Abstract

Background and Objective The same range of blood pressure values may reflect different vascular functions, especially in the elderly. Therefore, a single blood pressure value may not comprehensively reveal cardiovascular function. This study focused on identifying pulse wave features in the elderly that can be used to show functional differences when blood pressure values are in the same range. Methods First, pulse data were preprocessed and pulse cycles were segmented. Second, time domain, higher-order statistics, and energy features of wavelet packet decomposition coefficients were extracted. Finally, useful pulse wave features were evaluated using a feature selection and classifier design. Results A total of 6,075 pulse wave cycles were grouped into 3 types according to different blood pressure levels and each group was divided into 2 categories according to a history of hypertension. The classification accuracy of feature selection in the 3 groups was 97.91%, 95.24%, and 92.28%, respectively. Conclusion Selected features could be appropriately used to analyze cardiovascular function in the elderly and can serve as the basis for research on a cardiovascular risk assessment model based on Traditional Chinese Medicine pulse diagnosis.

Highlights

  • Pulse diagnosis is very important in Traditional Chinese Medicine (TCM), and research has focused on obtaining objective evidence for the technique [1, 2]

  • The association between pulse waves and hemodynamic parameters has been studied in hypertensive patients [6, 7], and research has shown that blood pressure values can be predicted by pulse waves [8]

  • This study focused on individuals over 60 years of age to identify useful features in the pulse wave cycle that can demonstrate differences between hypertensive and normotensive, within the same range of blood pressure values

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Summary

Introduction

Pulse diagnosis is very important in Traditional Chinese Medicine (TCM), and research has focused on obtaining objective evidence for the technique [1, 2]. A series of features, including time domain (TD), energy (E), and higher-order statistics (HOS) features of wavelet packet decomposition coefficients (WPDC), were used in pulse classification of health versus subhealth and atherosclerosis versus nonarteriosclerosis [12]. We hypothesized that time domain (TD), energy (E), and higher-order statistics (HOS) features of wavelet packet decomposition coefficients (WPDC) in the pulse wave cycle, Evidence-Based Complementary and Alternative Medicine. The same range of blood pressure values may reflect different vascular functions, especially in the elderly. This study focused on identifying pulse wave features in the elderly that can be used to show functional differences when blood pressure values are in the same range. Selected features could be appropriately used to analyze cardiovascular function in the elderly and can serve as the basis for research on a cardiovascular risk assessment model based on Traditional Chinese Medicine pulse diagnosis

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