Abstract
This paper considers novel techniques for pulse wave contour analysis. Classical morphological pulse wave analysis by using stiffness index and reflection index does not provide the required accuracy of diagnosis for patients with severe arterial stiffness due to indistinguishable dicrotic peak of pulse wave. We proposed a novel approach for pulse wave contour analysis based on spectral analysis of replicated single pulse waveform. The newly developed spectral harmonic index was defined as the amplitude ratio of the first two harmonics of the amplitude spectrum. Comparative analysis of sensitivity and specificity for various indices for a set of 45 volunteers of different age and arterial stiffness was carried out. It was found that the proposed spectral harmonic index has the highest values of sensitivity (89%) and specificity (86%) compared to the existent indices defined in the time domain.
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References
Expert Consensus Document on arterial stiffness: methodological issues and clinical applications. (2006). European Heart Journal 27 (21): 2588–2605
Allen J. (2007). Photoplethysmography and its application in clinical physiological measurement. Physiological Measurement 28: 1-39
Millasseau S.C. et al. (2006). Contour analysis of the photoplethysmographic pulse measured at the finger. Hypertension 8: 1449–1456
Weber T. (2004). Arterial Stiffness, Wave Reflections, and the Risk of Coronary Artery Disease. Circulation 109: 184–189
Millasseau S.C. et al. (2002). Determination of age-related increases in large artery stiffness by digital pulse contour analysis. Clinical Science 103: 371–377
Fedotov A.A. (2015) A mathematical model of hemodynamic processes for distal pulse-wave formation. Biophysics 60 (2): 274-277
Fedotov A.A. (2013) Amplitude–Time Method for Detecting Characteristic Pulse Wave Points,” Biomedical Engineering 46 (6): 241-245
Rangayyan R.M. (2002) Biomedical Signal Analysis: A Case-Study Approach. IEEE Press and Wiley, New York
Altman D.G., Bland J.M. (1994) Diagnostic tests 1: sensitivity and specificity. British Medical Journal 308: 1552
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Fedotov, A.A., Akulova, A.S., Akulov, S.A., Reshetnikova, M.A. (2017). Novel spectral approach for pulse waves contour analysis. In: Goh, J., Lim, C., Leo, H. (eds) The 16th International Conference on Biomedical Engineering. IFMBE Proceedings, vol 61. Springer, Singapore. https://doi.org/10.1007/978-981-10-4220-1_4
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DOI: https://doi.org/10.1007/978-981-10-4220-1_4
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