• 대한의용생체공학회:의공학회지
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• 제39권2호
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• pp.87-93
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• 2018

The measurement of Heart Rate Variability (HRV) using electrocardiogram (ECG) signals has been used to predict fatigue and stress levels in a clinical environment, yet, owing to the complexity of such ECG systems, a domestic, nonclinical monitoring of HRV has not been a practical possibility. Recently though, Pulse Rate Variability (PRV) has been studied as an alternative to HRV. In this study, we investigated the reliability of measuring PRV by means of a smartwatch. The PRV results were compared to HRV results in similar test conditions, i.e. those obtained under rapid and deep-breathing scenarios. From the results obtained, it transpires that the Bland-Altman ratio and cross-correlation coefficients between several PRV and HRV parameters were highly correlated, thus suggesting that the results of measuring PRV using a smartwatch can be used to predict HRV in nonclinical environments.

• 정신신체의학
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• 제12권1호
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• pp.3-14
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• 2004

신경심장학의 발전으로 중추신경 활성이 심장의 전기적 활동도에 미치는 영향이 밝혀지고 있고, 심박동수변이(Heart rate variability, HRV)가 정신적 스트레스와 심혈관질환의 기계적 연관성을 나타내는 중요한 지표로 제기되고 있다. HRV란 자율신경계의 정상적 상호작용에 의해 나타나는 생리적인 심박수 변동을 타나내며, 자율신경 기능을 정량화하여 측정할 수 있는 방법론이다. 분석 방법은 시간 영역 분석과 주파수 영역 분석으로 나눌 수 있으며, 측정 시간대에 따라 단기간 측정과 24시간 측정 등의 방법이 확립되어 있다. 임상적으로는 변이 정도, 교감신경과 부교감신경의 활성과 균형도를 파악하여 다양한 질환과 스트레스 등의 진단과 치료 및 예후 판정에 활용되고 있다. HRV를 이용한 바이오피드백도 최근 자율신경 관련 질환의 치료에 활용되고 있다. 향후 다양한 프로토콜의 개발과 임상적 적용이 필요할 것으로 보인다.

• Journal of Acupuncture Research
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• 제28권2호
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• pp.97-105
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• 2011

Objectives : The aim of this experiment is to know the effect of mountain cultivated ginseng pharmacopuncture on heart rate variability(HRV), pulse wave velocity(PWV) in middle aged women. Methods : We investigated on 20 healthy Middle Aged women volunteers. First, we measured their heart rate variability(HRV), pulse wave velocity(PWV) and then mountain cultivated ginseng pharmacopuncture 20cc were injected on them. After 30 minutes, we measured heart rate variability(HRV), pulse wave velocity(PWV) again. As a result, method of one-group pretest-posttes design were used for evaluation. Results : 1. In HRV, MeanHRV is significantly decreased from 69.15 to 63.34 after injection. 2. MeanRR is significantly increased from 877.20 to 962.10 after injection. SDNN is significantly increased from 32.56 to 41.34 after injection. 3. PNN50 is significantly decreased after injection. RNSSD, SDSD, TP, VLF is significantly increased after injection. 4. Stress resistance ability is significantly increased from 37.55 to 44.60 after injection. 5. In PWV, E-R, E-L, H-R, H-L is significantly decreased after injection. Conclusions : Effect of mountain cultivated ginseng pharmacopuncture on heart rate variability(HRV) increased adaptability of autonomic nervous system and on pulse wave velocity(PWV) decreased arterial stiffness.

• Journal of Korean Biological Nursing Science
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• 제21권3호
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• pp.178-187
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• 2019

Purpose: The purpose of this study was to investigate how college students' perceived stress, cognitive stress, and somatization affect their heart rate variability (HRV). Methods: This study is a cross-sectional survey research on 191 university students, registered at the G University. The perceived stress scale (PSS) and cognitive stress response scale, were used to assess level of stress. The somatization symptom scale of the Symptom Check List 90 (SCL-90), was used to assess level of somatization caused by stress. To assess heart rate variability (HRV), we conducted a five-minute test using a pulse wave analyzer, to analyze short-term HRV. Results: The SCL-90 somatization score had relatively high positive correlation (p< .001) with cognitive stress, but low positive correlation (p< .001) with perceived stress. Cognitive stress response had low negative correlation (p< .001) with 1nSDNN and 1nRMSSD among HRV parameters. Perceived stress was not correlated with HRV. Multiple regression analysis showed that variables of perceived stress, cognitive stress, and somatization symptoms, could not explain HRV. By contrast, one of the HRV indicators, 1nSDNN, was affected by age, gender, and aggressive-hostile thought, the latter being a subscale of the cognitive stress response scale. Conclusion: This study suggests that stress evaluation for people in early adulthood will be more effective, if the evaluation examines cognitive stress and heart rate variability.

• 동의신경정신과학회지
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• 제18권1호
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• pp.123-132
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• 2007

Objective : The purpose of this research is to investigate the effects of Autogenic Training on autonomic nervous system for normal subjects with Heart Rate Variability(HRV). Then HRV of total subjects were analyzed by Sasang constitution, MBTI type and relaxation therapy experience. Method : Autogenic Training was applied on 39 subjects individually. Then HRV was examined each 5 minutes before and after Autogenic Training application. Results : 1. Mean HRV, SDNN, SDSD were significant different in HRV between before and after Autogenic Training application in total subjects. 2. SDNN, SDSD were significant different in HRV between before and after Autogenic Training application in Soeumin. Mean HRV, SDNN, SDSD were significant different in HRV between before and after Autogenic Training application in Taeeumin. Conclusion : The results suggest that Autogenic Training application have shown anti-stress effects. Autogenic Training application to Soeumin and Taeeumin have shown more anti -stress effects than application to Soyangin.

