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柯氏音延迟时间在评估心血管状态中的初步应用。

A pilot application of Korotkoff sound delay time in evaluating cardiovascular status.

作者信息

Xiang Haiyan, Liu Yanyong, Qin Yufei, Cao Zhengtao, Guo Tao, Yu Mengsun

出版信息

Technol Health Care. 2015;23 Suppl 2:S419-26. doi: 10.3233/THC-150978.

DOI:10.3233/THC-150978
PMID:26410508
Abstract

BACKGROUND

Korotkoff sounds have been used to measure systolic and diastolic arterial blood pressures noninvasively for over 100 years. However, most of the research concerning the Korotkoff sound were focused on the origin and frequency component analyzing the Korotkoff sound signal.

OBJECTIVE

To show that the occurrence time of the Korotkoff sounds for each cardiac cycle demonstrates a characteristic value during the cuff deflating process of blood pressure measurement.

METHODS

The Korotkoff sound delay time (KDT) decreases as the cuff pressure P deflates and KDT is a function of arterial transmural pressure. In the present research, an experiment system was established to explore the relationship between the KDT and the cuff pressure in different subjects.

RESULTS

A pilot experiment was conducted to obtain different subjects' KDTs and investigate the relationship between KDT and cuff pressure.

CONCLUSION

The relationship between KDT and invasive blood pressure was also studied and its potential application in detection of cardiovascular status was discussed.

摘要

背景

100多年来,柯氏音一直被用于无创测量动脉收缩压和舒张压。然而,大多数关于柯氏音的研究都集中在柯氏音信号的起源和频率成分分析上。

目的

证明在血压测量的袖带放气过程中,每个心动周期柯氏音的出现时间表现出一个特征值。

方法

随着袖带压力P下降,柯氏音延迟时间(KDT)减小,且KDT是动脉跨壁压的函数。在本研究中,建立了一个实验系统来探究不同受试者的KDT与袖带压力之间的关系。

结果

进行了一项初步实验以获取不同受试者的KDT,并研究KDT与袖带压力之间的关系。

结论

还研究了KDT与有创血压之间的关系,并讨论了其在心血管状态检测中的潜在应用。

相似文献

1
A pilot application of Korotkoff sound delay time in evaluating cardiovascular status.柯氏音延迟时间在评估心血管状态中的初步应用。
Technol Health Care. 2015;23 Suppl 2:S419-26. doi: 10.3233/THC-150978.
2
Noninvasive measurement of beat-to-beat arterial blood pressure by the Korotkoff sound delay time.通过柯氏音延迟时间无创测量逐搏动脉血压
Blood Press Monit. 2012 Feb;17(1):35-41. doi: 10.1097/MBP.0b013e32834f710b.
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Variation of the Korotkoff Stethoscope Sounds During Blood Pressure Measurement: Analysis Using a Convolutional Neural Network.血压测量过程中柯氏音的变化:卷积神经网络分析。
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The origin of Korotkoff sounds and the accuracy of auscultatory blood pressure measurements.柯氏音的起源及听诊法测量血压的准确性。
J Am Soc Hypertens. 2015 Dec;9(12):935-50.e3. doi: 10.1016/j.jash.2015.09.011. Epub 2015 Sep 25.
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Raising the arm before cuff inflation increases the loudness of Korotkoff sounds.在袖带充气前抬高手臂会增加柯氏音的响度。
Blood Press Monit. 2009 Dec;14(6):268-73. doi: 10.1097/MBP.0b013e3283330a67.
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New Perspectives on Non-invasive Blood Pressure Measurement.非侵入式血压测量的新视角。
Annu Int Conf IEEE Eng Med Biol Soc. 2023 Jul;2023:1-4. doi: 10.1109/EMBC40787.2023.10340757.
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Improving the quality and accuracy of non-invasive blood pressure measurement by visual inspection and automated signal processing of the Korotkoff sounds.通过对柯氏音进行视觉检查和自动信号处理来提高无创血压测量的质量和准确性。
Physiol Meas. 2017 Jun;38(6):1006-1022. doi: 10.1088/1361-6579/aa6b7e. Epub 2017 May 4.
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Are Korotkoff Sounds Reliable Markers for Accurate Estimation of Systolic and Diastolic Pressure Using Brachial Cuff Sphygmomanometry?使用肱动脉袖带血压计测量时,柯氏音是准确估计收缩压和舒张压的可靠指标吗?
IEEE Trans Biomed Eng. 2021 Dec;68(12):3593-3601. doi: 10.1109/TBME.2021.3079578. Epub 2021 Nov 19.
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Accurate detection of Korotkoff sounds reveals large discrepancy between intra-arterial systolic pressure and simultaneous noninvasive measurement of blood pressure with brachial cuff sphygmomanometry.准确检测柯氏音揭示了动脉内收缩压与同时使用肱动脉血压袖带测量的无创血压之间存在显著差异。
J Hypertens. 2024 May 1;42(5):873-882. doi: 10.1097/HJH.0000000000003651. Epub 2024 Jan 8.

引用本文的文献

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A Study on the Association between Korotkoff Sound Signaling and Chronic Heart Failure (CHF) Based on Computer-Assisted Diagnoses.基于计算机辅助诊断的柯氏音信号与慢性心力衰竭(CHF)的相关性研究
J Healthc Eng. 2022 Sep 1;2022:3226655. doi: 10.1155/2022/3226655. eCollection 2022.