Jens Muehlsteff

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This paper investigates the specific contributions of the pre-ejection period (PEP) and pulse transit time (PTT) for blood pressure estimation based on the pulse wave methodology. We show that in short-term physical stress tests, PEP dominates PTT variations raising the question of a suitable blood pressure calibration. A model using a generalized pulse(More)
Systolic time intervals (STI) have shown significant diagnostic and prognostic value to assess the global cardiac function. Their value has been largely established in hospital settings. Currently, STI are considered a promising tool for long-term patient follow-up with chronic cardiovascular diseases. Several technologies exist that enable beat-by-beat(More)
There is an unmet need for cuff-less blood pressure (BP) monitoring especially, in personal healthcare applications. The pulse arrival time (PAT) approach might offer a suitable solution to enable comfortable BP monitoring even at beat-level. However, the methodology is based on hemodynamic surrogate measures, which are sensitive to patient activities such(More)
The presence of motion artifacts in the photoplethysmographic (PPG) signals is one of the major obstacles in the extraction of reliable cardiovascular parameters in real time and continuous monitoring applications. In the current paper we present an algorithm for motion artifact detection, which is based on the analysis of the variations in the time and(More)
The Pulse Transit Time (PTT) is generally assumed to be a good surrogate measure to comfortably track blood pressure (BP) and blood pressure changes. This paper investigates PTT variations for healthy young subjects during a sequence of short-term physical exercises. PTT was measured by two different methodologies having different measurement accuracies as(More)
This paper addresses the estimation of systolic time intervals, namely the pre-ejection period (PEP) and the left ventricular ejection time (LVET), using heart sound. PEP is estimated with a Bayesian approach resorting to the signal's instantaneous amplitude and typical time intervals between atrio-ventricular valve closure and aortic valve opening. As for(More)
BACKGROUND Hemodynamic monitoring in hospitalized patients is crucial since in clinical practice unexpected deterioration of cardiovascular function (e.g. pulmonary embolism resulting in syncope) remains a serious problem and an important cause of death. Standard pulse oximetrie in low acuity settings is nowadays predominately used to monitor peripheral(More)
A lumped model of the arterial circulation is applied to the study of the dependencies between blood pressure and systolic time-intervals (PEP, LVET). The left ventricle is handled as a pressure source directly coupled with the varying vascular conditions. Four factors are individually considered: peripheral resistance, LV contractility, end diastolic(More)
BACKGROUND Neurally mediated syncope (NMS) is a common disorder that is triggered by orthostatic stress. The circulatory adjustments to orthostatic stress occur just prior to a sudden loss of consciousness. NMS prediction would protect patients from falls or accidents. METHODS AND RESULTS Based on simultaneously recorded heart rate (HR) and pulse wave(More)
Blood pressure regulation failures cause neurally mediated syncope often resulting in a fall. A warning device might help to make patients aware of an impending critical event or even trigger the patient to perform countermeasures such as lying down or isometric exercises. We previously demonstrated that the Pulse Arrival Time (PAT) methodology is a(More)