• 대한의용생체공학회:의공학회지
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• 제28권4호
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• pp.441-448
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• 2007

Heart rate variability (HRV) in electrocardiogram (ECG) is an important index for understanding the health status of heart and the autonomic nervous system. Most HRV analysis approaches are based on the proper heart rate (HR) data. Estimation of heart rate is thus a key process in the HRV study. In this paper, we report an innovative method to estimate the heart rate. This method is mainly based on the concept of periodicity transform (PT) and instantaneous period (IP) estimate. The method presented is accordingly called the "PT-IP method." It does not require ECG R-wave detection and thus possesses robust noise-immune capability. While the noise contamination, ECG time-varying morphology, and subjects' physiological variations make the R-wave detection a difficult task, this method can help us effectively estimate HR for medical research and clinical diagnosis. The results of estimating HR from empirical ECG data verify the efficacy and reliability of the proposed method.

• 한국환경보건학회지
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• 제41권4호
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• pp.223-230
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• 2015

Objectives: There is considerable evidence that polluted ambient air contributes to the risk of cardiovascular morbidity and mortality. Heart rate variability (HRV) is defined as the variation in heartbeat intervals and has been reported as a biological marker of cardiovascular disease. This article reviews the existing literature in order to examine the association between air pollution and HRV. Methods: Literature was searched using Web of Science with the key words of "air pollution", "heart rate variability" and other related terms. A total of 156 articles were listed. For review, 21 of those listed publications were chosen after excluding studies regarding chamber studies, occupational environment, secondhand smoke and automobile exhaust. Results: Research methods employed in the publications were classified by type of participants (elderly/adult), air pollution monitoring (ambient/personal) and HRV monitoring (continuous/spot). Among HRV parameters, power in the low frequency range (LF), power in the high frequency range (HF) and standard deviation of all NN intervals (SDNN) were all associated with air pollutants. The chosen studies were mostly based on elderly populations. In studies based on continuous HRV monitoring, LF and SDNN significantly decreased when $PM_{2.5}$ exposure increased. Conclusion: Continuous HRV monitoring combined with personal exposure monitoring has been one of the most common study methods in recent publications. We expect that this review will be useful for the study of the association between air pollution and cardiovascular effects using HRV.

• Journal of Acupuncture Research
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• 제25권2호
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• pp.189-197
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• 2008

Objectives : This study was performed in order to investigate the effectiveness of electromyography and the Heart Rate Variability(HRV) test as prognosis factors, and to clarify correlation between Electromyography and the Heart Rate Variability test. Methods : 44 Bell's palsy patients who were graded V on the House-Brackmann scale and underwent HRV and EMG testing were retrospectively reviewed based on medical records. Results from both tests were analyzed via simple linear regression, and bivariate correlation analysis was performed to investigate the correlation between results from the two tests. The severity of the facial palsy at onset and at 2 weeks after treatment were evaluated with the H-B grade and Yanagihara grading system, and was converted into improvement scores. Results : Mean axonal loss according to electromyography showed a statistically significant correlation in predicting peripheral facial palsy improvement(p<0.01). HR, SDNN, TP, LF, HF, VLF, and LF/HF ratio on the Heart Rate Variability test showed no significant correlation in predicting peripheral facial palsy improvement. Mean axonal loss determined by electromyography, and HR, SDNN, TP, LF, HF, VLF, and LF/HF ratio recorded with the Heart Rate Variability test was analyzed with the bivariate correlation analysis method. Mean axonal loss and SDNN showed a statistically significant correlation(p<0.01) Conclusions : The Heart Rate Variability test has no statistical significance in predicting peripheral facial palsy improvement. SDNN has a statistically significant correlation with mean axonal loss as determined by electromyography.

• Journal of information and communication convergence engineering
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• 제11권3호
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• pp.216-222
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• 2013

It is known that blood circulation in human body causes the skin tone to change concurrently with heartbeats. A number of apps have been developed to measure the heartbeat using smartphone camera; however, no any further analysis is performed. In this paper we propose an algorithm that detects heartbeats from the phone's camera and further extracts the heart rate variability (HRV). We compare the HRV extracted from the camera with the HRV extracted from the electrocardiogram. We estimated a number of commonly used HRV characteristics and compared them. Our results show that smartphone camera leads to slightly overestimated characteristics although the difference in extracted HRV signals is negligible. As a consequence we suggest that a smartphone camera can be employed in a quick heart diagnosis and diagnosis of autonomic nervous system.

• 동의생리병리학회지
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• 제26권5호
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• pp.745-752
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• 2012

This study aims to show the change of Heart Rate Variability(HRV) and Pulse wave velocity(PWV) on menstruation in women at college. Heart Rate Variability(HRV) and Pulse wave velocity(PWV) of 122 women at college were measured at their menstruation and ordinary period. SDNN, RMSSD, SDSD, HRV Index(%), stress resistance and cardiac activity were significantly higher at their menstruation than ordinary period, but Total Power and pNN50(%) were opposite. The automatic nervous system balance and physical stress were decreased in groups without dysmenorrhea than with one. PWV(E-R) and PWV(E-L) were much higher at menstruation than ordinary period. PTT(F-R) and PTT(F-L) were decreased in groups without dysmenorrhea than with severe one. We demonstrated that menstruation can effect on Heart Rate Variability and Pulse wave velocity and dysmenorrhea can cause the imbalance of autonomic nervous system.