Bioengineering,
Journal Year:
2022,
Volume and Issue:
10(1), P. 27 - 27
Published: Dec. 24, 2022
Hypertension
is
a
chronic
condition
that
one
of
the
prominent
reasons
behind
cardiovascular
disease,
brain
stroke,
and
organ
failure.
Left
unnoticed
untreated,
deterioration
in
health
could
even
result
mortality.
If
it
can
be
detected
early,
with
proper
treatment,
undesirable
outcomes
avoided.
Until
now,
gold
standard
invasive
way
measuring
blood
pressure
(BP)
using
catheter.
Additionally,
cuff-based
noninvasive
methods
are
too
cumbersome
or
inconvenient
for
frequent
measurement
BP.
With
advancement
sensor
technology,
signal
processing
techniques,
machine
learning
algorithms,
researchers
trying
to
find
perfect
relationships
between
biomedical
signals
changes
This
paper
literature
review
studies
conducted
on
cuffless
BP
signals.
Relevant
articles
were
selected
specific
criteria,
then
traditional
techniques
discussed
along
motivation
use
algorithms.
The
focused
progression
different
rather
than
comparing
performance
among
studies.
survey
concluded
deep
proved
most
accurate
all
techniques.
On
other
side,
this
accuracy
has
several
disadvantages,
such
as
lack
interpretability,
computationally
extensive,
validation
protocol,
collaboration
professionals.
continuing
work
by
progressing
potential
solution
these
challenges.
Finally,
future
research
directions
have
been
provided
encounter
Sensors,
Journal Year:
2020,
Volume and Issue:
20(11), P. 3127 - 3127
Published: June 1, 2020
Hypertension
is
a
potentially
unsafe
health
ailment,
which
can
be
indicated
directly
from
the
Blood
pressure
(BP).
always
leads
to
other
complications.
Continuous
monitoring
of
BP
very
important;
however,
cuff-based
measurements
are
discrete
and
uncomfortable
user.
To
address
this
need,
cuff-less,
continuous
non-invasive
measurement
system
proposed
using
Photoplethysmogram
(PPG)
signal
demographic
features
machine
learning
(ML)
algorithms.
PPG
signals
were
acquired
219
subjects,
undergo
pre-processing
feature
extraction
steps.
Time,
frequency
time-frequency
domain
extracted
their
derivative
signals.
Feature
selection
techniques
used
reduce
computational
complexity
decrease
chance
over-fitting
ML
The
then
train
evaluate
best
regression
models
selected
for
Systolic
(SBP)
Diastolic
(DBP)
estimation
individually.
Gaussian
Process
Regression
(GPR)
along
with
ReliefF
algorithm
outperforms
algorithms
in
estimating
SBP
DBP
root-mean-square
error
(RMSE)
6.74
3.59
respectively.
This
model
implemented
hardware
systems
continuously
monitor
avoid
any
critical
conditions
due
sudden
changes.
Hypertension,
Journal Year:
2021,
Volume and Issue:
78(5), P. 1161 - 1167
Published: Sept. 13, 2021
Several
novel
cuffless
wearable
devices
and
smartphone
applications
claiming
that
they
can
measure
blood
pressure
(BP)
are
appearing
on
the
market.
These
technologies
very
attractive
promising,
with
increasing
interest
among
health
care
professionals
for
their
potential
use.
Moreover,
becoming
popular
patients
hypertension
healthy
people.
However,
at
present
time,
there
serious
issues
about
BP
measurement
accuracy
of
2021
European
Society
Hypertension
Guidelines
do
not
recommend
them
clinical
Cuffless
have
special
validation
issues,
which
been
recently
recognized.
It
is
important
to
note
2018
Universal
Standard
automated
developed
by
American
Association
Advancement
Medical
Instrumentation,
Hypertension,
International
Organization
Standardization
inappropriate
devices.
Unfortunately,
an
number
publications
presenting
data
devices,
inadequate
methodology
potentially
misleading
conclusions.
The
objective
this
review
facilitate
understanding
capabilities
limitations
emerging
First,
types
these
described.
Then,
unique
challenges
in
evaluating
explained.
Studies
from
literature
computer
simulations
employed
illustrate
challenges.
Finally,
proposals
given
how
evaluate
including
interpreting
relevant
study
results.
Journal of Hypertension,
Journal Year:
2022,
Volume and Issue:
40(8), P. 1449 - 1460
Published: June 16, 2022
Background:
Many
cuffless
blood
pressure
(BP)
measuring
devices
are
currently
on
the
market
claiming
that
they
provide
accurate
BP
measurements.
These
technologies
have
considerable
potential
to
improve
awareness,
treatment,
and
management
of
hypertension.
