• Journal of Korean Academy of Fundamentals of Nursing
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• v.3 no.1
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• pp.96-107
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• 1996

Automated blood pressure monitors have gained acceptance in many clinical settings with the increasing demand, the accurate BP measuring devices reguire the need for validation. We have evaluated the Dinamap 8100, an oscillometric automated blood pressure monitor, using the Mercury sphygmomanometer as a reference. Comparison of sphygmomanometers was conducted 60 patients (30-Normotensive group, 30-Hypertensive group at Seoul National University Hospital. Two trained observers took measure blood pressure(systolic/diastolic) at the same time using the Dinamap 8100 on one arm and the Mercury on the other. For each measurement, the device was randomly selected from a group of devices repetively used for the experiment. Mean readings for systolic pressure with the Dinamap 8100 in normotensive group were lower(mean difference ; 4.26mmHg) than the Mercury type. Mean readings for systolic pressure with the Dinamap 8100 in hypertensive group were lower(mean difference ; 9.05mmHg) than the Mercury type. Mean readings for diastolic pressure with the Dinamap 8100 in normotensive group were lower (mean difference ; 7.46mmHg) than the Mercury type. Mean readings for diastolic pressure with the Dinamap 8100 in hypertensive group were lower(mean difference ; 9.03mmHg) than the Mercury type. We have found that blood pressure readings with the Dinamap 8100 were lower than those with the Mercury type. we are using the Mercury type in clinics, although it has observer bias and terminal digit preference. But the Dinamap 8100 is readily portable, simple to use, and capable of preventing observer bias and terminal digit preference. The Dinamap 8100 is acceptable for blood pressure determination in subjects who are normotensive or hypertensive ones.

• Proceedings of the KIEE Conference
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• 2011.07a
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• pp.1796-1797
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• 2011

본 연구에서는 기존 오실로메트리(oscillomatry) 혈압측정에서 가압 커프의 영향을 최소화 하기위하여, 캐패시턴스 센서를 추가하여 혈압측정 동안의 혈압 및 혈류의 변화량을 측정하여 얻은 신호로 수축기 혈압 및 이완기 혈압을 추정하였다. 필터를 적용한 캐패시턴스 센서의 값을 피크의 크기에 따른 알고리즘을 적용하였으며 얻어진 혈압값과 기존의 혈압계의 값을 비교분석 하였다. 피험자의 연령은 $25{\pm}4$세의 15명을 기준으로 실험하였으며 알콜 및 운동 등 혈압에 영향을 미치는 요소들에 대해 제한 시켰으며 측정 전 15분의 안정을 취했다. 결과적으로 피험자 15명에 대해 수축기 혈압에서의 오차범위는 ${\pm}4$ mmHg이하로 나타났으며 평균 및 표준편차는 각각 2.13 mmHg 과 1.36 mmHg이었다. 이완기 혈압에서는 오차범위가 11명에 대해 수축기혈압과 같았으며 4명은 ${\pm}7mmHg$이상 이였고 평균과 표준편차는 4.20 mmHg와 2.24 mmHg 로 수축기 혈압에서 오차 및 분산 모두 이완기혈압 추정보다 비교적 정확한 값을 검출했다.

• The Journal of the Korea institute of electronic communication sciences
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• v.14 no.6
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• pp.1257-1264
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• 2019

The traditional cuff-based method for BP(Blood Pressure) measurement is not suitable for continuous real-time BP measurement techniques. For this reason, the previous studies estimated various blood pressures by fusion with the electrocardiography (ECG) and photoplethysmogram (PPG) sensor signals. However, conventional techniques based on PPG bio-sensing measurement face many challenging issues such as noisy supply fluctuation, small pulsation, and drifting non-pulsatile. This paper proposed a novel BP estimation methods using PPG and ECG sensors, which can be derived from the relationship between PPG and ECG using PTT(Pulse Transit Time) and PWV(Pulse Wave Velocity). Unlike conventional height ratio features, which are extracted on the basis of the peaks in the PPG and ECG waveform. The proposed method can be reliably obtained even if there are missing peaks among the sensed PPG signal. The increased reliability comes from periodical estimation of the peak-to-peak interval time using ECG and PPG. After 250,000 times trials of the blood pressure measurement, the proposed estimation technique was verified with the accuracy of ±28.5% error, compared to a commercialized BP device.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.9 no.1
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• pp.101-112
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• 2002

