Abstract
Both wrist pulse and electrocardiogram (ECG) signals are mainly caused by cardiac activities and are valuable in analyzing heart rhythms and cardiac diseases. For noninvasive monitoring, recent studies indicate that ECG and wrist pulse signal can be adopted for the diagnosis of several non-cardiac diseases and reflect the movement of blood and the change of vessel diameter. To reveal the complementarities between pulse signal and ECG, a comparative study of these two signals is conducted for the diagnosis of non-cardiac diseases. The two types of signals are compared based on two classes of indicators: information complexity and classification performance. The results show that wrist pulse blood flow signal is more informative by complexity measure and can achieve higher classification accuracy. Some examples of non-cardiac diseases, e.g., diabetes, liver, and gallbladder diseases, are given to illustrate the strengths of wrist pulse signal.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Braunwald E, “Heart Disease: A Textbook of Cardiovascular Medicine,” 5th ed. Philadelphia, PA: Saunders, 1997.
Meo M, Zarzoso V, Meste O, Latcu DG and Saoudi N. “Spatial variability of the 12-lead surface ECG as a tool for noninvasive prediction of Catheter ablation outcome in persistent atrial fibrillation,” IEEE Trans Biomed Eng, 60: 20–27, 2013.
Liu X, Zheng Y, Phyu MW, Zhao B, Je M and Yuan X. “Multiple functional ECG signal is processing for wearable applications of long-term cardiac monitoring,” IEEE Trans Biomed Eng, 58: 380–389, 2011.
Liu X, Zheng Y, Phyu MW, Zhao B, Je M and Yuan X. “A miniature on-chip multi-functional ECG signal processor with 30 μW ultra-low power consumption,” IEEE Engineering in Medicine and Biology Society (EMBC), 2577–2580, 2010.
Lee CT and Wei LY. “Spectrum analysis of human pulse,” IEEE Trans. Biomed Eng, BME-30: 348–352, 1983.
Wei LY and Chow P. “Frequency distribution of human pulse spectra,” IEEE Trans. Biomedical Engineering, BME-32: 245–246, 1985.
Xu L, Zhang D, Wang K and Wang L. “Arrhythmic pulses detection using Lempel-Ziv complexity analysis,” EURASIP Journal on Advances in Signal Processing, 1-12, 2006.
Nuryani N, Ling SSH and Nguyen HT. “Electrocardiographic signals and swarm-based support vector machine for hypoglycemia detection,” Annals of Biomedical Engineering, 40: 934–945, 2012.
Ling SSH and Nguyen HT. “Genetic-algorithm-based multiple regression with fuzzy inference system for detection of nocturnal hypoglycemic episodes,” IEEE Trans. Information Technology in Biomedicine, 15: 308–315, 2011.
Khandoker AH, Palaniswami M and Karmakar CK. “Support vector machines for automated recognition of obstructive sleep apnea syndrome from ECG recordings,” IEEE Transactions on Information Technology in Biomedicine, 13(1): 37–48, 2009.
Lu WA, Lin Wang YY and Wang WK. “Pulse analysis of patients with severe liver problems: studying pulse spectrums to determine the effects on other organs,” IEEE Engineering in Medicine and Biology Magazine, 18: 73–75, 1999.
Zhang DY, Zuo WM, Zhang D, Zhang HZ and Li NM. “Wrist blood flow signal-based computerized pulse diagnosis using spatial and spectrum features,” Journal of Biomedical Science and Engineering, 3: 361–366, 2010.
Chen YH, Zhang L, Zhang D and Zhang DY. “Computerized wrist pulse signal diagnosis using modified auto-regressive models,” Journal of Medical Systems, 35: 321–328, 2011.
Lai JCY, Leung FHF and Ling SSH. “Hypoglycaemia detection using fuzzy inference system with intelligent optimiser,” Applied Soft Computing, 20: 54–65, 2014.
Walsh S, King E, Pulse Diagnosis: A Clinical Guide. Sydney Australia: Elsevier, 2008.
Wang YYL, Hsu TL, Jan MY and Wang WK. “Review: theory and applications of the harmonic analysis of arterial pressure pulse waves,” Journal of Medical and Biological Engineering, 30.3: 125–131, 2010.
Baruch MC, Kalantari K, Gerdt DW and Adkins CM. “Validation of the pulse decomposition analysis algorithm using central arterial blood pressure,” BioMedical Engineering OnLine, 13:96, 2014.
Fedosov DA, Pan W, Caswell B, Gompper G and Karniadakis GE. “Predicting human blood viscosity in silico,” Proc National Academy of Sciences, 108: 11772–11777, 2011.
Liu L, Zuo W, Zhang D, Li N and Zhang H. “Combination of heterogeneous features for wrist pulse blood flow signal diagnosis via multiple kernel learning,” IEEE Trans. Information Technology in Biomedicine, 16: 599–607, 2012.
Acharya UR, Joseph KP, Kannathal N, Lim CM and Suri JS. “Heart rate variability: a review,” Med Bio Eng Comput, 44: 1031–1051, 2006.
