Synchronous Monitoring of Heart Beat and Cerebral Blood Flow Pulsation Based on Near Field Coherent Coupling

Rui Zhu, Jiaxu Li, Gen Li
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Abstract

Simultaneous monitoring of heart beat (HB) and cerebral blood flow pulsation (CBFP) has important clinical significance for reducing the incidence, mortality and disability rate of cardiovascular and cerebrovascular diseases. However, there is no safe, reliable and effective method for synchronous monitoring of them in practice. Near-field coherent coupling (NCC) obtains physiological signals by demodulating the modulation information of complex impedance changes in biological tissues with the advantages of non-invasiveness, strong penetrability, and real-time monitoring. A synchronization monitoring system of HB and CBFP was constructed in this work based on the NCC principle and software defined radio programming technology. In order to investigate its feasibility of monitoring the heart-brain coupling activity (HBCA) changes in different states, the HB and CBFP signals of 6 healthy volunteers at rest and after exercise were collected synchronously and analyzed. Furthermore, the heart-brain delay time (HBDT) in the two states was compared by moving cross-correlation analysis. The results show that the size of heart rate obtained by the NCC and physiological monitor is very close with an average relative error of 4.7%. The waveforms of HB and CBFP in time domain before and after exercise were relatively consistent, which meets the heart rate and the basic characteristics of CBF impedance map. The frequency of HB and CBFP after exercise were obviously higher than that at rest. CBFP is delayed from the HB and has the same frequency. It is consistent with the mechanism of the same frequency and different phases between cardiac vibration and intracranial blood supply. The HBDTs at resting state in all 6 volunteers are less than those after exercising with an optimal consistency. These results prove the possibility of NCC monitoring HB and CBFP. In addition, it has the potential in non-invasive, real-time monitoring of HBCA.
基于近场相干耦合的心跳和脑血流脉动同步监测
同时监测心跳(HB)和脑血流脉动(CBFP)对降低心脑血管疾病的发病率、死亡率和致残率具有重要的临床意义。但在实际应用中,并没有安全、可靠、有效的方法对其进行同步监测。近场相干耦合(NCC)通过解调生物组织中复杂阻抗变化的调制信息获得生理信号,具有无创、穿透性强、实时监测等优点。基于NCC原理和软件无线电编程技术,构建了HB和CBFP同步监测系统。为了探讨监测不同状态下心脑耦合活动(HBCA)变化的可行性,我们同步采集了6名健康志愿者在休息和运动后的HB和CBFP信号并进行了分析。通过移动相关分析比较两种状态下的心脑延迟时间(HBDT)。结果表明,NCC与生理监测仪测得的心率值非常接近,平均相对误差为4.7%。运动前后HB和CBFP的时域波形比较一致,符合心率和CBF阻抗图的基本特征。运动后HB和CBFP频率明显高于静止时。CBFP延迟从HB和有相同的频率。这与心脏振动与颅内血供的同频异相机制是一致的。6名志愿者静息状态下的hbdt均低于最佳一致性运动后的hbdt。这些结果证明了NCC监测HB和CBFP的可能性。此外,它还具有无创、实时监测HBCA的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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