Cuffless and Continuous Blood Pressure Estimation From PPG Signals Using Recurrent Neural Networks

This paper proposes cuffless and continuous blood pressure estimation utilising Photoplethysmography (PPG) signals and state of the art recurrent network models, namely, Long Short Term Memory and Gated Recurrent Units. The models were validated on wide range of varying blood pressure and PPG signals acquired from the Multiparameter Intelligent Monitoring in Intensive Care database. Many features were extracted from the PPG waveform and several machine learning techniques were employed in an attempt to eliminate collinearity and reduce the size of input feature vector. Consequently, the most effective features for blood pressure estimation were selected. Experimental results show that the accuracy of the proposed methods outperform traditional models applied in the literature. The results satisfy the American National Standards of the Association for the Advancement of Medical Instrumentation.

[1]  Lai-Man Po,et al.  Cuffless Blood Pressure Estimation Based on Photoplethysmography Signal and Its Second Derivative , 2017 .

[2]  Jeffrey M. Hausdorff,et al.  Physionet: Components of a New Research Resource for Complex Physiologic Signals". Circu-lation Vol , 2000 .

[3]  Sujay Deb,et al.  Cuffless BP measurement using a correlation study of pulse transient time and heart rate , 2014, 2014 International Conference on Advances in Computing, Communications and Informatics (ICACCI).

[4]  D. Zheng,et al.  Blood Pressure Estimation Using Photoplethysmography Only: Comparison between Different Machine Learning Approaches , 2018, Journal of healthcare engineering.

[5]  Mahdi Shabany,et al.  Cuffless Blood Pressure Estimation Algorithms for Continuous Health-Care Monitoring , 2017, IEEE Transactions on Biomedical Engineering.

[6]  Domenico Grimaldi,et al.  A Neural Network-based method for continuous blood pressure estimation from a PPG signal , 2013, 2013 IEEE International Instrumentation and Measurement Technology Conference (I2MTC).

[7]  L A Geddes,et al.  Introduction of the auscultatory method of measuring blood pressure--including a translation of Korotkoff's original paper. , 1966, Cardiovascular Research Center bulletin.

[8]  Yuan-Ting Zhang,et al.  Long-term blood pressure prediction with deep recurrent neural networks , 2017, 2018 IEEE EMBS International Conference on Biomedical & Health Informatics (BHI).

[9]  M. Elgendi On the Analysis of Fingertip Photoplethysmogram Signals , 2012, Current cardiology reviews.

[10]  Carmen C. Y. Poon,et al.  Cuff-less and Noninvasive Measurements of Arterial Blood Pressure by Pulse Transit Time , 2005, 2005 IEEE Engineering in Medicine and Biology 27th Annual Conference.

[11]  Hoda Mohammadzade,et al.  Cuff-less high-accuracy calibration-free blood pressure estimation using pulse transit time , 2015, 2015 IEEE International Symposium on Circuits and Systems (ISCAS).

[12]  Mingshan Sun,et al.  Optical blood pressure estimation with photoplethysmography and FFT-based neural networks. , 2016, Biomedical optics express.

[13]  Md. Kamrul Hasan,et al.  Cuffless blood pressure estimation from electrocardiogram and photoplethysmogram using waveform based ANN-LSTM network , 2018, Biomed. Signal Process. Control..

[14]  L. Geddes,et al.  Characterization of the oscillometric method for measuring indirect blood pressure , 2006, Annals of Biomedical Engineering.

[15]  Panayiotis A. Kyriacou,et al.  A review of machine learning techniques in photoplethysmography for the non-invasive cuff-less measurement of blood pressure , 2020, Biomed. Signal Process. Control..

[16]  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).