VITAL SIGNS INFORMATION MEASURING APPARATUS AND VITAL SIGNS INFORMATION MEASURING METHOD

• US 20170027455A1
• Filed: 07/26/2016
• Published: 02/02/2017
• Est. Priority Date: 07/27/2015
• Status: Abandoned Application

• Current Assignee: Nihon Kohden Corporation
• Original Assignee: Nihon Kohden Corporation
• Inventors: Ono, Yoshinobu, Takayanagi, Tsuneo, Kaiami, Takashi
• Application Number:
  US15/219,808
• Publication Number:
  US 20170027455A1
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 5/02028 Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
• CPC Class Codes: A61B 5/02116 of pulse wave amplitude A61B5/02225 takes precedence
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/346 Analysis of electrocardiograms
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/4035 Evaluating the autonomic nervous system
• CPC Class Codes: A61B 5/7257 using Fourier transforms
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence

Abstract

A vital signs information measuring apparatus includes a calculating section which calculates a baroreflex index, a sympathetic nerve index, a heart rate, an estimated cardiac output, and an alternative index of blood pressure by using at least one of an electrocardiographic signal of a living body, and a pulse wave of the living body and a displaying section that displays changes of the baroreflex index, sympathetic nerve index, heart rate, estimated cardiac output, and alternative index of blood pressure that are calculated by the calculating section.

Claims

1. A vital signs information measuring apparatus comprising:

a calculating section which calculates a baroreflex index, a sympathetic nerve index, a heart rate, an estimated cardiac output, and an alternative index of blood pressure by using at least one of an electrocardiographic signal of a living body, and a pulse wave of the living body; and

a displaying section that displays changes of the baroreflex index, sympathetic nerve index, heart rate, estimated cardiac output, and the alternative index that are calculated by the calculating section.

11. The vital signs information measuring apparatus according to claim 1, wherein the displaying section displays changes of the baroreflex index, the sympathetic nerve index, the heart rate, the estimated cardiac output, and the alternative index of blood pressure, graphically and time sequentially.

2. The vital signs information measuring apparatus according to claim I, wherein the calculating section includes:

a baroreflex index calculating section that calculates a baroreflex index by using the electrocardiographic signal and the pulse wave;

a sympathetic nerve index calculating section that calculates a sympathetic nerve index by using the electrocardiographic signal;

a heart rate calculating section that calculates a heart rate by using the electrocardiographic signal;

an estimated-cardiac output calculating section that calculates an estimated cardiac output by using the electrocardiographic signal and the pulse wave; and

a blood pressure alternative index calculating section that calculates an alternative index of blood pressure by using the electrocardiographic signal and the pulse wave.

3. The vital signs information measuring apparatus according to claim 2 further comprising a storage that stores therein a cardiac output in a resting state of the living body.

4. The vital signs information measuring apparatus according to claim 2, wherein the baroreflex index calculating section calculates a low frequency spectral component of RR interval of an electrocardiogram waveform by using the electrocardiographic signal, and a low frequency PWTT by using the electrocardiogram waveform and the pulse wave, and further calculates Low frequency RR/Low frequency PWTT, thereby calculating the baroreflex index.

5. The vital signs information measuring apparatus according to claim 3, wherein the baroreflex index calculating section calculates a low frequency spectral component of RR interval of an electrocardiogram waveform by using the electrocardiographic signal, and a low frequency PWTT by using the electrocardiogram waveform and the pulse wave, and further calculates Low frequency RR/Low frequency PWTT, thereby calculating the baroreflex index.

6. The vital signs information measuring apparatus according to claim 2, wherein the sympathetic nerve index calculating section calculates the low frequency spectral component of RR interval and high frequency spectral component of RR interval of an electrocardiogram waveform by using the electrocardiographic signal, and further calculates Low frequency RR/High frequency RR, thereby calculating the sympathetic nerve index.

7. The vital signs information measuring apparatus according to claim 3, wherein the sympathetic nerve index calculating section calculates the low frequency spectral component of RR interval and high frequency spectral component of RR interval of an electrocardiogram waveform by using the electrocardiographic signal, and further calculates Low frequency RR/High frequency RR, thereby calculating the sympathetic nerve index.

8. The vital signs information measuring apparatus according to claim 3, wherein the estimated-cardiac output calculating section calculates:

the heart rate by using the electrocardiographic signal in a resting state of the living body;

a PWTT by using the electrocardiographic signal and pulse wave in a resting state of the living body; and

an estimated-cardiac output calculation coefficient by using the cardiac output in a resting state of the living body which is stored in the storing section, and the calculated heart rate and PWTT, and

the estimated-cardiac output calculating section further calculates;

the heart rate by using an electrocardiographic signal in a load state of the living body;

the PWTT by using the electrocardiographic signal and pulse wave in a load state of the living body; and

an estimated cardiac output by using the heart rate in a load state of the living body, the PWTT, and the estimated-cardiac output calculation coefficient.

9. The vital signs information measuring apparatus according to claim 2, wherein the blood pressure alternative index calculating section calculates a PWTT by using the electrocardiographic signal and the pulse wave, and outputs the PWTT as the alternative index of blood pressure.

10. The vital signs information measuring apparatus according to claim 3, wherein the blood pressure alternative index calculating section calculates a PWTT by using the electrocardiographic signal and the pulse wave, and outputs the PWTT as the alternative index of blood pressure,

12. A vital signs information measuring method comprising:

calculating an estimated-cardiac output calculation coefficient by using a cardiac output, electrocardiographic signal, and pulse wave in a resting state of a living body;

calculating a baroreflex index, a sympathetic nerve index, a heart rate, and an alternative index of blood pressure by using at least one of an electrocardiographic signal and pulse wave in a load state of the living body, and calculating an estimated cardiac output of the living body by using the electrocardiographic signal and pulse wave in a load state of the living body, and the estimated-cardiac output calculation coefficient; and

displaying changes of the baroreflex index, sympathetic nerve index, heart rate, estimated cardiac output, and alternative index of blood pressure which are calculated.

13. The vital signs information measuring method according to claim 12, wherein the baroreflex index is obtained by calculating a low frequency spectral component of RR interval of an electrocardiogram waveform by using the electrocardiographic signal, and a low frequency PWTT by using the electrocardiogram waveform and the pulse wave, and further calculating Low frequency RR/Low frequency PWTT.

14. The vital signs information measuring method according to claim 12, wherein the sympathetic nerve index is obtained by calculating a low frequency spectral component of RR interval and high frequency spectral component of RR interval of an electrocardiogram waveform by using the electrocardiographic signal, and further calculating Low frequency RR/High frequency RR.

15. The vital signs information measuring method according to claim 12, wherein the estimated cardiac output is obtained by calculating the heart rate by using the electrocardiographic signal, calculating a PWTT by using the electrocardiographic signal and the pulse wave, and using the heart rate, the PWTT, and the estimated-cardiac output calculation coefficient.

16. The vital signs information measuring method according to claim 12, wherein the alternative index of blood pressure is obtained by calculating a PWTT by using the electrocardiographic signal and the pulse wave.