Amplitude and phase measurements from harmonic analysis may lead to new physiologic insights: lower body negative pressure photoplethysmographic waveforms as an example.

Journal Article (Journal Article)

The photoplethysmographic (PPG) waveform contains hemodynamic information in its oscillations. We provide a new method for quantitative study of the waveform morphology and its relationship to the hemodynamics. A data adaptive modeling of the waveform shape is used to describe the PPG waveforms recorded from ear and finger. Several indices, based on the phase and amplitude information of different harmonics, are proposed to describe the PPG morphology. The proposed approach is illustrated by analyzing PPG waveforms recorded during a lower body negative pressure (LBNP) experiment. Different phase and amplitude dynamics are observed during the LBNP experiment. Specifically, we observe that the phase difference between the high order harmonics and fundamental components change more significantly when the PPG signal is recorded from the ear than the finger at the beginning of the study. In contrast, the finger PPG amplitude changes more when compared to the ear PPG during the recovery period. A more complete harmonic analysis of the PPG appears to provide new hemodynamic information when used during a LBNP experiment. We encourage other investigators who possess modulated clinical waveform data (e.g. PPG, arterial pressure, respiratory, and autonomic) to re-examine their data, using phase information and higher harmonics as a potential source of new insights into underlying physiologic mechanisms.

Full Text

Duke Authors

Cited Authors

  • Alian, A; Shelley, K; Wu, H-T

Published Date

  • July 2022

Published In

PubMed ID

  • 35896756

Electronic International Standard Serial Number (EISSN)

  • 1573-2614

International Standard Serial Number (ISSN)

  • 1387-1307

Digital Object Identifier (DOI)

  • 10.1007/s10877-022-00866-6

Language

  • eng