论文标题

使用机械电耦合概念的基于心电图的血压估计

ECG-Based Blood Pressure Estimation Using Mechano-Electric Coupling Concept

论文作者

Mousavi, Seyedeh Somayyeh, Charmi, Mostafa, Firouzmand, Mohammad, Hemmati, Mohammad, Moghadam, Maryam, Ghorbani, Yadollah

论文摘要

心电图信号代表心脏的电活动,而血压是由心脏的机械活性引起的。先前的研究已经调查了心脏的电气和机械活动是如何相关的,并将其关系称为机械电耦合项。提出了一种仅使用心电图信号的新方法来估计血压在内。尽管基于信号的生理参数(基于参数)进行了特征提取的研究,但在这项工作中,在特定时间范围内,在特定时间范围(全基基)中形成了特征向量,并且这些矢量被输入到适应性增强回归中以估算血压的适应性增强回归。本研究的结果结束了将血压与心电图信号相关的非线性关系。根据结果​​,用于估计舒张压和平均动脉压的使用算法符合医疗仪器发展协会的标准。同样,根据英国高血压协会标准,使用拟议方法估算舒张压和平均动脉压达到A级,而它可以达到收缩压的B。结果表明,使用引入的方法,可以连续,无创,无袖口,无校准,仅使用心电图信号来估计血压。

The Electrocardiograph signal represents the heart's electrical activity while blood pressure results from the heart's mechanical activity. Previous studies have investigated how the heart's electrical and mechanical activities are related and have referred to their relationship as the Mechano-Electric Coupling term. A new method to estimate the blood pressure including is proposed which uses only the Electrocardiograph signal. In spite of studies performed on feature extraction based on the signals' physiological parameters (Parameter-based), in this work, the feature vectors are formed with samples of the Electrocardiograph signal in a particular time frame (Whole-based) and these vectors are input into Adaptive Boosting Regression to estimate blood pressure. The nonlinear relationship which correlates blood pressure with the Electrocardiograph signal is concluded by the results of this study. According to the results, the used algorithms, for estimating both diastolic blood pressures and mean arterial pressure, are in compliance with the standards of the Association for the Advancement of Medical Instrumentation. Also, according to the British Hypertension Society standard, estimating diastolic blood pressures and mean arterial pressure with the proposed method attain an A grade while it achieves B for systolic blood pressure. The results indicate that using the introduced method, blood pressure can be estimated continuously, noninvasively, without cuff, calibration-free and by using only the Electrocardiograph signal.

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