CARDIOVASCULAR STATE DETERMINATION APPARATUS AND METHOD OF USE THEREOF
The invention comprises a method for estimating state of a cardiovascular system, comprising the steps of: providing a cardiac analyzer, comprising: a blood pressure sensor, the blood pressure sensor generating a time-varying pressure state waveform output from a portion of a person; a system processor connected to the blood pressure sensor; and a dynamic state-space model of a cardiovascular system, the system processor receiving cardiovascular input data, from the blood pressure sensor, related to a transient pressure state of the cardiovascular system, where at least one probabilistic model, of the dynamic state-space model, operating on the time-varying pressure state waveform output generates a probability distribution function to a non-pressure state of the cardiovascular system. The probability distribution function is iteratively updated using synchronized updated time-varying pressure state waveform output from the blood pressure sensor and a non-pressure state output related to a cardiovascular system parameter is generated.
1 . A method for estimating a state of a cardiovascular system of a person, comprising the steps of:
providing a cardiac analyzer, comprising:
a blood pressure sensor, said blood pressure sensor generating a time-varying pressure state waveform output from at least one of a limb, a head, a nose, a forehead, and an ear of the person;
a system processor connected to said blood pressure sensor; and
a dynamic state-space model of a cardiovascular system;
said system processor receiving cardiovascular input data, from said blood pressure sensor, related to a transient pressure state of the cardiovascular system;
at least one probabilistic model, of said dynamic state-space model, operating on the time-varying pressure state waveform output to generate a probability distribution function to a non-pressure state of the cardiovascular system;
iteratively updating said probability distribution function using updated time-varying pressure state waveform output from said blood pressure sensor; and
said system processor processing the probability distribution function to generate a non-pressure state output related to the cardiovascular system,
said output provided to at least one of:
the person on an output screen;
a medical professional on a display screen; and
an artificial intelligence system.
2 . The method of claim 1 , wherein said non-pressure state output related to the cardiovascular system comprises at least one of:
a heart state;
a stroke volume of a heart of the person;
a valve regurgitation state;
a valve regurgitation flow rate; and
a reverse flow of blood through a heart valve.
3 . The method of claim 2 , said dynamic state-space model of the cardiovascular system comprising:
a state-space model of a dynamic pumping action of a heart of the person.
4 . The method of claim 3 , further comprising the step of:
prognosticating an arrhythmia.
5 . The method of claim 1 , wherein said non-pressure state output related to the cardiovascular system comprises at least one of:
an arterial state;
a vascular compliance;
a vascular resistance;
a central venous pressure;
a mean arterial pressure; and
an arterial compliance of the person.
6 . The method of claim 2 , said dynamic state-space model of the cardiovascular system comprising:
a state-space model of at least one of an aorta, an artery, and a vein of said cardiovascular system.
7 . The method of claim 1 , further comprising the step of:
determining time varying blood pressure from time varying pulse ox measurements.
8 . The method of claim 1 , further comprising the step of:
determining first noise resultant from motion with a second instrument; and
filtering second noise from said blood pressure instrument at a time period of said first noise.
9 . The method of claim 1 , further comprising a step of:
collecting said time-varying pressure state waveform with a pulse oximeter.
10 . The method of claim 9 , further comprising the step of:
combining first data from said pulse oximeter with second data from an electrocardiogram.
11 . The method of claim 9 , further comprising the step of:
combining first data from said pulse oximeter with second data from a blood pressure cuff.
12 . The method of claim 1 , further comprising the step of:
combining said time varying blood pressure data with a hemodynamics physical model to yield a valve regurgitation state.
13 . The method of claim 1 , further comprising a step of:
adjusting said dynamic state-space model with at least one of:
an age fitting constant; and
a gender fitting constant.
14 . The method of claim 1 , further comprising a step of:
adjusting said dynamic state-space model with a physical model including medical history of the person.
15 . The method of claim 1 , further comprising the step of:
incorporating into said dynamic state-space model of the cardiovascular system a physical model of a portion of said cardiovascular system outside of a heart of the person.
16 . The method of claim 1 , further comprising the step of:
incorporating into said dynamic state-space model of the cardiovascular system a physical model of a portion of a heart of the person.
17 . The method of claim 1 , further comprising the step of:
determining a time varying blood pressure from time varying light absorbance measurements.