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Non-Invasive Blood Pressure Waveform Monitoring in Mice
By
Andrew McClellan
Laura Miller
The Need for Blood Pressure Measurements• Baseline levels
• Effects of pharmacological drug administration
• Exercise or Food Studies
• Behavioral Response Studies
• Effects of genetic alterations
Need for Continuous Waveform Measurements vs. Single Measurements
• Single measurements only give max and min (systolic / diastolic)
• Continuous waveforms needed for frequency analysis– autonomic nervous system responses– blood pressure variability– baroreceptor function
• Examining blood pressure changes over time, like during behavioral tests
What Currently Exists
Mouse Human
Beat-to-beat Tail Cuff Arm Cuff
Continuous • Arterial Line• Implanted Catheter/
Transmitter
• Finger Cuff (Finapres)
Beat to beat BP measurements: Korotkoff Method
Mouse: inflatable tail cuff
www.TSE-systems.com
Human: inflatable arm cuff
http://www.geocities.com/lorijean_2002/academia/sphygmomanometer.jpg
What Currently Exists
Mouse Human
Beat-to-beat Tail Cuff Arm Cuff
Continuous • Arterial Line•Implanted Catheter/
Transmitter
Finger Cuff (Finapres)
What Currently Exists for Mice: Implantable transmitters•Catheter pressure transducers (Data Sciences International)
•Continuous waveform
•Require surgical implantation into carotid artery
•Mice need at least 3 weeks post-surgery recovery time for stabilization of BP/HR
•Transmitters are expensive and require corresponding receiver hardware and analysis software ($600/transmitter + $100/each battery exchange + $1000s in receivers and software)
Mills P, et al. The design and performance of an implantable device for monitoring blood pressure, heart rate, and movement activity from conscious freely moving laboratory mice. 2nd International Conference on Methods and Techniques in Behavioral Research, 1998.
Mills PA, et al A new method for measurement of blood pressure, heart rate, and activity in the mouse by radiotelemetry. J Appl Physiol. 2000 May;88(5):1537-44
What Currently Exists
Mouse Human
Beat-to-beat Tail Cuff Arm Cuff
Continuous • Arterial Line• Implanted Catheter/
Transmitter
• Finger Cuff (Finapres)
What Currently Exists: finger cuff measurements
Finapres
• Non-invasive
• Continuous waveform
• Finger cuff
Bogert LW, et al. Non-invasive pulsatile arterial pressure and stroke volume changes from the human finger. Exp. Physiol 90.4 pp 437-446. 2005
What Currently Exists
Mouse Human
Beat-to-beat Tail Cuff Arm Cuff
Continuous • Arterial Line• Implanted Catheter/
Transmitter
• Finger Cuff (Finapres)
Problem: There are no blood pressure devices that non-invasively measure a continuous waveform in mice
Our project goal
Non-invasive, continuous blood pressure waveform measurement in mice
Challenges From Adapting a Human Device
• Size – mice are much smaller
• Physiological Parameters –
HR = 500-700bpm, BP = 100-250mmHg
• Cuff – must work for above pressures
• System response – high frequency
Peňáz Method
• Dynamic pulsatile unloading of the arterial walls
• Volume clamp method
• Pressure needed to maintain mean arterial volume equals the blood pressure waveform
Plethysmographic Signal
• Obtained through measuring optical impedance through blood vessel in tail
• Optical impedance corresponds to volume of blood in artery
How it Works
• Blood volume α blood pressure
• Blood volume α optical impedance (plethysmographic signal)
• Use optical impedance to determine necessary pressure to maintain mean arterial volume
Transduction
Blood Volume = Blood Pressure
P-signal (voltage)
(photosensor)
Pressure Wave
invert & offset
(speaker)
(tail cuff)
Tail Cuff with Photosensor
www.TSE-systems.com
Peňáz Method1. Obtain plethysmographic signal2. Ramp up cuff-pressure until Vp-p of plethymographic signal is
max (offset)3. Invert plethysmographic signal4. Convert electrical signal to a pressure waveform in the tail cuff5. Increase gain until p-signal fluctuations in plethysmographic
signal are minimal
max
ramp-up
increase gain
ramp-up
Peňáz Method
max
ramp-up
increase gain
ramp-up
Circuit
buffer gain offset audio amp
Schematic
tail cuff
Harvard plethysmogram / pressure monitor
computer
pump
speaker
amplify offset
plethysmographic signal
pressure signal
analog circuit
Lab Setup
Economic AnalysisDevice:• Tail Cuff with Photosensor $400• Circuit components $10• Speaker $5• Power Source $100• Air pump $50• Pressure Sensor $100
$665Acquisition software/hardware• Windaq $2000
Plan of Attack• Use existing tail cuff• Obtain a plethysmographic signal• Build an analog circuit to amplify and
offset the signal• Use speaker to transduce voltage to
pressure• Obtain blood pressure waveform• Check waveform against catheter
transducer