Browse > Article
http://dx.doi.org/10.15188/kjopp.2015.06.29.3.230

Clinical Study on Relationship between Pattern Identifications for Stroke and the Second Derivative of Photoplethysmogram Waveform from Stroke Preventive Examination  

Jung, So Youn (Department of Internal Medicine, College of Korean Medicine, Dong-Eui University)
Hur, Hee Soo (Department of Internal Medicine, College of Korean Medicine, Dong-Eui University)
Jeong, Hae Ryong (Department of Internal Medicine, College of Korean Medicine, Dong-Eui University)
Kim, Kyoung Min (Department of Internal Medicine, College of Korean Medicine, Dong-Eui University)
Kim, Young Kyun (Department of Internal Medicine, College of Korean Medicine, Dong-Eui University)
Publication Information
Journal of Physiology & Pathology in Korean Medicine / v.29, no.3, 2015 , pp. 230-239 More about this Journal
Abstract
This study was performed to find a relationship between each pattern identification and vascular status using the second derivative of photoplethysmogram waveform(SDPTG) indices. We analyzed 200 subjects who participated in stroke preventive examination. We classified the subjects into four groups of pattern identifications; Fire-Heat pattern(火熱證; FH), Yin Deficiency pattern(陰虛證; YD), Qi Deficiency pattern(氣虛證; QD) and Dampness-Phlegm pattern(濕痰證; DP) that based on Korean Standard Pattern Identifications for Stroke-Ⅲ. We studied a relationship between each pattern identification and the SDPTG. The total number of the subject group was 200, whereas the groups were divided into four groups; Fire-Heat pattern group(n=49), Yin Deficiency pattern(n=57), Qi Deficiency pattern(n=45), and Dampness-Phlegm pattern(n=49). b/a ratio was related with age and systolic blood pressure, c/a ratio was associated with age, systolic blood pressure, fasting blood sugar and Total cholesterol, d/a ratio was affected with age, diastolic blood pressure, and hypertension, e/a ratio was related with age and sex and SDPTG AI was associated with age. c/a ratio and d/a ratio were significantly higher in the Fire-Heat group than in the Qi Deficiency group. SDPTG AI was significantly higher in the Qi Deficiency group than in the Fire-Heat group. The Qi Deficiency group was significantly older than the Fire-Heat group and the number of hypertension patients was significantly more in the Fire-Heat group than in the Qi Deficiency group. Through this study, we found out some significant relationships between each pattern identification group and the SDPTG indices.
Keywords
pattern identification; Fire-Heat pattern(火熱證; FH); Yin Deficiency pattern(陰虛證; YD); Qi Deficiency pattern(氣虛證; QD); Dampness-Phlegm pattern(濕痰證; DP); the second derivative of photoplethysmogram waveform;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Lee, J.H., Kim, J.Y., Kim, S.J., Seo, J.H., Sung, W.Y. Effects of Acupuncture at GV 20(Baihui) Evaluated by the Second Derivative of Photoplethysmogram Waveform under Stress. J. of Oriental Neuropsychiatry 21(3):19-27, 2010.
2 Kim, D.H., Lee, J.H. Hwangje-Naegyeong Youngchu. Seoul:Eui Seong Dang. pp 1004-1006, 2002.
3 Youn, I.Y., Kim, J.N., Lee, J.S., Moon, S.I., Kim, J.Y., Jeong, S.Y. Vascular Responses to Acupuncture at the Kidney Jeonggyeok in Diabetic and Normal Groups Assessed by the Second Derivative of the Finger Photoplethysmogram Waveform. The Journal of Korean Acupuncture & Moxibustion Society 28(1):101-108, 2011.
4 Bortolotto, L.A., Blacher, J., Kondo, T., Takazawa, K., Safar, M.E. Assessment of vascular aging and atherosclerosis in hypertensive subjects; second derivative of photoplethysmogram versus pulse wave velocity. Am J Hypertens 13(2):165-171, 2000.   DOI   ScienceOn
5 Pannier, B.M., Avolio, A.P., Hoeks, A., Mancia, G., Takazawa, K. Methods and devices for mesuring arterial compliance in humans. Am J Hypertens 15: 743-753 2002.   DOI   ScienceOn
6 Physiology Professors of the Colleges of Korean Medicine in Korea. Physiology of Korean Medicine. Seoul:Jipmoon. p 138, 2008.
