Aortic Pulse Wave Velocity Measurement via Heart Sounds and Impedance Plethysmography

Abstract

The determination of the physical characteristic of the human arterial system, especially the stiffness of the aorta, is of major interest for estimating the risk of cardiovascular diseases. The most common measurement technique to get information about the state of the arterial system is the pulse wave analysis. It includes the measurement of the pulse wave velocity inside the arteries as well as its morphologically changes when propagating through the arteries. Since it is difficult to detect the pulse wave directly at the aorta, most available devices acquire the pulse wave at the extremities instead. Afterwards, complex models and algorithms are often utilized to estimate the original behavior of the pulse wave inside the aorta. This work presents an impedance plethysmography based technique to determine the aortic pulse wave velocity. By measuring the starting time of the pulse wave directly at its origin by the acquisition of heart sounds and the arrival time at the end of the aorta non-invasively via skin electrodes, unreliable complex models or algorithms aren’t necessary anymore to determine the pulse wave velocity. After describing the measurement setup and the problem-specific hardware system, first measurements from a human subject are analyzed and discussed.