Identification of patients prone to hypotension during hemodialysis based on the analysis of cardiovascular signals.

Abstract:

:Intradialytic hypotension (IDH) is a major complication during hemodialysis treatment, and therefore it is highly desirable to identify, at an early stage during treatment, whether the patient is prone to IDH. Heart rate variability (HRV), blood pressure variability (BPV) and baroreflex sensitivity (BRS) were analyzed during the first 30 min of treatment to assess information on the autonomic nervous system. Using the sequential floating forward selection method and linear classification, the set of features with the best discriminative power was selected, resulting in an accuracy of 92.1%. Using a classifier based on the HRV features only, thereby avoiding that continuous blood pressure has to be recorded, accuracy decreased to 90.2%. The results suggest that an HRV-based classifier is useful for determining whether a patient is prone to IDH at the beginning of the treatment.

journal_name

Med Eng Phys

authors

Hernando D,Sörnmo L,Sandberg F,Laguna P,Llamedo M,Bailón R

doi

10.1016/j.medengphy.2015.10.003

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

1156-61

issue

12

eissn

1350-4533

issn

1873-4030

pii

S1350-4533(15)00234-9

journal_volume

37

pub_type

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