Harmonic analysis of peripheral pulse for screening subjects at high risk of diabetes

J Med Eng Technol. 2017 Aug;41(6):437-443. doi: 10.1080/03091902.2017.1323968. Epub 2017 Jun 6.

Abstract

Power spectral density (PSD) of peripheral pulses in human has been investigated in the past for its clinical applications. Continuing the efforts, data acquired using Peripheral Pulse Analyser in research projects sponsored by Board of Research in Nuclear Sciences in 207 control subjects, 18 descendants of diabetic patients and 22 patients with systemic hypertension have been subjected to PSD analysis for its study of harmonics. Application software, named Pulse Harmonic Analyser specifically developed for this work, selected 131,072 samples from each data file, obtained PSD, derived 52 PHA parameters and saved them in an Excel sheet. Coefficient of variation in control data was reduced significantly by application of Central Limit Theorem, which enabled use of parametric methods for statistical analysis of the observations. Data in hypertensive patients have shown significant difference in comparison to that of controls in eight parameters at low values of α and β. Data in offspring of diabetic patients also have shown significant difference in one parameter indicating its usefulness in screening subjects with genetic disposition of acquiring Type-II Diabetes. PHA analysis has also yielded sub-harmonic components, which are related to combined variability in the heart rate, pulse volume and pulse morphology and has a potential to become method of choice for real time variability monitoring.

Keywords: Peripheral pulse; fundamental harmonic; genetic disposition; harmonic analysis; heart rate variability; type II diabetes.

MeSH terms

  • Adolescent
  • Adult
  • Diabetes Complications / diagnosis*
  • Diabetes Complications / physiopathology*
  • Diagnosis, Computer-Assisted / methods*
  • Female
  • Humans
  • Hypertension / diagnosis*
  • Hypertension / physiopathology*
  • Male
  • Mass Screening / methods
  • Middle Aged
  • Plethysmography, Impedance / methods*
  • Pulse Wave Analysis / methods*
  • Reproducibility of Results
  • Risk Assessment
  • Sensitivity and Specificity
  • Young Adult