7 Park, J.B. Antihypertensive Therapy and Vascular Protection. Korean Circ J 30(11):1460-1471, 2000.   DOI
8 Kang, J.Y., Choi, H.A., Yoon, H.S., Yu, S.H., Song, M.J., Chang, E.G., et al. Reversal of arterial stiffness by treatment with the angiotensin receptor antagonist irbesartan in essential hypertension. Korean J Med 67(3):241-248, 2004.
9 Kwak, M.A., Jung, W.S., Park, J.M. Relationship between the Severity of Stenosis and Stroke Pattern-identification in 18 Acute Stroke Patients. Journal of Korean Medicine 21(3):51-56, 2000.
10 Cho, K.W., Park, J.C., Kang, J.C. Comparative Study on the Risk Factors of Atherosclerosis in Cerebral Infarction and Myocardial Infarction. Korean J Med 41(4):469-480, 1991.
11 Keller, K.B., Lemberg, L. Gender differences in acute coronary events. Am J Crit Care 9(3):207-209, 2000.
12 Kim, S.W., Lee, J.H., Nam, K.C., Kim, S.C., Cha, E.J., Kim, D.W. Comparison of peripheral vascular compliance between normal and diabetic groups using the second derivative of photoplethysmogram. Jourmal of the Institute of Electronics and Information Engineers 44(4):15-19, 2007.
13 Kim, D.H., Lee, J.H. Hwangje-Naegyeong Somun Sang. Seoul:Eui Seong Dang. pp 329-374, 2001.
14 Lee, B.K. The Experimental Study on the record judgement of wave from in eight essential pulses recorder. Choishineuihak 13(7):103-109, 1970.
15 Kelly, R., Hayward, C., Avolio, A., O'Rourke, M. Noninvasive determination of age-realated changes in the human arterial pulse. Circulation 80(6);1652-1659, 1989.   DOI   ScienceOn
16 Hashimoto, J., Chonan, K., Aoki, Y., Nishimura, T., Takayoshi, O., Hozawa, A., et al. Pulse wave velocity and the second derivative of the finger photoplethysmogram in treated hypertensive patients:their relationship and associating factors. J Hypertens 20: 2415-2422, 2002.   DOI   ScienceOn
17 Nam, T.H., Koh, H.K., Park, Y.B. Elevated Levels of Serum Lipids Accelerate Biological Vascular Aging evaluated by the Second Derivative of Photoplethysmogram Waveform in the Middle - Age Adults. The Journal of Korean Acupuncture & Moxibustion Society 19(3):126-137, 2002.
18 Yeo, K.C., Yoon, I.A., Kin, J.N., Bang, S.P., Moon, S.I. Effects of Acupuncture at Palsa(BaXie) Evaluated by the Second Derivative of Photoplethysmogram Waveform in Hemiparetic Patients after Stroke. The Journal of Korean Acupuncture & Moxibustion Society 27(2):23-30, 2010.
19 Lee, T.K., Park, Y.J., Park, Y.B. Studies on the Utilization of Pulse Rate Variability and Autonomic Bioelectric Response in Bian Zheng(辨證) of Oriental Medicine. J Korea Instit Orient Med Diagn 8(1):185-205, 2004.
20 Woo, H.J., Kim, S.H., Lee, S.B., Choi, M.Y., Kim, Y.C., Lee, J.H. Development of Questionnaires for Differentiation of qì-xū, xuè-xū, yang-xū, yīn-xū analysis. Korean J. Orient. Int. Med 29(4):856-870, 2008.
21 Yang, D.H., Park, Y.J., Park, Y.B. A Fundamental Study for Making a Questionnaire of Blood Stasis(瘀血). J Korea Instit Orient Med Diagn 9(1):84-97, 2005.
22 Park, M.K., Kim, M.Y., Park, Y.J. Study On the Six Channels Demonstration Answering the Question in Treatise on Exogenous Febrile Disease. J Korea Instit Orient Med Diagn 9(2):83-93, 2005.
23 Park, J.S., Yang, D.H., Kim, M.Y., Lee, S.C., Park, Y.J. Development of Questionnaire for Damum Patternization. J Korea Instit Orient Med Diagn 10(1):64-77, 2006.
24 Kwon, O.S. A Study of Diagnostic Validity by the measure of Cold-Heat & Deficiency-Excess. Master's Thesis, Dongeui University. 2008.
