Heart-sound detecting apparatus, system for measuring pre-ejection period by using heart-sound detecting apparatus, and system for obtaining pulse-wave-propagation-velocity-relating information by using heart-sound detecting apparatus

• US 20020001390A1
• Filed: 07/12/2001
• Published: 01/03/2002
• Est. Priority Date: 02/18/2000
• Status: Active Grant

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Kawaguchi, Keizoh
• Granted Patent: US 6,477,405 B2
• Time in Patent Office: Days
• US Class Current: 381/67
• CPC Class Codes: A61B 5/0285 Measuring or recording phase velocity of blood waves
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/726 using Wavelet transforms
• CPC Class Codes: A61B 7/00 Instruments for auscultation

Abstract

A heart-sound detecting apparatus, including a heart-sound microphone which detects at least one heart sound produced by the heart of a living subject and outputs a heart-sound signal representing the detected heart sound, a time-frequency analyzing device for analyzing, with respect to time and frequency, at least a portion of the heart-sound signal that includes a first heart sound I, and an aortic-valve-opening-timing determining device for determining a timing when the aortic valve of the heart opens, based on a time when a magnitude of the analyzed signal at a frequency higher than a frequency range of a main component present in an initial portion of the first heart-sound I is greater than a prescribed threshold value.

Claims

1. A heart-sound detecting apparatus, comprising:

a heart-sound microphone which detects at least one heart sound produced by a heart of a living subject and outputs a heart-sound signal representing the detected heart sound;

a time-frequency analyzing means for analyzing, with respect to time and frequency, at least a portion of the heart-sound signal that includes a first heart sound I; and

an aortic-valve-opening-timing determining means for determining a timing when an aortic valve of the heart opens, based on a time when a magnitude of the analyzed signal at a frequency higher than a frequency range of a main component present in an initial portion of the first heart-sound I is greater than a prescribed threshold value.

3. A system for measuring a pre-ejection period between a timing when contraction of a heart of a living subject starts and a timing when blood is ejected from the heart to an aorta of the subject, the system comprising:

an electrocardiograph for detecting an electrocardiogram from the subject;

a heart-sound detecting apparatus according to claim 1; and

a pre-ejection-period determining means for determining, as the pre-ejection period, a time difference between a timing when a portion of the electrocardiogram indicative of excitation of a ventricular muscle of the heart is detected by the electrocardiograph, and the timing of opening of the aortic valve determined by the aortic-valve-opening-timing determining means of the heart-sound detecting apparatus.

5. A system for obtaining information relating to a propagation velocity at which a pulse wave propagates along an artery of a living subject, the system comprising:

a heart-sound detecting apparatus according to claim 1;

a pulse-wave detecting device which is adapted to be worn on the subject to detect the pulse wave which propagates along the artery of the subject; and

a pulse-wave-propagation-velocity-relating-information obtaining means for obtaining said information based on the timing of opening of the aortic valve determined by the aortic-valve-opening-timing determining means of the heart-sound detecting apparatus, and a timing when a rising point of the pulse wave is detected by the pulse-wave detecting device.

6. A system according to claim 5, wherein the pulse-wave-propagation-velocity-relating-information obtaining means comprises a pulse-wave-propagation-time determining means for determining, based on the timing of opening of the aortic valve determined by the aortic-valve-opening-timing determining means, and the timing when the rising point of the pulse wave is detected by the pulse-wave detecting device, a propagation time needed for the pulse wave to propagate from the aorta to a position where the pulse-wave detecting device is worn on the subject.

7. A system according to claim 5, wherein the pulse-wave-propagation-velocity-relating-information obtaining means comprises a pulse-wave-propagation-velocity determining means for determining the propagation velocity at which the pulse wave propagates, by dividing a distance from the aorta to a position where the pulse-wave detecting device is worn on the subject, by a time difference between the timing of opening of the aortic valve determined by the aortic-valve-opening-timing determining means and the timing when the rising point of the pulse wave is detected by the pulse-wave detecting device.

8. A system according to claim 5, further comprising an output device which outputs the information obtained by the pulse-wave-propagation-velocity-relating-information obtaining means, so that an observer can observe said information.

2. A heart-sound detecting apparatus, comprising:

a heart-sound microphone which detects at least one heart sound produced by a heart of a living subject and outputs a heart-sound signal representing the detected heart sound;

a time-frequency analyzing means for analyzing, with respect to time and frequency, at least a portion of the heart-sound signal that includes a first heart sound I; and

an aortic-valve-opening-timing determining means for determining a timing when an aortic valve of the heart of the subject opens, based on a time when at least one magnitude of the analyzed signal at at least one frequency in a frequency range of a main component present in an initial portion of the first heart-sound I is minimal.

4. A system for measuring a pre-ejection period between a timing when contraction of a heart of a living subject starts and a timing when blood is ejected from the heart to an aorta of the subject, the system comprising:

an electrocardiograph for detecting an electrocardiogram from the subject;

a heart-sound detecting apparatus according to claim 2; and

a pre-ejection-period determining means for determining, as the pre-ejection period, a time difference between a timing when a portion of the electrocardiogram indicative of excitation of a ventricular muscle of the heart is detected by the electrocardiograph, and the timing of opening of the aortic valve determined by the aortic-valve-opening-timing determining means of the heart-sound detecting apparatus.

9. A system for obtaining information relating to a propagation velocity at which a pulse wave propagates along an artery of a living subject, the system comprising:

a heart-sound detecting apparatus according to claim 2;

a pulse-wave detecting device which is adapted to be worn on the subject to detect the pulse wave which propagates along the artery of the subject; and

a pulse-wave-propagation-velocity-relating-information obtaining means for obtaining said information based on the timing of opening of the aortic valve determined by the aortic-valve-opening-timing determining means of the heart-sound detecting apparatus, and a timing when a rising point of the pulse wave is detected by the pulse-wave detecting device.

10. A system according to claim 9, wherein the pulse-wave-propagation-velocity-relating-information obtaining means comprises a pulse-wave-propagation-time determining means for determining, based on the timing of opening of the aortic valve determined by the aortic-valve-opening-timing determining means, and the timing when the rising point of the pulse wave is detected by the pulse-wave detecting device, a propagation time needed for the pulse wave to propagate from the aorta to a position where the pulse-wave detecting device is worn on the subject.

11. A system according to claim 9, wherein the pulse-wave-propagation-velocity-relating-information obtaining means comprises a pulse-wave-propagation-velocity determining means for determining the propagation velocity at which the pulse wave propagates, by dividing a distance from the aorta to a position where the pulse-wave detecting device is worn on the subject, by a time difference between the timing of opening of the aortic valve determined by the aortic-valve-opening-timing determining means and the timing when the rising point of the pulse wave is detected by the pulse-wave detecting device.

12. A system according to claim 9, further comprising an output device which outputs the information obtained by the pulse-wave-propagation-velocity-relating-information obtaining means, so that an observer can observe said information.