Evidence map›Paper›PMID 40606233›Full record

ArticleFrontiers in physiology2025

Oscillometric blood pressure measurement: modeling and analysis of the area oscillogram and height oscillogram.

Vishaal Dhamotharan, Hao-Min Cheng, Shih-Hsien Sung, Chen-Huan Chen, Cederick Landry, Mark Freithaler, Aman Mahajan, Sanjeev G Shroff, Jin-Oh Hahn, Ramakrishna Mukkamala

Abstract read
In one paragraph

Article in Frontiers in physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Vishaal DhamotharanDepartment of Bioengineering, University of Pittsburgh, Pittsburgh, PA, United States.
Hao-Min ChengSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Shih-Hsien SungSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Chen-Huan ChenSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Cederick LandryDepartment of Mechanical Engineering, University of Sherbrooke, Sherbrooke, QC, Canada.
Mark FreithalerDepartment of Bioengineering, University of Pittsburgh, Pittsburgh, PA, United States.
Aman MahajanDepartment of Bioengineering, University of Pittsburgh, Pittsburgh, PA, United States.
Sanjeev G ShroffDepartment of Bioengineering, University of Pittsburgh, Pittsburgh, PA, United States.
Jin-Oh HahnDepartment of Mechanical Engineering, University of Maryland, College Park, MD, United States.
Ramakrishna MukkamalaDepartment of Bioengineering, University of Pittsburgh, Pittsburgh, PA, United States.

Funding

Cardiovascular Bioengineering Training ProgramT32HL076124 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SANJEEV G SHROFF · 2005 to 2026
$7.0M
Smart Cuff: Multi-Parameter Hemodynamic Monitoring via a Single Convenient DeviceR01HL163691 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAMAKRISHNA MUKKAMALA, Aman Mahajan · 2023 to 2026
$2.7M
NHLBI NIH HHS R01 HL163691NHLBI NIH HHS T32 HL076124
6 · The paper itself

Abstract

Objective: Oscillometry is the most popular blood pressure (BP) measurement method. Conventionally, BP is computed from the oscillation height versus cuff pressure function ("height oscillogram"). However, the oscillation shape also changes with cuff pressure. The objectives were to mathematically model oscillation shape and height variations as a function of cuff pressure and analyze these models using patient data. Methods: The patient data comprised oscillometric arm cuff pressure and invasive brachial BP waveforms from 109 patients with diverse BPs. The data were analyzed to show that the oscillation area versus cuff pressure function ("area oscillogram") in particular could be reliably constructed while offering distinct information to the height oscillogram. An analytical model of the area oscillogram was developed with four unknown parameters representing the widths of the brachial artery compliance curve over positive and negative transmural pressure ranges and systolic and diastolic BPs. With invasive systolic and diastolic BPs as inputs, this model and a previous height oscillogram model with the same four parameters, were evaluated in terms of fitting individual patient oscillograms. The impact of key assumptions of the models was evaluated as well. Results: The area and height oscillogram models fitted the patient data well with errors of 6.9% ± 0.3% and 8.7% ± 0.4%, respectively. Cuff-arm-artery viscoelasticity affected the height oscillogram model fitting, while cuff-arm system nonlinearity may affect area oscillogram model parameter estimates. Conclusion: Despite simplifying assumptions, the proposed area and previous height oscillogram models can reproduce measured patient oscillograms well. These models may ultimately help improve oscillometric BP measurement accuracy.

Indexed as

arterial complianceblood volume oscillationscuff-arm compliancecuff blood pressuremathematical modeloscillometryparameter estimationviscoelasticity

Identifiers

PMID40606233
PMCPMC12213439

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.