1. Blood Pressure Continuous Measurement through a Wearable Device: Development and Validation of a Cuffless Method
- Author
-
Andrea Aliverti, Gianluigi Longinotti-Buitoni, Beatrice De Marchi, Silvia De Nadai, and Mattia Frigerio
- Subjects
time-delay method ,Computer science ,Wearable computer ,cuffless ,Sphygmomanometer ,Blood volume ,wearable device ,Blood Pressure ,TP1-1185 ,Pulse Wave Analysis ,Biochemistry ,Signal ,Article ,Analytical Chemistry ,Wearable Electronic Devices ,Photoplethysmogram ,noninvasive ,Linear regression ,Electrical and Electronic Engineering ,Photoplethysmography ,Instrumentation ,Photo-plethysmography ,pulse arrival time ,Chemical technology ,Continuous monitoring ,Blood Pressure Determination ,Sphygmomanometers ,Atomic and Molecular Physics, and Optics ,continuous monitoring ,Blood pressure ,Biomedical engineering - Abstract
The present study aims to develop and validate a cuffless method for blood pressure continuous measurement through a wearable device. The goal is achieved according to the time-delay method, with the guiding principle of the time relation it takes for a blood volume to travel from the heart to a peripheral site. Inversely proportional to the blood pressure, this time relation is obtained as the time occurring between the R peak of the electrocardiographic signal and a marker point on the photoplethysmographic wave. Such physiological signals are recorded by using L.I.F.E. Italia’s wearable device, made of a sensorized shirt and wristband. A linear regression model is implemented to estimate the corresponding blood pressure variations from the obtained time-delay and other features of the photoplethysmographic wave. Then, according to the international standards, the model performance is assessed, comparing the estimates with the measurements provided by a certified digital sphygmomanometer. According to the standards, the results obtained during this study are notable, with 85% of the errors lower than 10 mmHg and a mean absolute error lower than 7 mmHg. In conclusion, this study suggests a time-delay method for continuous blood pressure estimates with good performance, compared with a reference device based on the oscillometric technique.
- Published
- 2021