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Automatic detection of pulse morphology patterns & cardiac risks

机译:自动检测脉搏形态和心脏风险

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Analysis of arterial pulse waveforms is important for non-invasive diagnosis of cardiovascular functions. Large samples of IPG signal records of radial arterial pulse show presence of eight different types of shapes (morphological patterns) in the pulse waveforms. In this paper we present an efficient computational method for automatic identification of these morphological patterns. Our algorithm uses likelihood ratio of cumulative periodogram of pulse signals and some geometrical criteria. The algorithm is presented with necessary details on signal processing aspects. Results for a large sample of pulse records of adult Indian subjects show high accuracy of our algorithm in detecting pulse-morphology patterns. Variation of pulse-morphology with respect to time is also analyzed using this algorithm. We have identified some characteristic features of pulse-morphology variation in patients of certain cardiac problems, hypertension, and diabetes. These are found relevant and significant in terms of physiological interpretation of the associated shapes of pulse waveforms. Importance of these findings is highlighted along with discussion on overall scope of our study in automatic analysis of heart rate variability and in other applications for non-invasive prognosis/diagnosis.
机译:动脉脉搏波形的分析对于心血管功能的非侵入性诊断非常重要。 radial动脉脉动IPG信号记录的大量样本显示出脉搏波形中存在八种不同类型的形状(形态图)。在本文中,我们提出了一种有效的计算方法,用于自动识别这些形态模式。我们的算法使用脉冲信号的累积周期图的似然比和一些几何标准。给出了算法的信号处理方面的必要细节。大量成年印度受试者的脉搏记录样本的结果表明,我们的算法在检测脉搏形态学模式方面具有很高的准确性。使用该算法还可以分析脉冲形态随时间的变化。我们已经确定了某些心脏问题,高血压和糖尿病患者的脉搏形态变化的一些特征。在对脉搏波形的相关形状的生理解释方面,发现这些相关和重要。这些发现的重要性以及我们在自动分析心率变异性和其他非侵入性预后/诊断应用中的研究总体范围的讨论中都得到了强调。

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