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