Continuous noninvasive blood pressure measurement by pulse transit time

Abstract

Blood pressure measurement is performed either invasively by an intra arterial catheter or noninvasively by cuff sphygmomanometry. The invasive method is continuous and accurate but has increased risk; the cuff is safe but less reliable and infrequent. A reliable continuous noninvasive blood pressure measurement is highly desirable. While the possibility of using pulse transit time to monitor blood pressure has previously been investigated, most studies were limited to calculating the correlation of the pulse transit time and blood pressure under rather static conditions. The relationship between the pulse transit time and blood pressure is yet to be clearly identified. This paper focuses on the modeling between the two values and presents results on cases where dramatic variation in blood pressure of the patient was induced by drug administration or surgical stimulation.