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InstaBP:使用单通道光电容积脉搏波传感器在智能手机上进行无袖带血压监测。

InstaBP: Cuff-less Blood Pressure Monitoring on Smartphone using Single PPG Sensor.

作者信息

Dey Jishnu, Gaurav Aman, Tiwari Vijay N

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2018 Jul;2018:5002-5005. doi: 10.1109/EMBC.2018.8513189.

Abstract

Cuff-less Blood Pressure (BP) monitoring has gained interest of the research community in recent years, due to its importance in continuous and non-invasive monitoring of BP for early detection of hypertension, thereby reducing mortality. Several approaches that involve photoplethysmography (PPG) and Pulse Transit Time (PTT) have been explored with promising results; however the requirement of two sensors makes them obtrusive for continuous use. Single PPG sensor approaches using machine learning have also been attempted, but there are certain deficiencies in these methods as they go for a one-size-fits-all approach. In this work, we develop an ensemble of BP prediction models based on demographic and physiological partitioning. Also, we incorporate a set of unique PPG features into our models, which results in test accuracies of 5 mmHg Mean Absolute Error (MAE) for Diastolic BP, and 6.9 mmHg MAE for Systolic BP. Given our marked improvement over ubiquitous models (18% for Diastolic BP and 11.5% for Systolic BP), this approach opens up avenues where single PPG sensor based methods can predict BP with a high degree of accuracy. This is a big step towards developing continuous BP monitoring systems, and can help in better management of cardiac health.

摘要

近年来,无袖带血压监测因其在连续无创监测血压以早期发现高血压从而降低死亡率方面的重要性而引起了研究界的关注。已经探索了几种涉及光电容积脉搏波描记法(PPG)和脉搏传输时间(PTT)的方法,并取得了有希望的结果;然而,需要两个传感器使得它们在连续使用时显得突兀。也有人尝试了使用机器学习的单PPG传感器方法,但这些方法存在一定缺陷,因为它们采用的是一刀切的方法。在这项工作中,我们基于人口统计学和生理特征划分开发了一组血压预测模型。此外,我们将一组独特的PPG特征纳入我们的模型,这使得舒张压的测试平均绝对误差(MAE)为5 mmHg,收缩压的MAE为6.9 mmHg。鉴于我们相对于普遍模型有显著改进(舒张压提高18%,收缩压提高11.5%),这种方法开辟了途径,基于单PPG传感器的方法可以高精度地预测血压。这是朝着开发连续血压监测系统迈出的一大步,并且有助于更好地管理心脏健康。

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