System and method for evaluating the autonomic nervous system of a living subject

• US 5,830,148 A
• Filed: 06/03/1997
• Issued: 11/03/1998
• Est. Priority Date: 06/03/1997
• Status: Expired due to Fees

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Inukai, Hidekatsu, Sakai, deceased, Hiroshi
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US08/867,817
• Time in Patent Office: 518 Days
• Field of Search: 600/481, 600/485, 600/492-494, 600/508, 600/509, 600/513
• US Class Current: 600/481
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/4035 Evaluating the autonomic nervous system

Abstract

A system and method evaluates the autonomic nervous system of a living subject based on the high frequency components present in the fluctuations of the living subject'"'"'s pulse cycle and on the low frequency components present in the fluctuations of the living subject'"'"'s blood pressure. The autonomic nervous system evaluation system includes an electrocardiographic waveform determiner that detects an electrocardiographic waveform of the living subject. A pulse cycle determining circuit determines a pulse cycle of the living subject based on the electrocardiographic waveform. A blood pressure estimating circuit estimates the living subject'"'"'s blood pressure based on time differences between predetermined periodic points on the electrocardiographic waveform and predetermined periodic points on corresponding pulse waves. An autonomic nervous system evaluation circuit evaluates the autonomic nervous system of the living subject based on the frequency content of fluctuations present in the blood pressure and pulse cycle of the living subject.

Claims

1. A system for evaluating an autonomic nervous system of a living subject, comprising:

a first pulse wave detection circuit that detects first pulse waves from a first portion of the living subject;

a second pulse wave detection circuit that detects second pulse waves from a second portion of the living subject;

a time-difference determining circuit that determines time differences between predetermined periodic points of the first pulse waves to predetermined periodic points of corresponding second pulse waves; and

a sympathetic nervous system evaluation circuit that determines an activity level of a sympathetic nervous system of the living subject based on frequency components present in fluctuations of the time differences determined by the time-difference determining circuit.

2. The system of claim 1, further comprising a pulse cycle measuring circuit that measures a pulse cycle of the living subject from the first pulse wave detection circuit.

3. The system of claim 2, wherein said first pulse wave detection circuit comprises an electrocardiographic waveform detector that detects, as said first pulse waves, an electrocardiographic waveform of the living subject.

4. The system of claim 3, wherein the pulse cycle measuring circuit measures the living subject'"'"'s pulse cycle from the electrocardiographic waveform detected by the electrocardiographic waveform detector.

5. The system of claim 2, further comprising a parasympathetic nervous system evaluation circuit that determines an activity level of a parasympathetic nervous system of the living subject based on a frequency component present in fluctuations of the pulse cycle measured by the pulse cycle measuring circuit.

6. The system of claim 5, wherein the parasympathetic nervous system evaluation circuit comprises a frequency analysis circuit that determines the frequency component of the fluctuations present in the pulse cycle of the living subject.

7. The system of claim 6, wherein the frequency analysis circuit determines a peak HFC₁ of a high frequency band and a peak LFC₁ of a low frequency band of the fluctuations of the pulse cycle of the living subject.

8. The system of claim 7, wherein the parasympathetic nervous system evaluation circuit determines the activity level of the parasympathetic nervous system of the living subject based on the ratio of the peak HFC₁ to the peak LFC₁.

9. The system of claim 1, wherein the sympathetic nervous system evaluation circuit comprises a blood pressure estimating circuit that repeatedly estimates a blood pressure of the living subject based on the time differences determined by the time-difference determining circuit.

10. The system of claim 8, wherein the sympathetic nervous system evaluation circuit determines the activity level of the sympathetic nervous system of the living subject based on the frequency component present in the fluctuations of the blood pressure estimated by the blood pressure estimating circuit.

11. The system of claim 9, wherein the sympathetic nervous system evaluation circuit comprises a frequency analysis circuit that determines the frequency components of the fluctuations present in the blood pressure of the living subject.

12. The system of claim 11, wherein the frequency analysis circuit determines a peak HFC₂ of a high frequency band and a peak LFC₂ of a low frequency band of the fluctuations of the blood pressure of the living subject.

13. The system of claim 12, wherein the parasympathetic nervous system evaluation circuit determines the activity level of the sympathetic nervous system of the living subject based on the ratio of the peak HFC₂ to the peak LFC₂.