Nuryani N, Ling S, and Nguyen H. “Hybrid particle swarm - based fuzzy support vector machine for hypoglycemia detection.” IEEE International Conference on Fuzzy Systems IEEE, 2012
Lee M, Guzman R, Bell-Stephens T and Steinberg GK. “Intraoperative blood flow analysis of direct revascularization procedures in patients with moyamoya disease,” J Cereb Blood Flow Metab, 31: 262–274, 2011.
Sanchez CE, Schatz J and Roberts CW. “Cerebral blood flow velocity and language functioning in pediatric sickle cell disease,” Journal of the International Neuropsychological Society, 16: 326–334, 2010.
Hsu E, Pulse Diagnosis in Early Chinese Medicine. New York, American: Cambridge University Press, 2010.
Tyan CC, Liu SH, Chen JY, Chen JJ and Liang WM. “A novel noninvasive measurement technique for analyzing the pressure pulse waveform of the radial artery,” IEEE Trans. Biomedical Engineering, 55: 288–297, 2008.
Chen Y, Wen C, Tao G, Bi M and Li G. “Continuous and noninvasive blood pressure measurement: a novel modeling methodology of the relationship between blood pressure and pulse wave velocity,” Annals of Biomedical Engineering, 37: 2222–2233, 2009.
Butlin M, “Structural and functional effects on large artery stiffness: an in-vivo experimental investigation,” PhD Thesis of the University of New South Wales, 2007.
Wang P, Zuo W and Zhang D. “A compound pressure signal acquisition system for multi-channel wrist pulse signal analysis,” IEEE Trans Instrumentation and Measuremen, 63: 1556–1565, 2014.
Xu L, Zhang D, Wang K, Li N and Wang X. “Baseline wander correction in pulse waveforms using wavelet-based cascaded adaptive filter,” Comput Biol Med, 37: 716–731, 2007.
Kilpatrick D and Johnston P. “Origin of the electrocardiogram,” IEEE Engineering in Medicine and Biology Magazine, 13: 479–486, 1994.
Macfarlane PW and Coleman EN. “Resting 12-lead ECG electrode placement and associated problems,” SCST Update 1995, online available at: http://www.scst.org.uk/ resources/RESTING_12.pdf.
Hamilton PS and Tompkins WJ. “Quantitative Investigation of QRS Detection Rules Using the MIT/BIH Arrhythmia Database,” IEEE Trans Biomedical Engineering, BME-33: 1157–1165, 1986.
Costa M, Goldberger AL and Peng CK. “Multiscale entropy analysis of complex physiologic time series,” Physical Review Letters, 89: 1–4, 2002.
Pincus S, “Approximate entropy (ApEn) as a complexity measure,” Chaos: An Interdisciplinary Journal of Nonlinear Science, 5: 110, 1995.
Richman JS and Moorman JR. “Physiological time-series analysis using approximate entropy and sample entropy,” American Journal of Physiology-Heart and Circulatory Physiology, 278: H2039-H2049, 2000.
Pincus SM, “Approximate entropy as a measure of system complexity,” Proc National Academy of Science, 88: 2297–2301, 1991.
Lake DE, Richman JS, Griffin MP and Moorman JR. “Sample entropy analysis of neonatal heart rate variability,”Am J Physiology-Regulatory, Integrative and Comparative Physiology, 283: R789-R797, 2002.
P. De Chazal, M. O'Dwyer and R. B. Reilly. “Automatic classification of heartbeats using ECG morphology and heartbeat interval features,” IEEE Trans. Biomedical Engineering, vol. 51, pp. 1196–1206, Jul. 2004.
McNemar Q. “Note on the sampling error of the difference between correlated proportions or percentages,” Psychometrika, 12: 153–157, 1947.
Xu L, Meng MQH, Wang K, Wang L and Li N. “Pulse image recognition using fuzzy neural network,” Expert Syst Appl, 36: 3805–3811, 2009.
Zhang D, Zuo W, Zhang D and Zhang H. “Time series classification using support vector machine with Gaussian elastic metric kernel,” Proc Int Conf Pattern Recognition, 29-32, 2010.
Zhang D, Zhang L, Zhang D and Zheng Y. “Wavelet-based analysis of Doppler ultrasonic wrist-pulse signals,” Proc BioMed Eng Informatics Conf, 2: 539–543, 2008.
Rakotomamonjy A, Bach FR, Canu S and Grandvalet Y. “SimpleMKL,” Journal of Machine Learning Research, 9: 2491–2521, 2008.
Ferrario M, Signorini MG, Magenes G and Cerutti S. “Comparison of entropy-based regularity estimators: application to the fetal heart rate signal for the identification of fetal distress,” IEEE Trans Biomedical Engineering, 53: 119–125, 2006.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Zhang, D., Zuo, W., Wang, P. (2018). Comparison Between Pulse and ECG. In: Computational Pulse Signal Analysis. Springer, Singapore. https://doi.org/10.1007/978-981-10-4044-3_16
Download citation
DOI: https://doi.org/10.1007/978-981-10-4044-3_16
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-4043-6
Online ISBN: 978-981-10-4044-3
eBook Packages: Computer ScienceComputer Science (R0)