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A dynamic continuous blood pressure measurement watch based on pwtt

A blood pressure measurement and watch technology, applied in vascular assessment, cardiac catheterization, etc., can solve problems such as inability to adjust flexibly and dynamically, and achieve the effects of shortening measurement time, increasing reliability, and improving accuracy

Active Publication Date: 2022-02-18
上海立阖泰医疗科技有限公司
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0012] The purpose of the present invention is to overcome the defect that the existing algorithm cannot flexibly and dynamically adjust the calculation time and calculation error, and provides a dynamic continuous blood pressure measurement watch based on PWTT, wherein the PWTT data is flexibly screened, and the PWTT, arm length The PWV is obtained from the average distance from the shoulder to the heart of a normal person, which makes the final calculated PWV more accurate. At the same time, when calculating blood pressure based on PWTT, not only the direct correlation between the two is considered, but also high pressure (SBP), pulse pressure (PP), The relationship between heart rate (PULSE) and blood pressure, by calculating the autocorrelation coefficient, regression coefficient and regression constant between each group of data, and finally calculate the blood pressure value according to the calculated parameter regression equation, the result is more accurate, in addition, in the process The real-time collected data and calibration data will also participate in data screening and subsequent calculation of regression coefficients, etc., and the real-time collected data will be added to the calibration area for new measurements. By continuously optimizing the calibration area, the blood pressure measurement results will be more accurate.

Method used

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  • A dynamic continuous blood pressure measurement watch based on pwtt
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  • A dynamic continuous blood pressure measurement watch based on pwtt

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Experimental program
Comparison scheme
Effect test

Embodiment 1

[0299] The comparison of the blood pressure measured when the heart rate regression coefficient is not added in the calculation of blood pressure in the traditional method and the blood pressure in the scheme of adding the heart rate regression coefficient in the present invention is given below.

[0300] 1. Comparison of blood pressure measured without heart rate regression coefficient and standard sphygmomanometer

[0301] Table 1 Testers at different stages (calibration / measurement) and different states (stationary / exercise)

[0302] The blood pressure values ​​of systolic blood pressure SBP and diastolic blood pressure DBP measured by calibrating the sphygmomanometer

[0303]

[0304] Table 2 The m value and p value in the unadded heart rate calculation formula adopted in the PWTT blood pressure measurement watch

[0305]

[0306] The blood pressure calculation formula without adding heart rate is: blood pressure value=m+p*PWV;

[0307] In the form:

[0308] p is ...

Embodiment 2

[0345] According to a specific embodiment of the present invention, the continuous blood pressure measurement method is compared with the dynamic continuous blood pressure measurement method.

[0346] 1. Comparison of continuous blood pressure measurement method and standard sphygmomanometer

[0347] Table 8 Testers measured by calibrating the blood pressure monitor at the same time on different consecutive days

[0348] Systolic blood pressure SBP, diastolic blood pressure DBP blood pressure value, pulse pressure PP value, PWV value and heart rate PULSE value

[0349]

[0350] Table 9 The m value, p value and q value in the calculation formula of the continuous blood pressure measurement method

[0351]

[0352] In the above table:

[0353] p is the regression coefficient of SBP or PP and PWV;

[0354] q is the regression coefficient of SBP or PP and heart rate PULSE;

[0355] m is the regression constant of SBP or PP;

[0356] Blood pressure calculation formula fo...

Embodiment 3

[0391] According to a specific embodiment of the present invention, the following table is the same tester, fixed arm length, N, M and a parameters, respectively calculate the PWTT value of different numbers before discarding, the influence on the value of the final PWV.

[0392] Among them, real PWV=3.566243, arm length L=630mm, N=15, M=10%, a=200mm.

[0393] Table 11 The impact of discarding different numbers of PWTT values ​​on PWV during primary screening

[0394]

[0395] The real PWV value is measured by a brand AECG100 ECG / PPG and PWTT multifunctional physiological signal tester. According to the second column of the above table, it can be obtained Figure 10 . according to Figure 10 It can be seen that the PWTT data fluctuations of the first 5 collection points are relatively large, and the data tends to be stable after 5 collection points. Therefore, when P=5-9, that is, when the first 5 to 9 PWTT values ​​are discarded, the PWV calculation The result is clos...

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Abstract

The invention provides a PWTT-based dynamic continuous blood pressure measurement watch, which belongs to the technical field of non-invasive continuous blood pressure measurement. The present invention flexibly screens PWTT data, and obtains PWV through PWTT, arm length, and the average distance from the shoulder to the heart of a normal person, so that the final calculation of PWV has higher precision. At the same time, when calculating blood pressure based on PWTT, not only the direct correlation between the two is considered It also considers the relationship between high pressure, pulse pressure, heart rate and blood pressure, by calculating the autocorrelation coefficient, regression coefficient and regression constant between each group of data, and finally calculates the blood pressure value according to the calculated parameter regression equation, the result is more accurate, In addition, during this process, the real-time collected data and calibration data will participate in data screening and calculation of subsequent regression coefficients, etc., and the real-time collected data will be added to the calibration area for new measurements. By continuously optimizing the calibration area, the Blood pressure measurements are more accurate.

Description

technical field [0001] The invention relates to the technical field of non-invasive continuous blood pressure measurement, in particular to a dynamic continuous blood pressure measurement watch based on PWTT. Background technique [0002] Pulse Wave Transit Time (PWTT) is the transmission time of the arterial blood pressure wave along the blood vessel wall. This time is composed of the time from the start of the heart contraction to the opening of the aortic valve to the pulsation of blood in the aorta, which is transmitted to the peripheral part through the blood vessel. , PWTT parameters can be obtained from the ECG and pulse wave of the wrist. At present, there are a large number of clinical trials showing that the relationship between pulse wave transit time and blood pressure is a clear phenomenon in physiology. Using this phenomenon, combined with individual gender, height, Based on basic characteristics such as body weight, arm length, and age, a special algorithm can...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): A61B5/021
CPCA61B5/02125
Inventor 李龙
Owner 上海立阖泰医疗科技有限公司
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