Use of seismocardiogram for the beat-to-beat assessment of the Pulse Transit Time: A pilot study.

ABSTRACT

We propose a new methodology for the estimation of Pulse Transit Time, PTT, based on the use of the seismocardiogram for the identification of the aortic valve opening, AO. This method has been implemented to obtain a first description of the AO-derived PTT beat-to-beat variability at rest and during the recovery after a cycloergometer exercise at 25W and 100W, its relation with systolic blood pressure, S(BP), and its difference with respect to variability of the Pulse Arrival Time, PAT (i.e. the BP transit time estimated by considering the ECG R peak instead of AO as proximal site). Our preliminary data indicate that 1) the fast components of the PTT variability are only marginally influenced by respiration; 2) only the slower components of the PTT variability are correlated with systolic BP; 3) major differences exist in the dynamics of PTT and PAT, being PAT variability significantly larger and importantly influenced by the beat-to-beat changes occurring in the Pre Ejection Period.