본문 바로가기
KERD
논문KCI 등재

토노메트리 방식 맥파 측정의 가입 각도에 따른 변동성 평가

Variation Factor Assessment of Radial Artery Pulse by the Tonometry Angle of the Pulse Pressure Sensor

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

주제분류공학일반

초록

A pulse measurement by tonometry provides useful information for diagnosis, including not only blood pressure and heart rate but also parameters for estimating a condition of the cardiovascular system. Currently, various pulse measurement devices based on the tonometry have been developed. A reliability of these devices is determined by a positioning technic between the sensor and the blood vessel and a controlling technique of the pressurization level. An angle of the sensor for the pulse measurement seems to be highly related with a measured signal, however, the objective studies for this issue have been not published. In this paper, the variation of the pulse signals by tonometry direction was experimentally assessed according to the angle of the sensor. In order for guaranteeing the repeatability of the experiment, we used a pulse generator device, which can generate human pulse signal by using silicon tube and fluid pump, and developed a structure for precise adjustment of the angle and the pressurization level of the sensor. The angle of the sensor was acquired by an inclinometer, which was attached at the opposite side of the sensor. As results, a coefficient of variation (CV) of a maximum amplitude (MA) of the pulse wave was largely increased over the angle range of -9°~9°. Furthermore, the changes of the pulse shape showed different aspects according to the sign of the angle tilted along the blood vessel. It is expected that the results of this study can be helpful for developing more precise pulse measurement devices based on the tonometry and applying in clinic.

Abstract

A pulse measurement by tonometry provides useful information for diagnosis, including not only blood pressure and heart rate but also parameters for estimating a condition of the cardiovascular system. Currently, various pulse measurement devices based on the tonometry have been developed. A reliability of these devices is determined by a positioning technic between the sensor and the blood vessel and a controlling technique of the pressurization level. An angle of the sensor for the pulse measurement seems to be highly related with a measured signal, however, the objective studies for this issue have been not published. In this paper, the variation of the pulse signals by tonometry direction was experimentally assessed according to the angle of the sensor. In order for guaranteeing the repeatability of the experiment, we used a pulse generator device, which can generate human pulse signal by using silicon tube and fluid pump, and developed a structure for precise adjustment of the angle and the pressurization level of the sensor. The angle of the sensor was acquired by an inclinometer, which was attached at the opposite side of the sensor. As results, a coefficient of variation (CV) of a maximum amplitude (MA) of the pulse wave was largely increased over the angle range of -9°~9°. Furthermore, the changes of the pulse shape showed different aspects according to the sign of the angle tilted along the blood vessel. It is expected that the results of this study can be helpful for developing more precise pulse measurement devices based on the tonometry and applying in clinic.

참고문헌 (15)

  1. W. W Nichols, "Clinical measurement of arterial stiffness obtained from noninvasive pressure waveforms", Am. J. Hypertens, 18, pp.3~10 (2005)
  2. K. Kohara, "Radial augmentation index: a useful and easily obtainable parameter for vascular aging", Am. J. Hypertens, 18, pp.11~15
  3. Y. Y. L. Wang, "Analysis of transverse wave as a propagation mode for the pressure pulse in large arteries", J. Appl. Phys., 102(6) (2007)
  4. 김현호, "Development of pulse diagnostic devices in Korea", Integrative Medicine Research, 2(1), pp.7~17 (2013), 한국한의학연구원[DOI]
  5. S. S. Lee, "Measurement of blood pressure using an arterial pulsimeter equipped with a Hall device", Sensors, 11(2), pp.1784~1793 (2011)
  6. 김영민, "맥 센서 어레이(array)의 실리콘(silicone) 코팅 두께에 따른 센서 간 간섭효과", 센서학회지, 25(1), pp.35~40 (2016), 한국센서학회[DOI]
  7. C. S. Hu, "Temporal and spatial properties of arterial pulsation measurement using pressure sensor array", Evid. Based Complement. Alternat. Med. (2012)[DOI]
  8. G. C. Kim, "A study on the waveform analysis of left kwan pulse diagnosis by the pressure", J. Korea Inst. Orient. Med, 13(1), pp.20~36 (2009)
  9. J. Alastruey, "Physical determining factors of the arterial pulse waveform : Theoretical analysis and calculation using the 1-D formulation", J. Eng. Math, 77(1), pp.19~37 (2012)
  10. Shing-Hong Liu, "Quantitative Analysis of Sensor for Pressure Waveform Measurement", BioMedical Engineering OnLine, 9(1), pp.6~ (2010), Springer Nature[DOI]
  11. Weber, T., "Arterial stiffness, wave reflections, and the risk of coronary artery disease", Circulation, 109, pp.184~189 (2004)
  12. 유현희, "문헌을 통한 맥상의 물리적 요소 분석", 동의생리병리학회지, 21(6), pp.1381~1387 (2007), 한의병리학회
  13. Kim, J. U., "Novel diagnostic model for the deficient and excess pulse qualities", Evid. Based Complement. Alternat. Med, pp.563958~ (2012)[DOI]
  14. Kim, J. U., "Novel diagnostic algorithm for the floating and sunken pulse qualities and its clinical test", Evid. Based Complement. Alternat. Med, pp.813427~ (2011)[DOI]
  15. Kim, J. U., "Differences in the properties of the radial artery between cun, guan, chi, and nearby segments using ultrasonographic imaging: A pilot study on arterial depth, diameter, and blood flow", Evid. Based Complement. Alternat. Med., 2015 (2015)

관련 논문AI추천

이 간행물의 다른 논문 (11건)