es teck system general information’s. es teck system (cardiology) hrv photoelectrical...
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ES TECK SYSTEM
• GENERAL INFORMATION’S
ES Teck System (Cardiology)
• HRV Photoelectrical Plethysmograph
HRV ( short time)
HRV Reference: Task Force of The European
Society of Cardiology and The North American Society of Pacing and Electrophysiology (1996)
SpO2 and Photoelectrical Plethysmograph
References:• Nichols WW, O’Rourke MF. McDonald’s : Blood Flow in Arteries:Theoretical,
Experimental and Clinical Principles. London: Arnold, 1998.• Takazawa, Kenji; Tanaka, Nobuhiro; Fujita, Masami; Matsuoka, Osamu; Saiki,
Tokuyu; Aikawa, Masaru; Tamura, Sinobu; Ibukiyama, Chiharu :Assessment of Vasoactive Agents and Vascular Aging by the Second Derivative of Photoplethysmogram Waveform Hypertension: Volume 32(2)August 1998pp 365-370
• IToshiaki OTSUKA , Tomoyuki KAWADA , Masao KATSUMATA , Chikao IBUKI , and Yoshiki KUSAMA ndependent Determinants of Second Derivative of the Finger Photoplethysmogram among Various Cardiovascular Risk Factors in Middle-Aged Men Hypertens Res Vol. 30, No. 12 (2007)
• Toshiaki Otsuka, , Tomoyuki Kawada, Masao Katsumata,Chikao Ibuki, :Utility of Second Derivative of the Finger Photoplethysmogram for the Estimation of the Risk of Coronary Heart Disease in the General Population Circ J 2006; 70: 304 – 310
• Alberto Avolio : The finger volume pulse and assessment of arterial properties .Journal of Hypertension 2002, 20:2341–2343
• Oximeter Guidelines 1998
ES Teck Measurements
Heart Rate and sinus node depolarization
Autonomic Nervous System and Heart rate variability
SpO2 AND Photoelectrical Plethysmography
SpO2 Probe
Infra red/ Red 660/905 nm
Photo diode
SpO2%
PR
Vascular waves
SpO2 ANALYSISOxygen - hemoglobin Affinity Changes.The functions of hemoglobin are oxygen pickup and delivery. The hemoglobin has an
affinity (the strength of bond between oxygen and hemoglobin) that can be increased or decreased due to various situations. If hemoglobin has an increased affinity, it is highly saturated; but oxygen is less available for release to the tissues due to the strong bond. The reverse is also true.
Vascular Wave Analysis
Analysis by Acceleration and Second derivative
Analysis of the Second derivative with age
Analysis of the second derivative and diseases : b/a
Analysis of the second derivative and diseases : d/a
Specificity and sensitivity of the b/a and d/a indicators
Specificity and sensitivity of the b/a and d/a indicators
Ref. Toshiaki OTSUKA , Tomoyuki KAWADA , Masao KATSUMATA , Chikao IBUKI , and Yoshiki KUSAMA Independent Determinants of Second Derivative of the Finger Photoplethysmogram among Various Cardiovascular Risk Factors in Middle-Aged Men Hypertens Res Vol. 30, No. 12 (2007)
Results of ES Teck
HRV STATISTICAL RESULTS
SpO2 and Photoelectrical Plethysmograph results
E.S TECK COMPLEX
• GENERAL INFORMATION’S
ES TECK COMPLEX THE NATURAL EIS UPDATE
ES Teck Complex Measurements
CROSS ANALYSIS
• HRV module: To analyze the basic rhythms of the NN or RR intervals in electrocardiograms, both in the time domain and in the frequency domain (short time 5 minutes)
• It only provides numerical analyses of the input electrocardiogram. • Estimate of the parasympathetic and sympathetic system
stimulation. • PP module: Analyze the pulse waveform by photoelectric
plethysmography and Pulse rate. • Evaluation of Large and small artery
• EIS module: • Monitoring of diseases, functional and lifestyle ‘ treatments
• Adjunct to conventional diagnosis of ADHD children• BIA module :• Calculation and Historical Tracking of body composition
E.S TECK COMPLEX INTENDED USES
Body Impedance Analysis (BIA)Measurement of the Resistance
and Reactance in Tetra polar mode with a frequency of 50
KHz
Resistance and Reactance measurements
• Resistance is a measure of how difficult it is for electricity to flow through an object.
• ReactanceMost objects have some capacitance, which is a
measure of ability to store an electrical charge. The more capacitance the object has, or the faster the current changes direction, the less the object will “react” to the current.
EIS B I A
Peer reviews formula • Total Body Water :TWB5-19 y.o Davies et al 1988 20-80 y.o Lukaski and Bolonchuk 1988 Adult obese subjects: Segal et al 1988 • Fat free fat mass:7-15 y.o Deurenberg et al 1991 16-83 y.o Deurenberg et al 1991• Extra cellular water volume : EWCSergi G, et al 1994
Phase Angle
Impedance Components
X
LX
C
R
Z Z
Z
RX
XC
L
Phase Angle
Xc = 1 / (2 * PI * F * C), C – Capacity [Farad]
Phase Angle = Arctan (Xc / R)
Clinical application in survival in colorectal cancer
The survival curves for the 2 categories of phase angle are shown.
Patients with a phase angle < 5.57 had a median survival of 8.6 mo (95% CI: 4.8, 12.4; n = 26), and those with
a phase angle > 5.57 had a median survival of 40.4 mo (95% CI: 21.9, 58.8; n = 26); this difference was
significant (P = 0.0001).
Impact of phase angle in liver cirrhosis
NEW INTERFACE
E.S TECK RESULTS
EIS ANALYSIS
HRV STATISTICAL RESULTS
HRV RECORDS
HRV GEOMETRICAL ANALYSIS
SpO2 RESULTS AND MANAGEMENT OF THE PHOTOELECTRICAL WAVE
PHOTOELECTRICAL PLETHYSMOGRAPH ANALYSIS AND RESULTS
Vascular Indicators
• PH : Relation with blood flow of small artery • EEI : Relation with LV ejection and elasticity of
large artery - LV Ejection Insufficiency• DDI : Relation with contraction and tension of
small artery - Hypertension & Arteriosclerosis• DEI : Relation with blood flow to vein system. • Etc (Estimated Cardiac Ejection time) :
260~380 Function of left ventricle
BODY COMPOSITION RESULTS
Body Composition follow up
E.S TECK COMPLEX
• CROSS ANALYSIS • MODELING AND BODY SYSTEMS’ INDICATORS
DIGESTIVE SYSTEM INDICATORS
BRAIN INDICATORS
CARDIOVASCULAR INDICATORS
HORMONAL INDICATORS
RESPIRATORY SYSTEM INDICATORS
GENERAL METABOLIC INDICATORS
UROGENITAL AND RENAL INDICATORS
Follow up of all the indicators
Follow up of the Cerebral neurotransmitters
Medications monitoring indicators
Medications monitoring indicators
Medications monitoring indicators
Medications monitoring indicators
ADHD Children profile and diagnosis in adjunct with the clinical context
Chiropractor Indicators and monitoring treatment
Advices for Lifestyle and exercises and monitoring
Advices for Lifestyle and exercises and monitoring
Advices for Lifestyle and exercises and monitoring
Exercises
Sport men condition Evaluation and improvement
Statistical risk analysis
• No access before 5 measurements. The accuracy increased with the number of measurements.
• Statistical analysis of the indicators of each body systems and metabolic general indicators
• It is not a diagnosis , but help for the physician in the process of elimination