Purpose: This study evaluated the accuracy of electronic devices compared with mercury sphygmomanometer. Of 132 outpatients with electronic devices. 77 who possessed oscillometric cuff devices participated in this study. Method: When the blood pressure was measured, all electronic devices were connected by means of a Y-connector to a mercury sphygmomanometer. Using the simultaneous same arm approach, each comparison was carried out three times at 2-minute intervals. Results: Compared with the mercury sphygmomanometer, the electronic devices underestimated systolic and diastolic blood pressure, respectively by $4.0{\pm}5.8mmHg$ and $2.5{\pm}67mmHg$, which satisfies the standard error range of the American Association for the Advancement of Medical Instrumentation. According to the British Hypertension Society criteria, these differences achieved C grade for both systolic and diastolic pressure. For the graphical analysis, the differences had a tendency to fulfill the permitted error limits in both diastolic and systolic blood pressure. Moreover, the purchase duration was not correlated with the accuracy of electronic devices. Conclusion: These results indicate that difference in blood pressure between electronic devices and mercury sphygmomanometer is within the standard error. Therefore, electronic blood pressure measuring devices may be useful for therapeutic self-management of hypertension.

• KIPS Transactions on Computer and Communication Systems
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• v.5 no.6
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• pp.135-142
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• 2016

We proposed the new method to estimate the blood pressure with the differential value of the digital arterial pulse waveform and BP relation equation. To get the digital arterial pulse waveform, we use the arterial pulse waveform measurement system that has digital air-pressure sensor device and smart phone. The acquired digital arterial pulse waveforms are classified as hypertension group, normal group, and hypotension group, and we can derive the average differential value between the highest point and lowest point of a single waveform of individuals along with the group. In this study, we found the functional correlation between the blood pressure and differential value as a form of BP relation equation through the regression process on the average of differential value and blood pressure value from a tonometer. The Experimental results show the BP relation equation can give easy blood pressure estimation method with a high accuracy. Although this estimation method has over 66 % error rate and does not give the high level of the accuracy for the diastolic compares to the commercial tonometer, the estimation results for the systolic show the high accuracy that has less than 10 % error rate.

• Proceedings of the Korean Society of Applied Pharmacology
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• 1994.04a
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• pp.298-298
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• 1994

Norepinephrine이나 angotensin II가 그 작용을 나타내는데 $Ca^{+2}$의 세포내 유입 또는 유출과 밀접한 관련이 있다는 관점에서 $Ca^{+2}$ -channel차단제중 benzothiazenpine계인 diltiazem의 norepinephrine과 angiotensin II의 혈압상승작용에 대한 영향을 가토에서 관찰하였다. Norepinephrine과 angiotensin II의 혈압상승작용에 대한 diltiazem의 영향을 관찰하는 경우는 diltiazem을 투여한 일정시간후에 norepinephrine이나 angiotensin II을 투여하여 나타나는 혈압변화를 diltiazem투여전의 norepinephrine이나 angiotensin II의 혈압상승치와 비교 검토하였다. Diltiazem은 norepinephrine과 angiotensin II의 혈압상승작용을 억재하였으나 그 억제 시간은 지속적이지 않았다. 이와는 달리 diltiazem투여 30-40분에는 norepinephrine의 혈압상승작용의 강화현상이 나타났다. Diltiazem은 교감신경말단차단제인 bethanidine이나 신경절 차단제인 chlorisondamine 처리 가토에서도 norepinephrine이나 angiotensin II의 혈압상승작용을 억제하였다.

