Evidence map›Paper›PMID 37150940›Full record

ArticleArtificial organs2023

Noninvasive finger plethysmography for continuous blood pressure monitoring in patients with left ventricular assist device.

Christopher G Favilla, Sarah C Carter, Pavan Atluri, Navpreet Reehal, Michael V Genuardi

Open access · greenAbstract read
In one paragraph

Article in Artificial organs, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 62% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Christopher G FavillaDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-0871-9549
Sarah C CarterDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Pavan AtluriDepartment of Cardiothoracic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Navpreet ReehalDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Michael V GenuardiDivision of Cardiology, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
University of Pennsylvania · US

Funding

Optical Monitoring of Cerebral Hemodynamics during Mechanical ThrombectomyK23NS110993 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI FAVILLA, CHRISTOPHER G. · 2019 to 2023
$1.0M
NINDS NIH HHS K23 NS110993NINDS NIH HHS K23-NS110993
6 · The paper itself

Abstract

backgroundAccurate blood pressure (BP) measurement remains challenging in patients with HeartMate 3™ left ventricular assist devices (HM3 LVADs). The Finapres® NOVA is a promising non-invasive continuous BP monitor that uses the volume clamp method via a finger cuff, so here we aimed to validate the instrument in HM3 patients.

methodsIn a single-center cohort, BP was monitored in 15 patients within 72 h following HM3 implantation. A radial artery catheter quantified arterial blood pressure (ABP), while the NOVA measured finger arterial pressure (fiAP) and reconstructed brachial artery pressure (reBAP). Waveforms were recorded for 10 min, and mean values were calculated in 15-s intervals. RESUTS: fiAP and ABP were moderately correlated during both the first (ICC 0.61, p = 0.04) and final measurements (ICC 0.66, p = 0.03). reBAP and ABP were strongly correlated during both the first (ICC 0.81, p = 0.002) and final measurements (ICC 0.83, p = 0.001). Both NOVA-derived values may underestimate low BP values while overestimating relatively high BP values. The reBAP was within 5 mm Hg of the ABP in 40% of patients (and within 10 mm Hg in 67%).

conclusionsThis pilot represents the first evidence in support of the Finapres® NOVA for non-invasive BP measurement in select patients with HM3 LVADs. The instrument may provide useful data during BP medication adjustments or pump titration, but despite the correlation between the non-invasive reBAP and invasive ABP, individual-level inaccuracy may be clinically meaningful. Further investigation is needed to clarify these limitations and optimize accuracy before widespread adoption in this unique patient population.

Indexed as

Heart-Assist DevicesArterial PressureBlood PressureBlood Pressure DeterminationHumansPlethysmographyblood pressureleft ventricular assist device

Identifiers

PMID37150940
PMCPMC12884544
OpenAlexW4375856474

What OpenQuestion holds

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LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.