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Unobtrusive Estimation of Cardiovascular Parameters with Limb Ballistocardiography

机译:肢体心动描记法轻松进行心血管参数估计

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摘要

This study investigates the potential of the limb ballistocardiogram (BCG) for unobtrusive estimation of cardiovascular (CV) parameters. In conjunction with the reference CV parameters (including diastolic, pulse, and systolic pressures, stroke volume, cardiac output, and total peripheral resistance), an upper-limb BCG based on an accelerometer embedded in a wearable armband and a lower-limb BCG based on a strain gauge embedded in a weighing scale were instrumented simultaneously with a finger photoplethysmogram (PPG). To standardize the analysis, the more convenient yet unconventional armband BCG was transformed into the more conventional weighing scale BCG (called the synthetic weighing scale BCG) using a signal processing procedure. The characteristic features were extracted from these BCG and PPG waveforms in the form of wave-to-wave time intervals, wave amplitudes, and wave-to-wave amplitudes. Then, the relationship between the characteristic features associated with (i) the weighing scale BCG-PPG pair and (ii) the synthetic weighing scale BCG-PPG pair versus the CV parameters, was analyzed using the multivariate linear regression analysis. The results indicated that each of the CV parameters of interest may be accurately estimated by a combination of as few as two characteristic features in the upper-limb or lower-limb BCG, and also that the characteristic features recruited for the CV parameters were to a large extent relevant according to the physiological mechanism underlying the BCG.
机译:这项研究调查肢体心动描记图(BCG)对心血管(CV)参数进行无障碍估计的潜力。结合参考CV参数(包括舒张压,脉搏和收缩压,中风量,心输出量和总外周阻力),基于嵌入在可穿戴臂章中的加速度计的上肢BCG和基于下肢BCG的同时用手指光电体积描记图(PPG)仪器将嵌入应变计的应变计在仪器上进行测量。为了使分析标准化,使用信号处理程序将更方便但又非常规的臂章BCG转换为更常规的秤BCG(称为合成秤BCG)。从这些BCG和PPG波形以波到波时间间隔,波振幅和波到波振幅的形式提取特征。然后,使用多元线性回归分析来分析与(i)磅秤BCG-PPG对和(ii)合成磅秤BCG-PPG对相关的特征与CV参数之间的关系。结果表明,可以通过组合至少两个上肢或下肢BCG的特征来准确估算每个目标CV参数,并且为CV参数募集的特征要达到在很大程度上取决于BCG的生理机制。

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