• Title/Summary/Keyword: 동맥맥파속도

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동맥 맥파속도 진단의 생리학적 중요성과 과제

  • Sim, Eun-Bo
    • Journal of the KSME
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    • v.50 no.8
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    • pp.41-45
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    • 2010
  • 동맥에서의 맥파전달 속도는 동맥 혈류와 혈관벽의 상호작용에서 유발되며, 동맥경화, 당뇨합병증 등의 진단 등에 널리 사용되고 있다. 증가된 맥파전달속도는 혈관 노화 및 여러 병리학적 상황과 연관된 것으로 보고되고 있다. 따라서 이 글에서는 이러한 동맥 맥파전달속도의 생체유체역학적 발생 기전 및 의학적 중요성에 대하여 논의하며, PWV진단의 문제점 및 향후 발전방향에 대해서도 기술한다.

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Analysis of Pulse Waveform and Pulse Wave Velocity of Carotid Artery and Radial Artery by Using Clip-type Pulsimeter Equipped with Permanent and Hall Device (영구자석과 홀소자가 구비된 맥진기를 이용한 경동맥과 요골동맥의 맥진파형과 맥파전달속도 분석)

  • Kim, Dong-Young;Lee, Sang-Suk;Hyeon, Seog-San;Rhee, Jin-Kyu
    • Journal of the Korean Magnetics Society
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    • v.24 no.5
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    • pp.146-151
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    • 2014
  • The pulse waveforms of a carotid artery in the neck and a radial artery in the hand wrist were individually measured by using clip-type pulsimeter equipped with a permanent and Hall device. The pulse transit time and the pulse wave velocity obtained through comparison of two pulse waveforms were analyzed each other. A value of the pulse wave velocity was about 8.5 m/s similar to one measured by a conservative method. This result suggests that the clip-type pulsimeter as the reproducible and reliable one oriental diagnostic medical device can be predicted to any atherosclerosis state in the cardiac circulatory system.

Relationship Between Body Position and Peripheral Pulse Arrival Time In Man (인체에서 체위변화와 말초맥파도달시간의 관계)

  • 허재택;허기영;정동근
    • Journal of Biomedical Engineering Research
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    • v.22 no.2
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    • pp.133-138
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    • 2001
  • 동맥계에서 맥파의 전달속도는 혈관의 긴장도에 따라 결정된다. 동맥혈관의 긴장도는 혈압에 의존적이며 순간적인 혈압의 증가에 따른 혈관긴장도의 변화는 순환기계의 질병을 야기할 수 있다. 본 연구에서는 말초맥파를 이용한 동맥 긴장도 평가 방법의 유용성을 밝히기 위하여 말초맥파 도달시간을 체위에 따라 측정하고, 체위 변화에 따른 정수압 변화와 말초맥파도달시간의 관계를 관찰하였다. 말초맥파도달시간의 측정은 심전도의 QRS파 피크로부터 말초에서 나타나는 광전용적맥파의 최대기울기점까지 시간을 측정하였다. 생체 신호를 아날로그-디지털 변환하여 PC에서 매번 심장주기마다 맥파도달시간을 분석하였으며 결과는 스플라인 보간법을 사용하여 그래프로 결과를 제시하였다. 소프트웨어는 C++을 사용하여 windows 환경에서 운용하였다. 앙아위에서 말초맥파도달시간은 233.38$\pm$1.84 ms이었으며 서있는 자세에서는 226.77$\pm$2.16 ms로 유의하게 감소하였다. 앙아위의 자세에서 손을 수직으로 들어올림에 따라 말초맥파도달시간은 각도에 비례하여 증가하는 특성을 보였다. 이러한 실험결과는 말초맥파도달시간이 동맥계의 일시적인 압력 변화에 매우 민감하게 반응하는 것을 제시하였으며, 고혈압 및 동맥경화가 있는 환자에서 예후를 판단하는 방법으로 유용하게 사용될 것이라 사료된다.

