Journal of Biomedical Engineering Research (대한의용생체공학회:의공학회지)

The Korean Society of Medical and Biological Engineering (대한의용생체공학회)
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A Study on Relations of Peripheral Arterial Disease Marker and Photoplethysmography Measured from the Lower Limb

하지에서의 광용적맥파와 말초동맥질환 표지자의 상관관계 연구

  • Im, Ji Hyeon (Department of Biomedical engineering, Yonsei University) ;
  • Heo, Jung Hyun (Department of Biomedical engineering, Yonsei University) ;
  • Yoon, Young Ro (Department of Biomedical engineering, Yonsei University)
  • Received : 2017.02.01
  • Accepted : 2017.06.14
  • Published : 2017.06.30
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Abstract

In this study, photoplethysmography(PPG) was suggested as a way to replace the ankle-brachial index(ABI) in diagnosing PAD. The method using the PPG was presented for the simplification of the PAD diagnosis method which was used before. And the index related to the health condition of the artery from the PPG measured in both big toes of the subjects through the experiment was drawn. The indexes showing the significant relativeness in the Pearson correlation analysis with the ABI were the stiffness index(SI), reflection index(RI); it was confirmed each of them had the correlation coefficient of 0.688, and 0.637 at p < 0.05. The explanation ability of the linear regression equation derived using ABI, SI and RI was 52.5%. The explanation ability of the secondary curve regression equation derived using ABI, squared SI was 54.7%. It is expected to provide patients with significant results and draw the index associated with PAD by measuring PPG easily in the real life instead of the ambulatory care field.