However,
recent
guidelines
by
European
Society
Hypertension
do
not
recommend
for
diagnosis
Objective:
This
statement
Working
Group
Monitoring
Cardiovascular
Variability
presents
types
technologies,
issues
in
their
validation,
recommendations
clinical
practice.
Statements:
Cuffless
monitors
constitute
a
wide
heterogeneous
group
novel
with
different
intended
uses.
specific
accuracy
issues,
which
render
established
validation
protocols
cuff
inadequate
validation.
In
2014,
Institute
Electrical
Electronics
Engineers
published
standard
devices,
International
Organization
Standardization
is
developing
another
standard.
The
should
address
related
need
individual
calibration,
stability
measurements
post
ability
track
changes,
implementation
machine
learning
technology.
Clinical
field
investigations
may
also
be
considered
regarding
readings
investigated.
Conclusion:
changing
fundamental
questions
accuracy,
performance,
carefully
addressed
before
can
recommended
use.
Annual Review of Biomedical Engineering,
Journal Year:
2022,
Volume and Issue:
24(1), P. 203 - 230
Published: April 1, 2022
Cuffless
blood
pressure
(BP)
measurement
has
become
a
popular
field
due
to
clinical
need
and
technological
opportunity.
However,
no
method
been
broadly
accepted
hitherto.
The
objective
of
this
review
is
accelerate
progress
in
the
development
application
cuffless
BP
methods.
We
begin
by
describing
principles
conventional
measurement,
outstanding
hypertension/hypotension
problems
that
could
be
addressed
with
methods,
recent
advances,
including
smartphone
proliferation
wearable
sensing,
are
driving
field.
then
present
all
major
methods
under
investigation,
their
current
evidence.
Our
presentation
includes
calibrated
(i.e.,
pulse
transit
time,
wave
analysis,
facial
video
processing)
uncalibrated
oscillometry,
ultrasound,
volume
control).
can
offer
convenience
advantages,
whereas
do
not
require
periodic
cuff
device
usage
or
demographic
inputs.
conclude
summarizing
highlighting
potentially
useful
future
research
directions.
Healthcare,
Journal Year:
2022,
Volume and Issue:
10(3), P. 547 - 547
Published: March 16, 2022
Recent
research
indicates
that
Photoplethysmography
(PPG)
signals
carry
more
information
than
oxygen
saturation
level
(SpO2)
and
can
be
utilized
for
affordable,
fast,
noninvasive
healthcare
applications.
All
these
encourage
the
researchers
to
estimate
its
feasibility
as
an
alternative
many
expansive,
time-wasting,
invasive
methods.
This
systematic
review
discusses
current
literature
on
diagnostic
features
of
PPG
signal
their
applications
might
present
a
potential
venue
adapted
into
health
fitness
aspects
human
life.
The
methodology
is
based
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analysis
(PRISMA)
guidelines
2020.
To
this
aim,
papers
from
1981
date
are
reviewed
categorized
in
terms
application
domain.
Along
with
consolidated
areas,
recent
topics
growing
popularity
also
discovered.
We
highlight
impact
using
individual's
quality
life
public
health.
state-of-the-art
studies
suggest
years
come
wearables
will
become
pervasive
fields
medical
practices,
main
domains
include
cardiology,
respiratory,
neurology,
fitness.
Main
operation
challenges,
including
performance
robustness
obstacles,
identified.
Biomedical Signal Processing and Control,
Journal Year:
2021,
Volume and Issue:
68, P. 102813 - 102813
Published: June 1, 2021
The
use
of
machine
learning
techniques
in
medicine
has
increased
recent
years
due
to
a
rise
publicly
available
datasets.
These
have
been
applied
high
blood
pressure
studies
following
two
approaches:
hypertension
stage
classification
based
on
clinical
data
and
estimation
related
physiological
signals.
This
paper
presents
literature
review
such
studies.
We
aimed
identify
the
best
practices,
challenges,
opportunities
developing
models
detect
or
estimate
using
Hence,
we
identified
examined
techniques,
datasets,
predictors
used
previous
feature
selection
reduce
model
complexity
are
also
reviewed.
found
lack
combining
socio-demographic
with
signals,
despite
correlation
photoplethysmography
waveforms
variables
as
age,
gender,
body
mass
index,
heart
rate.
Therefore,
there
is
an
opportunity
increase
performance
by
both
types
for
detection
monitoring.
AJP Heart and Circulatory Physiology,
Journal Year:
2021,
Volume and Issue:
322(4), P. H493 - H522
Published: Dec. 24, 2021
The
photoplethysmogram
(PPG)
signal
is
widely
measured
by
clinical
and
consumer
devices,
it
emerging
as
a
potential
tool
for
assessing
vascular
age.
shape
timing
of
the
PPG
pulse
wave
are
both
influenced
normal
aging,
changes
in
arterial
stiffness
blood
pressure,
atherosclerosis.
