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Centre for Doctoral Training in Healthcare Innovation Institute of Biomedical Engineering Department of Engineering Science University of Oxford Current issues in healthcare Blood Pressure Monitoring June 27, 2022

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Page 1: Centre for Doctoral Training in Healthcare Innovation Institute of Biomedical Engineering Department of Engineering Science University of Oxford Current

Centre for Doctoral Training in Healthcare InnovationInstitute of Biomedical EngineeringDepartment of Engineering ScienceUniversity of Oxford

Current issues in healthcare

Blood Pressure Monitoring

April 20, 2023

Page 2: Centre for Doctoral Training in Healthcare Innovation Institute of Biomedical Engineering Department of Engineering Science University of Oxford Current

The burden of hypertension

Hypertension is one of the leading causes of death and disability in developing countries

Increases the risk of coronary arteries damage, heart attack, stroke, among others

By the year of 2025, 29% of the adult population will suffer from hypertension*

It is an indicator of other conditions such as pre-eclampsia

Current issues in healthcare

*Kearney P, Whelton M, Reynolds K, Muntner P, Whelton P, He J. Global burden of hypertension: analysis of worldwide data. The Lancet, 2005. 365(9455): p. 217-223

Hypertension is defined as BP> 140/90 mmHg in previously normotensive OR

Rise in BP of > 30/15 mmHg compared to BP at baseline

April 20, 2023

Trends in Maternal Mortality: 1990 to 2008, WHO 2010

Pre-eclampsia Foudation website: http://www.preeclampsia.org/

Page 3: Centre for Doctoral Training in Healthcare Innovation Institute of Biomedical Engineering Department of Engineering Science University of Oxford Current

Different methods are available to measure the BP

Current non-invasive BP systems

Current issues in healthcare

Electronic Devices

Oscillometric Method

Korotkoff Sounds

DiastolicBP

Traditional Method

April 20, 2023

Heart Rate

SystolicBP

Page 4: Centre for Doctoral Training in Healthcare Innovation Institute of Biomedical Engineering Department of Engineering Science University of Oxford Current

Different methods are available to measure the BP

Current issues in healthcare

Electronic Devices

Oscillometric Method

Korotkoff Sounds

DiastolicBP

Traditional Method

THE PROBLEM?

April 20, 2023

Heart Rate

SystolicBP

Current non-invasive BP systems

Page 5: Centre for Doctoral Training in Healthcare Innovation Institute of Biomedical Engineering Department of Engineering Science University of Oxford Current

Inaccuracy of the oscillometric method

Current issues in healthcare April 20, 2023

The problem

Page 6: Centre for Doctoral Training in Healthcare Innovation Institute of Biomedical Engineering Department of Engineering Science University of Oxford Current

Inaccuracy of the oscillometric method

Current issues in healthcare April 20, 2023

The problem

Page 7: Centre for Doctoral Training in Healthcare Innovation Institute of Biomedical Engineering Department of Engineering Science University of Oxford Current

Inaccuracy of the oscillometric method

Current issues in healthcare April 20, 2023

The problem

? ?

MAP

SBP

DBP

Page 8: Centre for Doctoral Training in Healthcare Innovation Institute of Biomedical Engineering Department of Engineering Science University of Oxford Current

EWH-Oxford developed a low-cost, simple and easy-to-use device with mobile phone connection. However… It uses the oscillometric method

Can we improve the blood pressure measurement? (accuracy of BP readings)

Can we use information from other sensors? (ECG, PPG, etc …)

What can we do to improve this?

Current issues in healthcare April 20, 2023

BP Group website: http://code.google.com/p/ewh-bp-project/