Cardiorespiratory dysregulation in hypertensive cardiomyopathy and chronic obstructive pulmonary disease
Responsible:
-
-
Start date: 2010-01-01
Length: 48 months
Project abstract
Cardiovascular disease is the primary cause of death worldwide. The cardiovascular and cardiorespiratory systems operate in continuous dynamic interplay, under the influence of numerous neurally and mechanically-mediated regulatory mechanisms.
To date, a major shortcoming lies in the nonaccessibility of the “true” system variables, such as ventricular and intrathoracic pressures, to name but a few. Quantitative analyses usually operate on an under-determined system, which is represented by surrogate variables.
This project removes this limitation by combining state-of the art linear and nonlinear signal processing techniques with cardiovascular and cardiorespiratory data collected from patients undergoing major surgery, which requires extensive invasive cardiovascular monitoring. The general objectives are the extraction of indexes of diagnostic/prognostic values, the validation of non-invasive indexes through the construction of invasive gold standards, and the study and development of reliable tools to identify the preoperative cardiovascular and emodynamic risk of patients.
To date, a major shortcoming lies in the nonaccessibility of the “true” system variables, such as ventricular and intrathoracic pressures, to name but a few. Quantitative analyses usually operate on an under-determined system, which is represented by surrogate variables.
This project removes this limitation by combining state-of the art linear and nonlinear signal processing techniques with cardiovascular and cardiorespiratory data collected from patients undergoing major surgery, which requires extensive invasive cardiovascular monitoring. The general objectives are the extraction of indexes of diagnostic/prognostic values, the validation of non-invasive indexes through the construction of invasive gold standards, and the study and development of reliable tools to identify the preoperative cardiovascular and emodynamic risk of patients.
Project results
- G. Dorantes-Mendez, F. Aletti, N. Toschi, A. Canichella, M. Dauri, F. Coniglione, M. Guerrisi, MG. Signorini, S. Cerutti, M. Ferrario. "Baroreflex sensitivity variations in response to propofol anesthesia: comparison between normotensive and hypertensive patients". Journal of clinical monitoring and computing, vol.27, pp. 417-26, 2013.
- G. Dorantes-Mendez, F. Aletti, N. Toschi, M. Guerrisi, F. Coniglione, M. Dauri, G. Baselli, MG Signorini, S. Cerutti, M. Ferrario. "Effects of propofol anesthesia induction on the relationship between arterial blood pressure and heart rate". Conference proceedings : Annual International Conference of the IEEE Engineering in Medicine and Biology Society 2012. Pp. 2835-2838, 2012.
- S. Pala, F. Aletti, N. Toschi, M. Guerrisi, F. Coniglione, M. Dauri, G. Baselli, M. Ferrario. "Comparisons of predictors of fluid responsiveness in major surgery". Conference proceedings : Annual International Conference of the IEEE Engineering in Medicine and Biology Society 2012. Pp. 3128 -3130, 2012.
- M. Ferrario, F. Aletti, N. Toschi, A. Canichella, F. Coniglione, E. Sabato, F. Della Badia Giussi, M. Dauri, AF. Sabato, M. Guerrisi, S. Cerutti. "Arterial blood pressure regulation following aorta clamping and declamping during surgery". Conference proceedings : Annual International Conference of the IEEE Engineering in Medicine and Biology Society 2011. Pp. 8428 - 8431, 2011.