25 Dept. of Circulatory Internal Medicine of the Colleges of Korean Medicine in Korea. Circulatory Internal Medicine. 3rd ed. Seoul:KOONJA. pp 331-342, 393-408, 2006.
26 Lee, J.A., Lee, J.S., Kang, B.K., Ko, M.M., Mun, T.U., et al. Report on the Korean Standard Pattern Identification for Stroke-Ⅲ. Korean J. Orient. Int. Med 32(2):232-42, 2011.
27 Ha, S.Y. Co-relation between Questionnaire for Pyongwisan and Physical Signals. Doctoral Dissertation, Kyung Hee University. 2009.
28 Kim, S.H. The Study for Corelation between GBT Questionnaire and Physical Signals. Doctoral Dissertation, Kyung Hee University. 2011.
29 Ozawa, T. Relationship between accelerated plethysmogram and systolic time intervals. Sphygmology 8: 22-31, 1978.
30 Dept. of Diagnositics and Biofunctional medicine of the Colleges of Korean Medicine in Korea. Biofunctional Medicine. Seoul:KOONJA. pp 49-78, 2008.
31 Oh, H.L., Cho, J.M., Jin, E.S., Kang, H.S., Choue, C.W., Kim, K.S., et al. Clinical Usefulness of the Second Derivative of a Photoplethysmogram Waveform(SDPTG). Korean Circ J 33(3):233-241, 2003.   DOI
32 Takazawa, K., Tanaka, N., Fujita, M., Matsuoka, O., Saiki, T., Aikawa, M., et al. Assessment of vasoactive agents and vascular aging by the second derivative of photoplethysmogram waveform. Hypertension 32: 365-370, 1998.   DOI   ScienceOn
33 Mikami, M., Kagiya, A. The Diverse Attractions of Pulse wave -Revolution of Diagnosing Arterial Stiffness. Tokyo:Kindaibungeisha. pp 44-48, 1999.
34 Kim, J.K., Kim, M.Y., Park, Y.J. A Review Study on SDPTG Study Trend. J Korea Instit Orient Med Diagn 10(2):43-53, 2006.
35 John, A. Photoplethysmography and its application in clinical physiological measurement. Physiol Meas 28: 1-39, 2007.   DOI   ScienceOn
36 Lee, B.K., Park, Y.B., Kim, T.H. Diagnostics of Korean Medicine. 8th ed. Gyeongi:Seongbosa. pp 21-30, 2012.
37 Textbook Compilation Committee of Pathology of Korean Medicine. Pathology of Korean Medicine. Seoul:Haneuimunhwasa. pp 286-288, 2007.
38 Park, Y.J., Park, Y.B. A Study on Standardization of Bian Zheng [辨證] by Some Statistical Methods. J Korea Instit Orient Med Diagn 5(2):306-330, 2001.
39 Lee, N.B., Im, J.J., Park, Y.B., Jeon, Y.J. Development of a Pulse Wave Velocity Measurement System and Assessment of the System Reproducibility for the Diagnosis of Arteriosclerosis. J Korea Instit Orient Med Diagn 9(1):112-124, 2005.
40 Park, Y.J., Nam, T.H., Park, Y.B. A Study on Correlation between Bian Zheng with Autonomic Functions -Based on Skin Resistance Variability, Han Zheng, Re Zheng and Xu Zheng-. J Korea Instit Orient Med Diagn 6(1):123-134, 2002.
41 Statistics Korea. Annual report on the causes of death statistics. Korea:Statistics Korea. 2014.
42 Peter, L. The pathogenesis, prevention, and treatment of atherosclerosis In:The Korean Association of Internal Medicine, Harrison's principles of Internal Medicine. 18th ed. Seoul:MIP. p 1947, 2013.
43 Jeong, J.W. Intima-Media Thickness of the Carotid Artery: non-invasive marker of atherosclerosis. J Cardiovasc Ultrasound 10(2):8-12, 2002.
44 Bae, J.H., Park, J.S., Hong, G.R., Shin, D.G., Kim, Y.J., Shim, B.S. Correlation between inflammatory markers and the progression of atherosclerosis in patients with coronary artery disease. Korean J Med 74(1):51-58, 2008.
45 Park, S.K. The relation of Dampness-Phlegm Diagnosis and internal carotid artery. Master's Thesis, Kyung Hee University. 2012.