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Systolic blood pressure estimation method using electrocardiogram RRI data
Etsunori Fujita1, Ryuichi Uchikawa2, Yumi Ogura2
1Delta Tooling Co., Ltd, 1-2-10 Yanoshinmachi Aki-ku, Hiroshima City, Hiroshima, 736-0084, Japan. gonzo@deltatooling.co.jp.
None:
Having obtained an idea from the Guyton model appertaining to the arterial pressure control mechanisms, we propose a novel chaos time series analysis method working with the non-nervous intermediate pressure control mechanism. Responses of the intermediate pressure control mechanisms are obtained from an electrocardiogram RRI delay coordinate system, and two frequency ranges are determined via residual functions to identify action and compensation by using the two best approximation functions. Absolute values of objects for control are estimated with the gradients of tangent and quantities of state at the inflection points of the best approximation functions. We obtained a polynomial determining a three-dimensional response surface (R2 = 0.814) that converted the two gradients of tangent calculated from the electrocardiogram RRI data of 225 cases and brachial systolic blood pressure into quantities of state. Further, the estimated values obtained by inputting the electrocardiogram RRI data of 120 readings from one subject into this polynomial showed strong correlation (R2 = 0.8564) with the measured brachial systolic blood pressure. Thus, it showed that the gradients of tangent were parameters grasping chaotic variation of the intermediate pressure control mechanisms.
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Assessment of blood pressure in brachial artery(two-step method)
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Prepare for the Procedure:
Electrocardiogram
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
ECG Interpretation of Rhythms
Components of the Electrocardiogram
The primary components of a normal ECG waveform in Normal sinus rhythm(NSR) include the P wave, PR interval, QRS complex, ST segment, T wave, and occasionally a U wave.
ECG waveforms are divided by vertical and horizontal lines at standard intervals.
The horizontal axis measures time and rate, and the vertical axis measures amplitude or voltage....
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement