Browse > Article

A study on wiry pulse in hypertensive patients analyzed at 5 levels of applied pressure using 3 dimensional pulse imaging analyzer  

Kang, Hee-Jung (Daeyomedi Co., Ltd.)
Kwon, Young-Sang (Daeyomedi Co., Ltd.)
Kim, Dal-Lae (Dept. of Constitution Improvement Clinic, East-West Neo Medical Center, Kyung-Hee University)
Kim, Kyung-Cheol (Dept. of Diagnostic, College of Oriental Medicine, Dong-Eui University)
Yim, Yun-Kyoung (Dept. of Meridian & Acupoints, College of Oriental Medicine, Daejeon University)
Publication Information
Korean Journal of Acupuncture / v.27, no.1, 2010 , pp. 1-12 More about this Journal
Abstract
Objectives: The purpose of this study is to gain the objective indicators for the classification of hypertension by oriental medical pulse diagnosis, through finding out the parameters which can distinguish the pulse of hypertensive patient from that of normal subject, and characterizes the wiry pulse of hypertension. Methods: 30-59 yr, male, 946 healthy volunteers and 35 hypertensive patients were enrolled in this study. All the hypertensive patients were taking medicine to control the blood pressure and the blood pressure of the hypertension group was not statistically different from that of the normal healthy group. Data were acquired using 3 dimensional pulse imaging analyser(DMP-3000, DAEYOMEDI, KOREA) and analysed according to the age bands and the applied pressure levels. Results: 1. RAI/t, w/t and t2/t decreased with the levels of applied pressure and increased with age in the normal healthy group, not in the hypertension group. 2. RAI/t, w/t, t2/t were significantly higher in the hypertension group than the normal healthy group in the 30-age band, and elasticity coefficient was higher in the hypertension group than the normal healthy group in the 40-age band. 3. Researches on the patients without hypotensive agents are needed to figure out whether these parameters are the components of hypertensive wiry pulse. Conclusions: Analysing the radial pulse at 5 applied pressure levels using 3 dimensional pulse imaging analyser may be useful to differentiate the pulses of the hypertensive patients from those of the normal subjects, and characterize the hypertension.
Keywords
Pulse diagnosis; Radial pulse waveform; Applied pressure; Pulse imaging analysis;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 楊思樹. 陳遺廷. 胡國臣實用中西醫結合臨床診斷治療. 서울 : 의성당. 1993. 196-205.
2 채인식. 한방임상학. 서울 : 의성당. 2005. 230-45.
3 유지윤. 중의임상특강. 서울 : 서원당. 1986. 156-63.
4 Kohara K, Tabara Y, Oshiumi A, Miyawaki Y, Kobayashi T, Miki T. Radial augmentation index: a useful and easily obtainable parameter for vascular aging. Am J Hypertension 2005 ; 18 : 11S-4S.
5 강희정, 김경철. 맥의공학연구방법론. 2009. 대요메디, 83-6.
6 費兆馥, 中國脈診硏究. 서울 : 의성당. 1993. 114-5.
7 Weber T, Auer J,O'Rourke MF, Kvas E, Lassnig E, Lamm G, et al. Increased arterial wave reflections predict severe cardiovascular events in patients undergoing percutaneous coronary interventions. Eur Heart J 2005 ; 26 : 2657-63.   DOI   ScienceOn
8 신순식 외. 한의 맥진의 현대적 객관화 연구 –맥파 추출 정보의 분석기법에 관한 연구. 대한의료정보학회. 2004. 10 ; 126-9.
9 朱文鋒. 中醫脈診與鑑別診斷學. 北京: 人民衛生出版社. 1999. 110-3.
10 HeeJung Kang, etc. A Comparative study of methods on measurement of peripheral pulse waveform. The journal of Korean Oriental Medicine. 2009 : 30(3) ; 98-105.   과학기술학회마을
11 郭輝. 現代中醫臨床學, 北京: 中醫醫藥科技出版社. 1998. 152-9.
12 張洪義. 中醫臨床診斷全書. 中國天津:天津科學技術出版社. 2002. 846-9.
13 郭子光. 現代中醫治療學. 中國成都: 四川科學技術出版社. 1995. 120-5.
14 London GM, Blacher J, Pannier B, Guerin AP, Marchais SJ, Safar ME. Arterial wave reflections and survival in end-stage renal failure. Hypertension 2001 ; 38 : 434-8.   DOI   ScienceOn
15 Nichols W, O'Rourke MF. McDonald's blood flow in arteries. London: Arnold; 1998.
16 Nurnberger J, Keflioglu-Scheiber A, Opazo Saez AM, Wenzel RR, Philipp T,Schafers RF. Augmentation index is associated with cardiovascular risk. J Hypertension 2002 ; 20 : 2407-14.   DOI   ScienceOn
17 Weber T, Auer J,O'Rourke MF, Kvas E, Lassnig E, Berent R, Eber B. Arterial stiffness, wave reflections, and the risk of coronary artery disease. Circulation 2004 ; 109 :184-9.   DOI   ScienceOn