A Wireless Wearable Doppler Ultrasound Detects Changing Stroke Volume: Proof-of-Principle Comparison with Trans-Esophageal Echocardiography during Coronary Bypass Surgery Article Swipe
Jon‐Émile S. Kenny
,
Geoffrey D. Clarke
,
Matt Myers
,
Mai Elfarnawany
,
Andrew M. Eibl
,
Joseph K. Eibl
,
Bhanu Nalla
,
Rony Atoui
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.3390/bioengineering8120203
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.3390/bioengineering8120203
Background: A novel, wireless, ultrasound biosensor that adheres to the neck and measures real-time Doppler of the carotid artery may be a useful functional hemodynamic monitor. A unique experimental set-up during elective coronary artery bypass surgery is described as a means to compare the wearable Doppler to trans-esophageal echocardiography (TEE). Methods: A total of two representative patients were studied at baseline and during Trendelenburg position. Carotid Doppler spectra from the wearable ultrasound and TEE were synchronously captured. Areas under the receiver operator curve (AUROC) were performed to assess the accuracy of changing common carotid artery velocity time integral (ccVTI∆) at detecting a clinically significant change in stroke volume (SV∆). Results: Synchronously measuring and comparing Doppler spectra from the wearable ultrasound and TEE is feasible during Trendelenburg positioning. In two representative cardiac surgical patients, the ccVTI∆ accurately detected a clinically significant SV∆ with AUROCs of 0.89, 0.91, and 0.95 when single-beat, 3-consecutive beat and 10-consecutive beat averages were assessed, respectively. Conclusion: In this proof-of-principle research communication, a wearable Doppler ultrasound system is successfully compared to TEE. Preliminary data suggests that the diagnostic accuracy of carotid Doppler ultrasonography at detecting clinically significant SV∆ is enhanced by averaging more cardiac cycles.
Related Topics
Concepts
Medicine
Cardiology
Ultrasound
Doppler echocardiography
Doppler effect
Internal medicine
Stroke (engine)
Doppler ultrasound
Proof of concept
Radiology
Stroke volume
Wearable computer
Computer science
Engineering
Physics
Ejection fraction
Embedded system
Diastole
Blood pressure
Heart failure
Operating system
Mechanical engineering
Astronomy
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/bioengineering8120203
- https://www.mdpi.com/2306-5354/8/12/203/pdf?version=1638953885
- OA Status
- gold
- Cited By
- 16
- References
- 26
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4200423754
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4200423754Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/bioengineering8120203Digital Object Identifier
- Title
-
A Wireless Wearable Doppler Ultrasound Detects Changing Stroke Volume: Proof-of-Principle Comparison with Trans-Esophageal Echocardiography during Coronary Bypass SurgeryWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-12-08Full publication date if available
- Authors
-
Jon‐Émile S. Kenny, Geoffrey D. Clarke, Matt Myers, Mai Elfarnawany, Andrew M. Eibl, Joseph K. Eibl, Bhanu Nalla, Rony AtouiList of authors in order
- Landing page
-
https://doi.org/10.3390/bioengineering8120203Publisher landing page
- PDF URL
-
https://www.mdpi.com/2306-5354/8/12/203/pdf?version=1638953885Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/2306-5354/8/12/203/pdf?version=1638953885Direct OA link when available
- Concepts
-
Medicine, Cardiology, Ultrasound, Doppler echocardiography, Doppler effect, Internal medicine, Stroke (engine), Doppler ultrasound, Proof of concept, Radiology, Stroke volume, Wearable computer, Computer science, Engineering, Physics, Ejection fraction, Embedded system, Diastole, Blood pressure, Heart failure, Operating system, Mechanical engineering, AstronomyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
16Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 4, 2024: 3, 2023: 8, 2022: 1Per-year citation counts (last 5 years)
- References (count)
-
26Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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