797systolic blood pressuresphygmomanometryKorotkoff soundsphotoplethysmographyaccuracy
spellingShingle Michael Bursztyn
Iddo Z. Ben-Dov
Eran Shalom
Shlomo Engelberg
Ellie Hoffman
Yair Adar
Meir Nitzan
Comparison of Systolic Blood Pressure Values Obtained by Photoplethysmography and by Korotkoff Sounds
Sensors
systolic blood pressure
sphygmomanometry
Korotkoff sounds
photoplethysmography
accuracy
title Comparison of Systolic Blood Pressure Values Obtained by Photoplethysmography and by Korotkoff Sounds
title_full Comparison of Systolic Blood Pressure Values Obtained by Photoplethysmography and by Korotkoff Sounds
title_fullStr Comparison of Systolic Blood Pressure Values Obtained by Photoplethysmography and by Korotkoff Sounds
title_full_unstemmed Comparison of Systolic Blood Pressure Values Obtained by Photoplethysmography and by Korotkoff Sounds
title_short Comparison of Systolic Blood Pressure Values Obtained by Photoplethysmography and by Korotkoff Sounds
title_sort comparison of systolic blood pressure values obtained by photoplethysmography and by korotkoff sounds
topic systolic blood pressure
sphygmomanometry
Korotkoff sounds
photoplethysmography
accuracy
url http://www.mdpi.com/1424-8220/13/11/14797
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