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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 365370
• 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 ANALYSIS
Oxygen - 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 MiddleAged 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
EIS
BIA
Cross
Analysis
SpO2/PP
HRV
E.S TECK COMPLEX INTENDED
USES
• 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
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.
• Reactance
Most 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 :TWB
5-19 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 : EWC
Sergi G, et al 1994
Phase Angle
Impedance Components
XC
Z
Phase Angle
R
Xc = 1 / (2 * PI * F * C),
X
L
C – Capacity [Farad]
Phase Angle = Arctan (Xc / R)
Z
Z
R
XC
XL
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