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光电容积脉搏波信号滤波对心率变异性分析的影响。

Effect of Filtering of Photoplethysmography Signals in Pulse Rate Variability Analysis.

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2021 Nov;2021:5500-5503. doi: 10.1109/EMBC46164.2021.9629521.

Abstract

Due to the widespread use and simplicity of photoplethysmography (PPG) signals, and because this signal contains information related to pulse rate, several studies have started to propose the use of Pulse Rate Variability (PRV) for the assessment of cardiovascular autonomic nervous activity, instead of using Heart Rate Variability (HRV) obtained with the electrocardiogram (ECG). However, there is a lack of standardisation and guidelines for the measurement of PRV from PPG signals, which might hinder comparability among studies and validation of results. The aim of this study was to evaluate different digital filters on PPG signals and their effects on PRV information, compared to HRV obtained from ECG. PPG and ECG signals obtained from healthy volunteers were used to measure HRV and PRV. PPG signals were filtered using different FIR and IIR digital filters, with several cut-off frequencies. The results indicate that filtering PPG signals using IIR filters and lower low-cut-off frequencies allow for the acquisition of more reliable PRV information, with lower Bland-Altman ratios and higher cross-correlations when compared to HRV. This is a first step in establishing guidelines and standards for the analysis of PRV information using PPG signals.Clinical relevance- Pulse rate variability might be a useful tool for the assessment of the cardiovascular autonomic nervous system. This study is the first step for establishing standards of measurement of this signal, which helps in the comparability and validation of the technique.

摘要

由于光电容积脉搏波(PPG)信号的广泛应用和简单性,并且由于该信号包含与脉搏率相关的信息,因此已经有几项研究开始提出使用脉搏率变异性(PRV)来评估心血管自主神经活动,而不是使用心电图(ECG)获得的心率变异性(HRV)。然而,从 PPG 信号测量 PRV 缺乏标准化和指南,这可能会妨碍研究之间的可比性和结果的验证。本研究旨在评估 PPG 信号上不同数字滤波器的效果,并将其与从 ECG 获得的 HRV 进行比较。使用健康志愿者的 PPG 和 ECG 信号来测量 HRV 和 PRV。使用不同的 FIR 和 IIR 数字滤波器以及多个截止频率对 PPG 信号进行滤波。结果表明,与 HRV 相比,使用 IIR 滤波器和较低的低截止频率对 PPG 信号进行滤波可以获得更可靠的 PRV 信息,其 Bland-Altman 比值更低,交叉相关性更高。这是使用 PPG 信号分析 PRV 信息建立指南和标准的第一步。临床意义-脉搏率变异性可能是评估心血管自主神经系统的有用工具。这项研究是为该信号的测量建立标准的第一步,有助于该技术的可比性和验证。

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