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Pulse wave velocity and ankle brachial index in normal adolescents (정상 청소년에서 맥파 속도와 발목 상완 동맥압 지수에 대한 연구)

  • Kim, Ji Hye;Gil, Tae Young;Lee, Hee Woo;Hong, Young Mi
    • Clinical and Experimental Pediatrics
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    • v.50 no.6
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    • pp.549-555
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    • 2007
  • Purpose : Pulse wave velocity (PWV) and ankle brachial index (ABI) are simple, non-invasive methods to assess arterial stiffness. These parameters are also known to be closely related to cardiovascular risk factors and diseases. The purposes of this study were to measure blood pressure, PWV, ABI in healthy Korean adolescents, set up their normal values and assess their correlations. Methods : Three hundred ninety two healthy adolescents (213 boys and 179 girls) underwent measurement of brachial ankle pulse wave velocity (baPWV), ABI, body mass index(BMI) and blood pressure from four extremities. Linear regression analysis was performed to reveal the correlations between PWV, ABI and independent variables. Results : Blood pressure and PWV were significantly higher in all extremities in males compared to females. Blood pressure of both brachial and ankle showed positive correlation with body weight, height, and BMI, whereas ABI showed no correlation with any of these indices. Conclusion : Blood pressure increases as body weight, height and BMI increases. PWV shows positive correlation with blood pressure. It will be helpful to predict the risks of cardiovascular diseases in adolescents.

Pulse wave velocity and ankle brachial index in obese adolescents (비만 청소년에서 맥파 속도와 발목 상완 동맥압 지수에 대한 연구)

  • Kim, Ji Hye;Koo, Hee Sun;Hong, Young Mi
    • Clinical and Experimental Pediatrics
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    • v.50 no.11
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    • pp.1078-1084
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    • 2007
  • Purpose : The prevalence of childhood obesity has doubled over the last 30 years. Obesity-associated sequelae in the vasculature begins in the early stages of life. The purpose of this study was to investigate how pulse wave velocity (PWV) and ankle brachial index (ABI) change with height, weight and body mass index (BMI) in obese adolescents. Methods : Seventy-nine obese adolescents (group 1: $85th{\leq}BMI<95th$ percentile, n=40; group 2 ($BMI{\geq}95th$ percentile, n=39) were included. The control group(group 3) included 99 healthy adolescents. Brachial- ankle (ba) PWV and ABI were estimated with blood pressure from four extremities. Heart rate (HR), and pre-ejection period/ejection time (PEP/ET) were also estimated. BMI was calculated from individual height and weight. Linear regression analysis was performed to evaluate the correlations between BMI and PWV. Results : Blood pressure and baPWV were significantly higher in group 2, compared to either group 1 or group 3. However, there was no significant difference in ABI, HR and PEP/ET between the groups. PWV showed linear correlation with both BMI and body weight. Conclusion : Obesity was associated with higher arterial stiffness in adolescents, which was demonstrated by an increase in PWV. There was no significant correlation between obesity and ABI.

A photoplythsmography starting point detection algorithm for pulse wave velocity (맥파속도 측정을 위한 PPG 기시점 검출알고리즘)

  • Jeong, Seokhoon;Ko, Kuk Won;Lee, Sangjoon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2015.10a
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    • pp.949-951
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    • 2015
  • 본 연구는 맥파속도를 측정 하는데 간단한 방법으로 1채널 심전도 데이터와 4채널 광전식 용적맥파를 이용하여 취득한 데이터를 분석하는 알고리즘을 제안한다. 심전도의 R 피크점과 좌우 지첨, 족첨에서 발생하는 4 채널 맥파신호간 시간차를 이용하여 맥파 전달시간을 구하고 팔, 다리 길이로 나눠서 맥파전달속도를 구한다. 알고리즘은 심전도 R 피크점 검출, 4 채널 맥파에서의 피크점 검출 이후 검출된 피크정보를 이용하여 맥파의 시작지점인 기시점을 검출하는 간단한 방법을 개발하였고, 4 가지 맥파형태에 검출알고리즘을 적용하여 검증 하였다. 본 연구에서 개발한 방법으로 간단히 맥파속도를 측정하여 동맥경화나 고혈압, 당뇨 등 심혈관 관련 연구의 기반이 될 수 있을 것으로 사료된다.