14. The system of claim 9, wherein the blood pressure estimating circuit determines pulse wave propagation rates from the determined time differences and estimates the living subject'"'"'s blood pressure based on the determined pulse wave propagation rates.

15. A system for evaluating an autonomic nervous system of a living subject, comprising:

an electrocardiographic waveform detector that detects an electrocardiographic waveform of the living subject;

a pulse wave detector that detects pulse waves of the living subject;

a pulse cycle measuring circuit that measures a pulse cycle of the living subject;

a time-difference determining circuit that determines time differences between predetermined periodic points of the electrocardiographic waveform of the living subject to predetermined periodic points of corresponding pulse waves of the living subject;

a blood pressure estimating circuit that estimates a blood pressure of the living subject based on the time differences determined by the time-difference determining device; and

an autonomic nervous system evaluation device that determines an activity level of a parasympathetic nervous system of the living subject based on frequency components present in fluctuations of the measured pulse cycle, and determines an activity level of a sympathetic nervous system of the living subject based on frequency components present in fluctuations of the estimated blood pressure.

16. The system of claim 15, wherein the electrocardiographic waveform detector comprises:

a plurality of electrocardio electrodes capable of detecting an electrocardiographic signal from the living subject when the electrocardio electrodes are in electrical contact with the living subject; and

an electrocardiographic waveform detection circuit that detects the living subject'"'"'s electrocardiographic waveform based on the electrocardiographic signals detected by the electrocardio electrodes.

17. The system of claim 15, wherein the pulse wave detector comprises a blood oxygen saturation detector.

18. The system of claim 17, wherein the pulse wave detector comprises:

a housing having a top portion and an open bottom;

an attachment mechanism capable of attaching the pulse wave detector to a portion of the living subject;

a plurality of light emitters each emitting light at a different wavelength; and

a photo-detector capable of detecting light emitted by the plurality of light emitters and transmitted through the living subject.

19. The system of claim 18, wherein at least one of the plurality of wavelengths is chosen such that an absorption coefficient of oxidized hemoglobin is substantially different than an absorption coefficient of reduced hemoglobin at said one of the plurality of different wavelengths.

20. The system of claim 19 wherein the plurality of light emitters comprises:

a first light emitter emitting light at a first wavelength; and

a second light emitter emitting light at a second wavelength;

wherein the absorption coefficient of oxidized hemoglobin at the first wavelength is substantially different than the absorption coefficient of reduced hemoglobin at the first wavelength.

21. The system of claim 20, wherein the first wavelength is approximately 660 nm and the second wavelength is approximately 800 nm.

22. The system of claim 15, wherein the pulse cycle measuring circuit measures the living subject'"'"'s pulse cycle from the electrocardiographic waveform detected by the electrocardiographic waveform detector.

23. The system of claim 15, wherein the time-difference determining circuit determines time differences between R points on the electrocardiographic waveform and points of maximum slope on corresponding pulse waves.

24. The system of claim 15, wherein the blood pressure estimating circuit determines pulse wave propagation rates from time differences determined by the time-difference determining circuit and estimates the living subject'"'"'s blood pressure based on the determined pulse wave propagation rates.

25. The system of claim 15, wherein the autonomic nervous system evaluation device comprises:

at least one frequency analysis circuit that determines the frequency components of the fluctuations present in the blood pressure of the living subject and determines the frequency components of the fluctuations present in the pulse cycle of the living subject; and

an autonomic nervous system evaluation circuit that evaluates the autonomic nervous system of the living subject based on the frequency components of the fluctuations in the blood pressure and on the frequency components of the fluctuations of the pulse cycle.

26. The system of claim 25, wherein the at least one frequency analysis circuit determines a peak HFC₁ of a high frequency band and a peak LFC₁ of a low frequency band of the fluctuations of the pulse cycle of the living subject.

27. The system of claim 26 wherein the autonomic nervous system evaluation circuit determines the activity level of the parasympathetic nervous system of the living subject based on the ratio of the peak HFC₁ to the peak LFC₁.

28. The system of claim 25, wherein the at least one frequency analysis circuit determines a peak HFC₂ of a high frequency band and a peak LFC₂ of a low frequency band of the fluctuations of the estimated blood pressure of the living subject.

29. The system of claim 28, wherein the autonomic nervous system evaluation circuit determines the activity level of the sympathetic nervous system of the living subject based on the ratio of the peak HFC₂ to the peak LFC₂.