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References

  1. M.D. Gerhard-Herman, H.L. Gornik, C. Barrett, N.R. Barshes, M.A. Corriere, D.E. Drachman, L.A. Fleisher, F.G. R. Fowkes, N.M. Hamburg, S. Kinlay, R. Lookstein, S. Misra, L. Mureebe, J.W. Olin, R.A.G. Patel, J.G. Regensteiner, A. Schanzer, M.H. Shishehbor, K.J. Stewart, D. Treat-Jacobson, and M.E. Walsh, "2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary," Journal of the American College of Cardiology, 2016.
  2. M.E. Debakey, G.M. Lawrie, and D.H. Glaeser, "Patterns of Atherosclerosis and Their Surgical Significance," Annals of Surgery, vol. 201, no. 2, pp. 115-131, 1985.
  3. A.D. Association, "Peripheral arterial disease in people with diabetes," Diabetes care, vol. 26, no. 12, pp. 3333-3341, 2003. https://doi.org/10.2337/diacare.26.12.3333
  4. The Korean Academy of Clinical Geriatrics, Principles of Geriatric Medicine, Seoul, Korea: Hankook Book, 2011, pp. 214-246.
  5. H.J. Choi, "Diagnosis and Treatment of Peripheral Arterial Disease," Korean Journal of Family Medicine, vol. 29, no. 6, pp. 387-394, 2008.
  6. S.H. Choi, "Current Management of Peripheral Arterial Disease," J Korean Med Assoc., vol. 53, no. 3, pp. 228-235, 2010. https://doi.org/10.5124/jkma.2010.53.3.228
  7. The Korean Society of Hypertension, 2013 Hypertension management guidelines, Seoul, Korea: The Korean Society of Hypertension, 2013, pp. 7-49.
  8. K.C. Nam, C.Y. Ryu, W.H. Jung, J.T. Kim, J.H. Park, and D.W. Kim, "Diagnosis of neuripathic foot of diabetics using photo-plethysmography." INFORMATION AND CONTROL SYMPOSIUM, vol. 2, no. 1, pp. 39-41, 2005.
  9. J. Allen et al., "Photoplethysmography detection of lower limb peripheral arterial occlusive disease: a comparison of pulse timing, amplitude and shape characteristics," Physiol Meas, vol. 26, no. 5, pp. 811-821, 2005. https://doi.org/10.1088/0967-3334/26/5/018
  10. D.G. Brillante, A.J. O'sullivan, and L.G. Howes, "Arterial stiffness indices in healthy volunteers using noninvasive digital photoplethysmography," Blood pressure, vol. 17, no. 2, pp. 116-123, 2008. https://doi.org/10.1080/08037050802059225
  11. K. Pilt et al., "Photoplethysmographic signal waveform index for detection of increased arterial stiffness," Physiol Meas, vol. 35, no. 10, pp. 2027-2036, 2014. https://doi.org/10.1088/0967-3334/35/10/2027
  12. A. Perez-Martin, G. Meyer, C. Demattei, G. Boge, H.P. Laroche, I. Quere, and M. Dauzat, "Validation of a Fully Automatic Photoplethysmographic Device for Toe Blood Pressure Measurement," Eur J Vasc Endovasc Surg, vol. 40, no. 4, pp. 515-520, 2010. https://doi.org/10.1016/j.ejvs.2010.06.008
  13. M.S. Whiteley, M. Horrocks, and A.D. Fox, "Photoplethysmography can replace hand-held Doppler in the measurement of ankle/brachial indices," Ann R Coll Surg Engl, vol. 80, no. 2, pp. 96-98, 1998.
  14. C.K. Lee, H.S. Shin, "Analysis for the Fluctuation of the Photo plethysmographic Waveform derived by Temperature Stress of Measuring Position," Trans. KIEE., vol. 64 no. 2, pp. 304-309, 2015.
  15. G. Yoon, J.Y. Lee, K.J. Jeon, K.K. Park, and H.S. Kim, "Development of a compact home health monitor for telemedicine," Telemed J E Health, vol. 11, no. 6, pp. 660-667, 2005. https://doi.org/10.1089/tmj.2005.11.660
  16. M. Folke, L. Cernerud, M. Ekström, and B. Hok, "Critical review of non-invasive respiratory monitoring in medical care," Med Biol Eng Comput., vol. 41, no. 4, pp. 377-383, 2003. https://doi.org/10.1007/BF02348078
  17. J. Muhlsteff, O. Such, R. Schmidt, M. Perkuhn, H. Reiter, J. Lauter, J. Thijs, G. Musch, and M. Harris, "Wearable approach for continuous ECG-and activity patient-monitoring," IEMBS'04. 26th Annual International Conference of the IEEE, 2004, pp. 2184-2187.
  18. I. Brown, and A.A. Adams, "The ethical challenges of ubiquitous healthcare," International Review of Information Ethics, vol. 8, no. 12, pp. 53-60, 2007.
  19. D.G. Brillante, A.J. O'sullivan, and L.G. Howes, "Arterial stiffness indices in healthy volunteers using noninvasive digital photoplethysmography," Blood pressure, vol. 17, no. 2, pp. 116-123, 2008. https://doi.org/10.1080/08037050802059225
  20. M. Al-Qaisi, D.M. Nott, D.H. King, and S. Kaddoura, "Ankle brachial pressure index (ABPI): An update for practitioners," Vasc Health Risk Manag., vol. 5, no. 1, pp. 833-841, 2009.
  21. M. Elgendi, "On the analysis of fingertip photoplethysmogram signals," Curr Cardiol, vol. 8, no. 1, pp. 14-25, 2012. https://doi.org/10.2174/157340312801215782
  22. I.H. Lee, C.J. Choi, C.M. Kim, S.A. Yoon, J.Y. Hong, and J.Y. Kim, "The Examination of the Acute Vascular Changes Due to Smoking Using Second Derivative of Photoplethysmogram," Korean J Fam Med., vol. 31, no. 9, pp. 679-687, 2010. https://doi.org/10.4082/kjfm.2010.31.9.679
  23. Y. Kimura, K. Takamatsu, A. Fujii, M. Suzuki, N. Chikada, R. Tanada, Y. Kume, and H. Sato, "Kampo therapy for premenstrual syndrome: Efficacy of Kamishoyosan quantified using the second derivative of the fingertip photoplethysmogram," Journal of Obstetrics and Gynaecology Research, vol. 33, no. 3, pp. 325-332, 2007. https://doi.org/10.1111/j.1447-0756.2007.00531.x
  24. G.R. Kim, "Implementation and evaluation of the system assessing blood pressure and vascular characteristic indices using pressure pulse wave and photoplethysmogram", Pusan national university, Pusan, Korea, 2013.