• Proceedings of the KIEE Conference
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• 2015.07a
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• pp.1401-1402
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• 2015

급작스레 발병하는 혈관 질환으로 인해 실시간 혈압 추정 연구가 많이 진행되어지고 있다. 본 논문에서는 자기장을 이용하여 혈압을 추정할 수 있는 자계용적맥파 시스템을 개발하였다. 자기장을 이용한 방법은 온도에 강하며 혈류와 상관성이 있기에 사용하였다. 혈압 추정의 과정은 총 3부분 나눌 수 있다. MPG측정, ECG측정 그리고 신호처리 부분이며 신호처리는 PC에서 디지털 필터링 및 PTT 계산을 실시하게 된다. 비교 기준 혈압으로 Omron 혈압계를 사용하여 동시 측정하였으며 결과로 각 PTT간 기준 수축기 및 이완기 혈압을 비교 할 수 있었다.

• Journal of Nutrition and Health
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• v.48 no.5
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• pp.441-450
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• 2015

Purpose: The purpose of this study was to investigate the effects of hypertension relevant nutrition knowledge on practices for prevention of hypertension in Chinese college students studying in South Korea. Methods: We conducted a survey of 276 Chinese students studying more than three months in Korean universities who were aged 19 and older about hypertension and sodium relevant nutrition knowledge, intake of salty processed food, hypertension prevention practices, and stages of behavior change for hypertension. Results: The average score on the questionnaire for hypertension relevant nutritional knowledge was 40.62 out of 50 points, and the average score for sodium relevant nutritional knowledge was 24 out of 30 points. Kimchi was the most frequently eaten salty processed food. The average score for hypertension prevention practices was 3.10 out of 5 points. The behavior change stages for prevention of hypertension were contemplation (47.1%), action (32.2%), and pre-contemplation (20.7%). The students received high scores on nutrition knowledge and showed significantly higher scores on the action stage than on pre-contemplation or contemplation. Nutritional knowledge of hypertension and sodium showed positive correlation with hypertension prevention practices, whereas negative correlation with salty processed food intake. Conclusion: Development of an education program for Chinese students in Korea on hypertension and sodium relevant nutritional knowledge is needed so that they can practice for prevention of hypertension.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.37 no.6C
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• pp.469-475
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• 2012

Increasing interest of life expectancy and health has made the u-health industry activating and the several international standard developing organizations(SDO) are dealing with u-health services and technologies. Among them, IEEE 11073 PHD(Personal Health Devices) Work Group is developing standards of personal health device communication for interoperability. There are many studies for introducing SDOs and analyzing the IEEE 11073-20601 standard. However, due to the rare study of PHD standards analysis, there are a lot of difficulties to utilize the standards. In this paper, present status of national and international SDOs including IEEE 11073 standards for PHD will be introduced. Moreover, device specialization standards such as thermometer, weighing scale, glucose meter, blood pressure monitor, electrocardiograph (ECG) etc.. will be analyzed based on the IEEE 11073-20601.

• Journal of the Korean Society for Precision Engineering
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• v.22 no.5 s.170
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• pp.181-188
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• 2005

The purpose of this study is to develop the new cuff improving the accuracy of blood pressure measurement, and to evaluate the performance of the developed system. We added a small bladder to the normal cuff which is called the double bladder system. The developed system for blood pressure measurement was based on the oscillometric method using a double bladder. This system was developed in order to reduce the oscillation noise and to amplify the signal of pure blood pressure An oscillometric signal database based on the developed system were evaluated following the standard ANSI/AAMI/SP10-1992. The correlation coefficients between cuff of double bladder and normal cuff were 0.98 for systolic and 0.94 for diastolic. Mean differences and the standard deviations between average blood pressure of mercury sphygmomanometer and automated sphygmomanometer were -0.7mmHg and 4.9mmHg for systolic, and -1.4mmHg and 5.4mmHg for diatolic, respectively. We conclude that the proposed double bladder based cuff system improves the accuracy of the oscillometric blood pressure measurement. The developed system reduces the error range about $44\~62\%$ for systolic and about $6\~21\%$ for diastolic compared to the recently developed commercially available sphygmomanometers.