Evaluation of Significance on the Brachial-ankle arterial pulse wave velocity And Cerebral Artery Vascular Stenosis (상완-발목 맥파 전달 속도와 뇌동맥 혈관 협착과의 유의성 평가)

  • Kim, Ji-Yul;Ye, Soo-Young
    • Journal of the Korean Society of Radiology
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    • v.13 no.6
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    • pp.873-878
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    • 2019
  • Cerebrovascular disease is one of the three major causes of death in Korea. Since these diseases are associated with atherosclerosis, the diagnosis of atherosclerotic factors should be presented. In this study, we evaluated the relationship between brachial-ankle arterial pulse wave velocity, cerebral artery vascular stenosis, blood pressure, obesity, and abdominal obesity by age group. The significance of cerebral artery stenosis and age group. The risk factors of atherosclerosis, such as blood pressure, obesity, and abdominal obesity, were significant in all age groups. When the pulse wave velocity of the brachial-ankle artery was increased, the cerebral artery stenosis was distributed in 57.3% of the total test subjects. If the arterial stiffness is suspected during the measurement of the pulse wave velocity of the brachial ankle artery, We recommend suspected vascular stenosis and perform a cerebral artery angiography. It is suggested that the data will be used as a baseline data for similar studies after evaluating the significance of blood pressure, obesity, and abdominal obesity as risk factors of atherosclerosis.

The Analysis of Pulse Wave Velocity of Jeju female divers (제주 해녀의 맥파전도속도 분석)

  • Lee, Han-Young
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.515-521
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    • 2015
  • In this study, we tried to analyze arterial stiffness of Jeju female divers who diver into cold water without the assistance of oxygen. For this purpose we measured pulse wave velocity and ankle-brachial index of Jeju female divers and same aged females who didn't have any cardiovascular risk for comparing the vascular stiffness. The results were the following : First, the light-femoral pulse wave velocity of Jeju female divers was significantly lower than normal women of the same ages. Second, Jeju female divers's ABI showed higher tendency than normal same aged women. These result showed that Jeju female divers' body had been completed for adaptation to low temperature and high pressure water environment through a long-term immersion activities in old age, as well as due to higher physical activity levels of Jeju female divers peripheral vascular resistance was not reduced.

Aerobic Exercise's Influence on Obese Female College Students'Arterial Pulse Wave Velocity, Cardiorespiratory Systems and Body Composition (유산소 운동이 비만 여자대학생의 동맥맥파속도, 호흡순환계 및 신체조성에 미치는 영향)

  • Kim, Seung-Suk
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.407-414
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    • 2017
  • In order to identify an Convergence aerobic exercise's influence on obese female college students' Cardiorespiratory systems and arterial pulse wave Velocity, this study targeted female college students in D University in Y-gu, D-City, and selected total 26 ones having body fat percentage over 30% with no special disease in past and at present and no regular physical activity. After finally confirming their participation in this experiment by completely explaining the purpose of and contents of this experiment and getting the subjects' written contents to participate in the experiment, the investigator randomly arranged the subjects into the exercise group(N=13) and the control group(N=13) and conducted a 12-week aerobic exercise program to the exercise group this study got the following conclusion. First, concerning the body composition's change, the exercise group showed significant reduction in the weight, the body fat percentage, and the abdominal fat percentage. Second, for the respiratory & cardiovascular systems'change, the exercise group showed significant increase in the maximal oxygen uptake, the maximal heart rate, and the maximal breathing capacity. Third, for the arterial pulse wave Velocity's change, the exercise group showed significant reduction in the upper body(right and left hands) and lower body (right and left feet).

Development of Oriental-Western Fusion Patient Monitor by Using the Clip-type Pulsimeter Equipped with a Hall Sensor, the Electrocardiograph, and the Photoplethysmograph (홀센서 집게형 맥진기와 심전도-용적맥파계를 이용한 한양방 융합용 환자감시장치 개발연구)

  • Lee, Dae-Hui;Hong, Yu-Sik;Lee, Sang-Suk
    • Journal of the Korean Magnetics Society
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    • v.23 no.4
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    • pp.135-143
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    • 2013
  • The clip-type pulsimeter equipped with a Hall sensor has a permanent magnet attached in the "Chwan" position to the center of a radial artery. The clip-type pulsimeter is composed of a hardware system measuring voltage signals. These electrical bio-signals display pulse rate, non-invasive blood pressure, respiratory rate, pulse wave velocity (PWV), and spatial pulse wave velocity (SPWV) simultaneously measured by using the radial artery pulsimeter, the electrocardiograph (ECG), and the photoplethysmograph (PPG). The findings of this research may be useful for developing a oriental-western biomedical signal storage device, that is, the new and fusion patient monitor, for a U-health-care system.