하지에서의 광용적맥파와 말초동맥질환 표지자의 상관관계 연구
A Study on Relations of Peripheral Arterial Disease Marker and Photoplethysmography Measured from the Lower Limb
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
In this study, photoplethysmography(PPG) was suggested as a way to replace the ankle-brachial index(ABI) in diagnosing PAD. The method using the PPG was presented for the simplification of the PAD diagnosis method which was used before. And the index related to the health condition of the artery from the PPG measured in both big toes of the subjects through the experiment was drawn. The indexes showing the significant relativeness in the Pearson correlation analysis with the ABI were the stiffness index(SI), reflection index(RI); it was confirmed each of them had the correlation coefficient of 0.688, and 0.637 at p < 0.05. The explanation ability of the linear regression equation derived using ABI, SI and RI was 52.5%. The explanation ability of the secondary curve regression equation derived using ABI, squared SI was 54.7%. It is expected to provide patients with significant results and draw the index associated with PAD by measuring PPG easily in the real life instead of the ambulatory care field.
Abstract
In this study, photoplethysmography(PPG) was suggested as a way to replace the ankle-brachial index(ABI) in diagnosing PAD. The method using the PPG was presented for the simplification of the PAD diagnosis method which was used before. And the index related to the health condition of the artery from the PPG measured in both big toes of the subjects through the experiment was drawn. The indexes showing the significant relativeness in the Pearson correlation analysis with the ABI were the stiffness index(SI), reflection index(RI); it was confirmed each of them had the correlation coefficient of 0.688, and 0.637 at p < 0.05. The explanation ability of the linear regression equation derived using ABI, SI and RI was 52.5%. The explanation ability of the secondary curve regression equation derived using ABI, squared SI was 54.7%. It is expected to provide patients with significant results and draw the index associated with PAD by measuring PPG easily in the real life instead of the ambulatory care field.
참고문헌 (24)
- M. D. Gerhard-Herman, "2016 AHA", ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease : Executive Summary, 2016, ~
- M. E. Debakey, "Patterns of Atherosclerosis and Their Surgical Significance", Annals of Surgery, 201(2), pp.115~131 (1985)
- A. D. Association, "Peripheral arterial disease in people with diabetes", Diabetes care, 26(12), pp.3333~3341 (2003)
- The Korean Academy of Clinical Geriatrics, "Principles of Geriatric Medicine", pp.214~246 (2011), Hankook Book
- 최희정, "말초동맥질환의 진단과 치료", Korean Journal of Family Medicine, 29(6), pp.387~394 (2008), 대한가정의학회
- 최승혁, "특집", 말초동맥 폐쇄증의 치료, 2010, pp.53(3), 228~235[DOI]
- The Korean Society of Hypertension, "2013 Hypertension management guidelines", pp.7~49 (2013), The Korean Society of Hypertension
- K. C. Nam, "Diagnosis of neuripathic foot of diabetics using photo-plethysmography", INFORMATION AND CONTROL SYMPOSIUM, 2(1), pp.39~41 (2005)
- J. Allen, "Photoplethysmography detection of lower limb peripheral arterial occlusive disease : a comparison of pulse timing, amplitude and shape characteristics", Physiol Meas, 26(5), pp.811~821 (2005)
- D. G. Brillante, "Arterial stiffness indices in healthy volunteers using noninvasive digital photoplethysmography", Blood pressure, 17(2), pp.116~123 (2008)
- K. Pilt, "Photoplethysmographic signal waveform index for detection of increased arterial stiffness", Physiol Meas, 35(10), pp.2027~2036 (2014)
- A. Perez-Martin, "Validation of a Fully Automatic Photoplethysmographic Device for Toe Blood Pressure Measurement", Eur J Vasc Endovasc Surg, 40(4), pp.515~520 (2010)
- M. S. Whiteley, "Photoplethysmography can replace hand-held Doppler in the measurement of ankle", brachial indices, 1998, pp.80(2), 96~98
- 이충근, "측정부 온도 부하에 따른 광용적맥파 파형 요동 특성 분석", 전기학회논문지, 64(2), pp.304~309 (2015), 대한전기학회[DOI]
- G. Yoon, "Development of a compact home health monitor for telemedicine", Telemed J E Health, 11(6), pp.660~667 (2005)
- M. Folke, "Critical review of non-invasive respiratory monitoring in medical care", Med Biol Eng Comput, 41(4), pp.377~383 (2003)
- J. Muhlsteff, "Wearable approach for continuous ECG-and activity patient-monitoring", IEMBS'04. 26th Annual International Conference of the IEEE, pp.2184~2187 (2004)
- I. Brown, "The ethical challenges of ubiquitous healthcare", International Review of Information Ethics, 8(12), pp.53~60 (2007)
- D. G. Brillante, "Arterial stiffness indices in healthy volunteers using noninvasive digital photoplethysmography", Blood pressure, 17(2), pp.116~123 (2008)
- M. Al-Qaisi, "Ankle brachial pressure index(ABPI) : An update for practitioners", Vasc Health Risk Manag, 5(1), pp.833~841 (2009)
- M. Elgendi, "On the analysis of fingertip photoplethysmogram signals", Curr Cardiol, 8(1), pp.14~25 (2012)
- 이인희, "이차 미분맥파를 이용한 흡연에 의한 혈관의 급성 변화", Korean Journal of Family Medicine, 31(9), pp.679~687 (2010), 대한가정의학회
- Y. Kimura, "Kampo therapy for premenstrual syndrome : Efficacy of Kamishoyosan quantified using the second derivative of the fingertip photoplethysmogram", Journal of Obstetrics and Gynaecology Research, 33(3), pp.325~332 (2007)
- G. R. Kim, "Implementation and evaluation of the system assessing blood pressure and vascular characteristic indices using pressure pulse wave and photoplethysmogram", pp.2013
