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DIRECT COMPARISON OF INTERSECTING-TANGENTS VERSUS SECOND DERIVATIVE FOR DETERMINATION OF PULSE TRANSIT TIME AND PULSE WAVE VELOCITY

2022· article· en· W4282840043 on OpenAlexaff
Amira Tairi, Hasan Obeid, Catherine Fortier, Mathilde Paré, Nadège Côté, Émy Philibert, Charles-Antoine Garneau, Karine Duval, Rémi Groupil, Mohsen Agharazii

Bibliographic record

VenueJournal of Hypertension · 2022
Typearticle
Languageen
FieldMedicine
TopicCardiovascular Health and Disease Prevention
Canadian institutionsUniversité de MontréalHôpital du Sacré-Cœur de MontréalUniversité LavalHôtel-Dieu de Québec
Fundersnot available
KeywordsPulse wave velocityTangentMedicineArterial stiffnessPulse (music)Pulse Wave AnalysisWaveformMATLABDerivative (finance)Biomedical engineeringMathematical analysisMathematicsPhysicsInternal medicineBlood pressureGeometryOpticsComputer scienceTelecommunications

Abstract

fetched live from OpenAlex

Objective: Arterial stiffness is a non-traditional risk factor for cardiovascular disease. Aortic stiffness is assessed by determination of pulse wave velocity using pulse transit time and the distance between carotid and femoral arteries. Transit time is obtained by using the foot-to-foot method to define the transit time through intersecting tangents algorithm or the point of maximal upstroke during systole (2nd derivative). Millasseau et al have proposed a formula for converting transit time between methods using SphygmoCor (intersecting tangents) and the Complior Analyse (2nd derivative). Based on a mathematical modeling of the proposed formula, there is discrepancy between values of pulse wave velocities, especially in subjects with higher aortic stiffness. The objective of this study is to directly compare the two methods using the same pressure waveforms obtained by the newer generation of Complior Analyse and using Millasseau’s formula. Design and method: In a cross-sectional study of heterogeneous subjects, aortic stiffness was assessed by the Complior Analyse device which uses 2nd derivative. The pulse waveforms were extracted and used for the analysis by custom MATLAB algorithm for intersecting tangents, and the results were compared to the formula proposed by Millasseau. Results: The preliminary results of the first 24 patients (men: 71%; mean age: 61 ± 18 years) show that Millasseau’s formula underestimates the transit times values by about 19% in comparison with the transit times obtained by the intersecting tangents method using MATLAB software (49,8 ± 18,8 ms vs 61,6 ± 18,6 ms; P < 0,001). This results in an overestimation of the pulse wave velocities values by about 30% (13,8 ± 3,8 m/s vs 10,6 ± 2,7 m/s; P < 0,001). Conclusions: Our preliminary results allow us to conclude that the values of pulse wave velocities obtained with Millasseau’s formula are overestimated values when comparing with values obtained by using the intersecting tangents method. Increasing the number of subjects will allow us to examine the possibility of a more reliable formula for converting transit times from one method to the other.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.014
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Bench or experimental · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.004
Threshold uncertainty score0.020

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.014
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.002
Science and technology studies0.0000.000
Scholarly communication0.0010.001
Open science0.0010.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0020.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.057
GPT teacher head0.309
Teacher spread0.253 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designBench or experimental
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2022
Admission routes1
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