Blood pressure estimation from pulse wave velocity measured on the chest

Recently, monitoring of blood pressure fluctuation in the daily life is focused on in the hypertension care area to predict the risk of cardiovascular and cerebrovascular disease events. In this paper, in order to propose an alternative system to the existed ambulatory blood pressure monitoring (ABPM) sphygmomanometer, we have developed a prototype of small wearable device consisting of electrocardiogram (ECG) and photopelthysmograph (PPG) sensors. In addition, it was examined whether blood pressure can be estimated based on pulse wave transit time (PWTT) only by attaching that device on the surface of the chest. We indicated that our system could also sense tendency of time-dependent change of blood pressure by measuring pulse of vessel over the sternum while its propagation distance is short.

[1]  Emma Pickwell-MacPherson,et al.  The effects of pre-ejection period on post-exercise systolic blood pressure estimation using the pulse arrival time technique , 2010, European Journal of Applied Physiology.

[2]  W. Nichols,et al.  McDonald's Blood Flow in Arteries: Theoretical, Experimental and Clinical Principles , 1998 .

[3]  Toshiyo Tamura,et al.  The Advantages of Wearable Green Reflected Photoplethysmography , 2011, Journal of Medical Systems.

[4]  K. Stowman World health statistics. , 1949, The Milbank Memorial Fund quarterly.

[5]  Masaki Shuzo,et al.  Continuous Blood Pressure Monitoring in Daily Life , 2010 .

[6]  J M Bland,et al.  Statistical methods for assessing agreement between two methods of clinical measurement , 1986 .

[7]  Hiroshi Yamada,et al.  Wearable wireless vital monitoring technology for smart health care , 2013, 2013 7th International Symposium on Medical Information and Communication Technology (ISMICT).

[8]  H. Asada,et al.  Adaptive blood pressure estimation from wearable PPG sensors using peripheral artery pulse wave velocity measurements and multi-channel blind identification of local arterial dynamics , 2006, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[9]  D. Altman,et al.  STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT , 1986, The Lancet.

[10]  Guy D. Dumont,et al.  Continuous noninvasive blood pressure measurement by pulse transit time , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.