Assessing hemodynamics from the photoplethysmogram to gain insights into vascular age: a review from VascAgeNet.

Assessing hemodynamics from the photoplethysmogram to gain insights into vascular age: a review from VascAgeNet.
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DOI:
10.1152/ajpheart.00392.2021
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发表时间:
2022-04-01
期刊:
American journal of physiology. Heart and circulatory physiology
影响因子:
--
通讯作者:
Marozas V
Marozas V
中科院分区:
其他
文献类型:
--
作者:
Charlton PH;Paliakaitė B;Pilt K;Bachler M;Zanelli S;Kulin D;Allen J;Hallab M;Bianchini E;Mayer CC;Terentes-Printzios D;Dittrich V;Hametner B;Veerasingam D;Žikić D;Marozas V

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光电体积描记图(PPG)信号被临床和消费者设备广泛测量,并且正在成为评估血管年龄的潜在工具。PPG脉搏波的形状和定时都受到正常血管老化、动脉硬度和血压变化以及动脉粥样硬化的影响。本文综述了从PPG评估血管年龄的研究。描述了三类方法:1)使用单个PPG信号(基于脉搏波分析)的方法,2)使用多个PPG信号(诸如脉搏传导时间测量)的方法,以及3)使用PPG和其他信号(诸如脉搏到达时间测量)的方法。然后,证据的性能,重复性和再现性,以及PPG衍生的血管年龄参数的临床效用。最后,综述概述了未来研究的主要方向,以实现光电容积描记术评估血管年龄的全部潜力。
The photoplethysmogram (PPG) signal is widely measured by clinical and consumer devices, and it is emerging as a potential tool for assessing vascular age. The shape and timing of the PPG pulse wave are both influenced by normal vascular aging, changes in arterial stiffness and blood pressure, and atherosclerosis. This review summarizes research into assessing vascular age from the PPG. Three categories of approaches are described: 1) those which use a single PPG signal (based on pulse wave analysis), 2) those which use multiple PPG signals (such as pulse transit time measurement), and 3) those which use PPG and other signals (such as pulse arrival time measurement). Evidence is then presented on the performance, repeatability and reproducibility, and clinical utility of PPG-derived parameters of vascular age. Finally, the review outlines key directions for future research to realize the full potential of photoplethysmography for assessing vascular age.
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