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AIx Change According to Pressing Angle and Pressing Force of the Radial Artery Pulse by Tonometry

토노메트리 방식 맥파 측정의 가압 각도와 가압력에 따른 AIx 변화

  • Cho, JungHee (Future Medicine Division, Korea Institute of Oriental Medicine (KIOM)) ;
  • Jeon, Young Ju (Future Medicine Division, Korea Institute of Oriental Medicine (KIOM)) ;
  • Jun, Min-Ho (Future Medicine Division, Korea Institute of Oriental Medicine (KIOM)) ;
  • Kim, Young-Min (Future Medicine Division, Korea Institute of Oriental Medicine (KIOM))
  • 조정희 (한국한의학연구원 미래의학부) ;
  • 전영주 (한국한의학연구원 미래의학부) ;
  • 전민호 (한국한의학연구원 미래의학부) ;
  • 김영민 (한국한의학연구원 미래의학부)
  • Received : 2018.07.16
  • Accepted : 2018.07.27
  • Published : 2018.07.31

Abstract

A radial artery pulse wave is measured while pressing an artery with constant force. However, pulse waveform measurements vary depending on pressing force and direction. Accurate pulse waveform measurements are important for analysis. Thus, it is necessary to define the measurement range of the permissible force and direction from which a correct pulse waveform is derived. In this study, pulse waves were generated by a pulse wave generator for accurate control. The pulse waves generated for different angles and pressing forces were analyzed. The augmentation index (AIx), which is the most commonly used index for evaluating vascular stiffness, was analyzed. The AIx was measured within ${\pm}6^{\circ}$ of the vessel direction and within ${\pm}8^{\circ}$ perpendicular to the vessel direction with a force that was 25% or more of the pressing force at which the maximum pressure wave was generated. We identified the applicable pressing force and angle range by analyzing the effect of pressing angle on the pulse wave. The AIx analysis performed using the pulse wave measurement device is reliable and reproducible.

Keywords

References

  1. T. Weber, J. Auer, M. F. O'Rourke, E. Kvas, E. Lassnig, R. Berent, and B. Eber, "Arterial stiffness, wave reflections, and the risk of coronary artery disease", Circulation, Vo. 109, No. xx, pp. 184-189, 2004. https://doi.org/10.1161/01.CIR.0000105767.94169.E3
  2. W. W. Nichols, "Clinical measurement of arterial stiffness obtained from noninvasive pressure waveforms", Am. J. Hypertens., Vol. 18, No. xx, pp. 3-10, 2005.
  3. K. Kohara, Y. Tabara, A. Oshiumi, Y. Miyawaki, T. Kobayashi, and T. Miki, "Radial augmentation index: a useful and easily obtainable parameter for vascular aging", Am. J. Hypertens., Vol. 18, No. xx, pp. 11-15, year.
  4. Y. Y. L. Wang, W. B. Chiu, M. Y. Jan, J. G. Bae, S. P. Li, and W.K. Wang, "Analysis of transverse wave as a propagation mode for the pressure pulse in large arteries", J. Appl. Phys., Vol.102, No. 6, Article ID 064702, 2007.
  5. M. H. Jun, Y. J. Jeon, and Y. M. Kim, "Interference Effects on the Thickness of a Pulse Pressure Sensor Array Coated with Silicone", J. Sensor Sci. Technol., Vol. 25, No. 1, pp. 1-6, 2016. https://doi.org/10.5369/JSST.2016.25.1.1
  6. Y. M. Kim, "Precise Measurement Method of Radial Artery Pulse Waveform using Robotic Applanation Tonometry Sensor", J. Sensor Sci. Technol., Vol. 26, No. 2, pp. 135-140, 2017. https://doi.org/10.5369/JSST.2017.26.2.135
  7. J. H. Cho, Y. J. Jeon, M. H. Jun, and Y. M. Kim, "Evaluation of Leakage Range of Pneumatic Pressure System for Measuring Radial Artery Pulse Wave", Inf. Control Symp., pp. 41-42, 2017.
  8. T. H. Kim, B. C. Ku, J. H. Bae, J. Y. Shin, M. H. Jun, J. W. Kang, J. H. Kim, J. H. Lee, and J. U. Kim, "Hemodynamic changes caused by acupuncture in healthy volunteers: a prospective, single-arm exploratory clinical study", BMC complementary and alternative medicine, Vol. 17, No. 1, pp. 274, 2017. https://doi.org/10.1186/s12906-017-1787-z
  9. J. H. Bae, B. C. Ku, Y. J. Jeon, H. H. Kim, J. H. Kim, H. B. Lee, J. Y. Kim, and J. U. Kim, "Radial pulse and electrocardiography modulation by mild thermal stresses applied to feet: An exploratory study with randomized", crossover design. Chin J Integr Med., pp. 1-8, 2017.
  10. J. H. Bae, Y. J. Jeon, S. H. Lee, and J. U. Kim, "A feasibility study on age-related factors of wrist pulse using principal component analysis", In Engineering in Medicine and Biology Society (EMBC), 2016 IEEE 38th Annual International Conference of the. IEEE, pp. 6202-6205, 2016.
  11. I. B. Wilkinson, S. A. Fuchs, I. M. Jansen, J. C. Spratt, G. D. Murray, J. R. Cockcroft, and D. J. Webb, "Reproducibility of pulse wave velocity and augmentation index measured by pulse wave analysis", J. Hypertens., Vol. 16, No.12, pp. 2079-2084, 1998. https://doi.org/10.1097/00004872-199816121-00033