Dicrotic Notch Identification: a Generalizable Hybrid Approach under Arterial Blood Pressure (ABP) Curve Deformations

Annu Int Conf IEEE Eng Med Biol Soc. 2021 Nov:2021:4424-4427. doi: 10.1109/EMBC46164.2021.9629981.

Abstract

Dicrotic Notch (DN) is a distinctive and clinically significant feature of the arterial blood pressure curve. Its automatic identification has been the focus of many kinds of research using either model-based or rule-based methodologies. However, since DN morphology is quite variant following the patient-specific underlying physiological and pathological conditions, its automatic identification with these methods is challenging. This work proposes a hybrid approach that employs both model-based and rule-based approaches to enhance DN detection's generalizability. We have tested our approach on ABP data gathered from 14 pigs. Our result strongly indicates 36% overall mean error improvement with maximum 52% and -11% accuracy enhancement and degradation in extreme cases.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Arterial Pressure*
  • Blood Pressure
  • Humans
  • Swine