Current developments in non-invasive measurement of arterial blood pressure.
Two new types of non-invasive method for measuring arterial blood pressure recently developed by us are reviewed. Both of the methods are based on the characteristics of the pressure-volume relationship in the artery. One is the volume-oscillometric method; and the other is the volume-compensation method, based on the vascular unloading principle. Both methods employ photoelectric plethysmography for detection of arterial volume changes in the biological segment. The volume-oscillometric method can measure systolic and mean arterial pressure, and is applicable to long-term ambulatory monitoring. The volume-compensation method allows the beat-by-beat measurement of systolic and diastolic pressure and the recording of the pressure waveform continuously and non-invasively. This paper discusses the measurement principle and evaluates the accuracy of each method as compared with direct measurements. Preliminary descriptions of newly designed instruments based on these two methods, and a few examples of the indirect pressure recordings, are also described. The results obtained show that the non-invasive methods for measuring arterial pressure presented here appear promising for use not only in physiological studies, but also in clinical practice and research laboratories.
Yamakoshi
K
K
Research Institute of Applied Electricity, Hokkaido University, Japan.
Rolfe
P
P
Murphy
C
C
D000818:Animals; D001795:Blood Pressure Determination / Q000295:instrumentation / Q000379:methods*; D001810:Blood Volume; D004867:Equipment Design; D005385:Fingers / Q000098:blood supply; D006801:Humans; D008297:Male; D008838:Microcomputers; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000295:instrumentation; D010991:Plethysmography / Q000379:methods