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Monitoring of the central blood pressure waveform via a conformal ultrasonic device

机译:通过保形超声设备监测中心血压波形

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摘要

Continuous monitoring of the central-blood-pressure waveform from deeply embedded vessels, such as the carotid artery and jugular vein, has clinical value for the prediction of all-cause cardiovascular mortality. However, existing non-invasive approaches, including photoplethysmography and tonometry, only enable access to the superficial peripheral vasculature. Although current ultrasonic technologies allow non-invasive deep-tissue observation, unstable coupling with the tissue surface resulting from the bulkiness and rigidity of conventional ultrasound probes introduces usability constraints. Here, we describe the design and operation of an ultrasonic device that is conformal to the skin and capable of capturing blood-pressure waveforms at deeply embedded arterial and venous sites. The wearable device is ultrathin (240 μm) and stretchable (with strains up to 60%), and enables the non-invasive, continuous and accurate monitoring of cardiovascular events from multiple body locations, which should facilitate its use in a variety of clinical environments.
机译:连续监测来自深埋血管(例如颈动脉和颈静脉)的中心血压波形,对于预测全因心血管疾病死亡率具有临床价值。然而,现有的非侵入性方法,包括光体积描记法和眼压测量法,仅能够进入浅表外周脉管系统。尽管当前的超声技术允许非侵入性的深层组织观察,但是由常规超声探头的笨重和刚性导致的与组织表面的不稳定耦合引入了可用性限制。在这里,我们描述了一种超声设备的设计和操作,该设备与皮肤一致并且能够在深埋的动脉和静脉部位捕获血压波形。该可穿戴设备超薄(240μm)且可拉伸(应变高达60%),并且能够无创,连续且准确地监测来自多个身体部位的心血管事件,这应该有助于在各种临床环境中使用。

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