Cuffless and continuous blood pressure estimation based on multiple regression analysis

This paper proposes a new method which utilizes the multiple parameters to estimate blood pressure continuously. Five parameters extracted from ECG and PPG are used to fit the values of systolic blood pressure (SBP), mean arterial pressure (MAP) and diastolic blood pressure (DBP). 10 healthy subjects were recruited to take part in the measurement of ECG, PPG and continuous blood pressure. Three different equations are established to estimate the above three blood pressures by using stepwise regression method. The estimated algorithm has been verified on an independent dataset. The mean error of the estimation is less than 6 mmHg and the standard deviation of the error is less than 6.5 mmHg among all the blood pressure of the dataset. This demonstrates the effectiveness of the proposed method with certain ability to predict the blood pressure. In the near future, we will improve and validate this method on other databases with additional parameters or new statistical methods.

[1]  Y.T. Zhang,et al.  Continuous and noninvasive estimation of arterial blood pressure using a photoplethysmographic approach , 2003, Proceedings of the 25th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (IEEE Cat. No.03CH37439).

[2]  Maxime Cannesson,et al.  Non-invasive continuous blood pressure monitoring: a review of current applications , 2013, Frontiers of Medicine.

[3]  Carmen C. Y. Poon,et al.  Wearable cuff-less PTT-based system for overnight blood pressure monitoring , 2013, 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[4]  Eugene Grechanovsky,et al.  Stepwise Regression Procedures: Overview, Problems, Results, and Suggestions , 1987 .

[5]  P. L. Davies,et al.  Stepwise Regression , 2016, The SAGE Encyclopedia of Research Design.

[6]  R. Payne,et al.  Pulse transit time measured from the ECG: an unreliable marker of beat-to-beat blood pressure. , 2006, Journal of applied physiology.

[7]  D Shapiro,et al.  Pulse transit time and blood pressure: an intensive analysis. , 1983, Psychophysiology.

[8]  Alice Stanton,et al.  Superiority of Ambulatory Over Clinic Blood Pressure Measurement in Predicting Mortality: The Dublin Outcome Study , 2005, Hypertension.

[9]  M. Nitzan,et al.  Automatic noninvasive measurement of arterial blood pressure , 2011, IEEE Instrumentation & Measurement Magazine.

[10]  Xi Tao Research progress of noninvasive continuous blood pressure measurement methods , 2004 .