This
review
summarizes
research
into
age
from
PPG.
Three
categories
approaches
described:
IEEE Journal of Biomedical and Health Informatics,
Journal Year:
2021,
Volume and Issue:
26(5), P. 2075 - 2085
Published: Nov. 16, 2021
This
paper
presents
a
new
solution
that
enables
the
use
of
transfer
learning
for
cuff-less
blood
pressure
(BP)
monitoring
via
short
duration
photoplethysmogram
(PPG).
The
proposed
method
estimates
BP
with
low
computational
budget
by
1)
creating
images
from
segments
PPG
visibility
graph
(VG),
hence,
preserving
temporal
information
waveform,
2)
using
pre-trained
deep
convolutional
neural
network
(CNN)
to
extract
feature
vectors
VG
images,
and
3)
solving
weights
bias
between
reference
BPs
ridge
regression.
Using
University
California
Irvine
(UCI)
database
consisting
348
records,
achieves
best
error
performance
$0.00\pm
8.46$
mmHg
systolic
(SBP),
notation="LaTeX">$-0.04\pm
5.36$
diastolic
(DBP),
respectively,
in
terms
mean
(ME)
standard
deviation
(SD)
error,
ranking
grade
B
SBP
A
DBP
under
British
Hypertension
Society
(BHS)
protocol.
Our
novel
data-driven
offers
computationally-efficient
end-to-end
rapid
user-friendly
PPG-based
estimation.
Scientific Reports,
Journal Year:
2023,
Volume and Issue:
13(1)
Published: Jan. 18, 2023
There
is
a
growing
emphasis
being
placed
on
the
potential
for
cuffless
blood
pressure
(BP)
estimation
through
modelling
of
morphological
features
from
photoplethysmogram
(PPG)
and
electrocardiogram
(ECG).
However,
appropriate
models
to
use
remain
unclear.
We
investigated
best
available
PPG
ECG
BP
using
both
linear
non-linear
machine
learning
models.
conducted
clinical
study
in
which
changes
([Formula:
see
text]BP)
were
induced
by
an
infusion
phenylephrine
30
healthy
volunteers
(53.8%
female,
28.0
(9.0)
years
old).
extracted
large
diverse
set
assessed
their
individual
importance
estimating
[Formula:
text]BP
Shapley
additive
explanation
values
ranking
coefficient.
trained,
tuned,
evaluated
(ordinary
least
squares,
OLS)
(random
forest,
RF)
estimate
nested
leave-one-subject-out
cross-validation
framework.
reported
results
as
correlation
coefficient
text]),
root
mean
squared
error
(RMSE),
absolute
(MAE).
The
RF
model
significantly
text])
outperformed
OLS
signals
across
all
performance
metrics.
Estimating
text]SBP
alone
text]
=
0.86
(0.23),
RMSE
5.66
(4.76)
mmHg,
MAE
4.86
(4.29)
mmHg)
performed
better
than
0.69
(0.45),
6.79
5.28
(4.57)
mmHg),
text].
highest
largely
modelled
increasing
reflected
wave
interference
driven
arterial
stiffness.
This
finding
was
supported
observed
waveform
response
infusion.
number
required
accurate
estimation,
highlighting
high
complexity
problem.
conclude
that
may
be
further
explored
single
source,
cuffless,
estimator.
not
justified.
Non-linear
perform
they
are
able
incorporate
interactions
between
feature
demographics.
demographics
adequately
account
unique
individualised
relationship
BP.
Decision Analytics Journal,
Journal Year:
2023,
Volume and Issue:
7, P. 100213 - 100213
Published: March 31, 2023
Good
health
is
extremely
important
for
athletes
who
engage
in
strenuous
physical
activities,
such
as
football.
They
must
develop
a
healthy
body
before
participating
vigorous
activities
and
competitions.
Although
researchers
have
presented
wide
range
of
analytical
approaches
emphasizing
athlete
health,
only
small
percentage
completed
studies
used
neural
networks.
In
this
study,
we
propose
novel
technique
predicting
football
players'
using
wearable
technology
recurrent
The
proposed
system
monitors
the
real-time,
making
it
one
first
applications
sensors
athletes'
conditioning
health.
Health
prediction
results
are
provided
after
time-step
data
entered
into
network,
subsequent
deep
features
obtained
from
that
data.
Several
trials
conducted
investigation,
outcomes
determined
by
information
acquired
about
simulation
illustrate
practicality
dependability
approach.
algorithms
developed
study
can
serve
foundation
data-driven
monitoring
training.