Aortic frequency response determination via bioimpedance plethysmography

TL;DR

This paper introduces a non-invasive bioimpedance plethysmography method to determine the aortic frequency response, aiming to improve assessment of arterial stiffness and cardiovascular risk without relying on traditional pulse wave analysis.

Contribution

It presents a novel approach modeling the aorta as an electrical circuit and a digital algorithm to extract its frequency response from bioimpedance measurements.

Findings

Realistic frequency responses obtained from three subjects

Method shows potential for non-invasive aortic assessment

Further complex models and larger studies needed

Abstract

Objective: Arterial stiffness is an important marker to predict cardio vascular events. Common measurement techniques to determine the condition of the aorta are limited to the acquisition of the arterial pulse wave at the extremities. The goal of this work is to enable non-invasive measurements of the aortic pulse wave velocity, instead. An additional aim is to extract further information, related to the conditions of the aorta, from the pulse wave signal instead of only its velocity. Methods: After discussing the problems of common pulse wave analysis procedures, an approach to determine the frequency response of the aorta is presented. Therefore, the aorta is modelled as an electrical equivalent circuit. To determine the specific numeric values of this system, a measurement approach is presented, which is based on non-invasive bioimpedance plethysmography measurements above the aortic arch and at the inguinal region. The conversion of the measurement results to the system parameters is realized by a digital algorithm, which is proposed in this work as well. To evaluate the approach, a study on three subjects is performed. Results: The measurement results demonstrate that the proposed approach yields realistic frequency responses. For better approximation of the aortic system function, more complex models are recommended to investigate in the future. Since this study is limited to three subjects without a ground truth, further measurements will be necessary. Significance: The proposed approach could solve problems of current methods to determine the condition of the aorta. Its application is non-invasive, harmless and easy to execute.