Assessment of Subtle Changes in Diabetes-Associated Arteriosclerosis using Photoplethysmographic Pulse Wave from Index Finger.

Distortions in macro- and microcirculation are principal contributors to diabetes-associated complications. This study aimed at investigating the validity of applying non-invasive photoplethysmographic (PPG) waveform parameters in detecting diabetes-induced subtitle changes in arterial stiffness. Be...

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Publicado en:Journal of Medical Systems Vol. 42; no. 3
Autores principales: Hsu, Po-Chun, Wu, Hsien-Tsai, Sun, Cheuk-Kwan
Formato: equations & formulas research tables/charts tracings Journal Article
Publicado: Springer Nature Mar2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2018
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-018-0901-1
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        atl: Assessment of Subtle Changes in Diabetes-Associated Arteriosclerosis using Photoplethysmographic Pulse Wave from Index Finger.
      aug:
        au:
          Hsu, Po-Chun
          Wu, Hsien-Tsai
          Sun, Cheuk-Kwan
        affil: Department of Electrical Engineering, National Dong-Hwa University, 974, Hualien, Taiwan
      sug:
        subj:
          Diabetes Mellitus Taiwan
          Arteriosclerosis Taiwan
          Plethysmography
          Pulse Wave Velocity
          Human
          Middle Age
          Aged
          Female
          Male
          Data Analysis Software
          Hemodynamics
          Aged, 80 and Over
          Taiwan
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Distortions in macro- and microcirculation are principal contributors to diabetes-associated complications. This study aimed at investigating the validity of applying non-invasive photoplethysmographic (PPG) waveform parameters in detecting diabetes-induced subtitle changes in arterial stiffness. Between July 2009 and October 2010, totally 94 middle-aged and elderly subjects were recruited including 48 without diabetes (Group 1) and 46 with the disease (Group 2). Demographic (i.e., age, gender), anthropometric (body-mass index), biochemical (i.e., glycated hemoglobin concentration), and hemodynamic (i.e., systolic blood pressure, heart rate) parameters were obtained. Crest time (CT) and crest time ratio (CTR) computed from PPG signals acquired from left index finger were compared with left index finger pulse wave velocity (PWVfinger) obtained from six-channel ECG-PWV system to investigate the differences between the two groups and the associations of these indices with the parameters of testing subjects. Significant difference was only noted in CTR between the two groups (<italic>P</italic> < 0.005). Despite correlation of both CT and CTR with age, only CTR demonstrated significant associations with hemodynamic parameters. CTR could differentiate diabetic patients from healthy individuals despite absence of difference in arterial stiffness assessed by conventional PWV, highlighting its superior sensitivity to subtle changes in diabetes-associated arteriosclerosis.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
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        Journal Article
      ougenre: Article
    language: English
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