Wireless Wearable Photoplethysmography Sensors for Continuous
Blood Pressure Monitoring
Blood Pressure Monitoring
File(s)WH2016_0032_FI.pdf (1022.29 KB)
Accepted version
Author(s)
Zhang, Y
Berthelot, M
Lo, BPL
Type
Conference Paper
Abstract
Blood Pressure (BP) is a crucial vital sign taken
into consideration for the general assessment of patient’s condition:
patients with hypertension or hypotension are advised
to record their BP routinely. Particularly, hypertension is
emphasized by stress, diabetic neuropathy and coronary heart
diseases and could lead to stroke. Therefore, routine and
long-term monitoring can enable early detection of symptoms
and prevent life-threatening events. The gold standard method
for measuring BP is the use of a stethoscope and sphygmomanometer
to detect systolic and diastolic pressures. However,
only discrete measurements are taken. To enable pervasive
and continuous monitoring of BP, recent methods have been
proposed: pulse arrival time (PAT) or PAT difference (PATD)
between different body parts are based on the combination
of electrocardiogram (ECG) and photoplethysmography (PPG)
sensors. Nevertheless, this technique could be quite obtrusive
as in addition to at least two contacts/electrodes to measure
the differential voltage across the left arm/leg/chest and the
right arm/leg/chest, ECG measurements are easily corrupted
by motion artefacts. Although such devices are small, wearable
and relatively convenient to use, most devices are not designed
for continuous BP measurements. This paper introduces a
novel PPG-based pervasive sensing platform for continuous
measurements of BP. Based on the principle of using PAT to
estimate BP, two PPG sensors are used to measure the PATD
between the earlobe and the wrist to measure BP. The device is
compared with a gold standard PPG sensor and validation of
the concept is conducted with a preliminary study involving 9
healthy subjects. Results show that the mean BP and PATD are
correlated with a 0.3 factor. This preliminary study shows the
feasibility of continuous monitoring of BP using a pair of PPG
placed on the ear lobe and wrist with PATD measurements is
possible.
into consideration for the general assessment of patient’s condition:
patients with hypertension or hypotension are advised
to record their BP routinely. Particularly, hypertension is
emphasized by stress, diabetic neuropathy and coronary heart
diseases and could lead to stroke. Therefore, routine and
long-term monitoring can enable early detection of symptoms
and prevent life-threatening events. The gold standard method
for measuring BP is the use of a stethoscope and sphygmomanometer
to detect systolic and diastolic pressures. However,
only discrete measurements are taken. To enable pervasive
and continuous monitoring of BP, recent methods have been
proposed: pulse arrival time (PAT) or PAT difference (PATD)
between different body parts are based on the combination
of electrocardiogram (ECG) and photoplethysmography (PPG)
sensors. Nevertheless, this technique could be quite obtrusive
as in addition to at least two contacts/electrodes to measure
the differential voltage across the left arm/leg/chest and the
right arm/leg/chest, ECG measurements are easily corrupted
by motion artefacts. Although such devices are small, wearable
and relatively convenient to use, most devices are not designed
for continuous BP measurements. This paper introduces a
novel PPG-based pervasive sensing platform for continuous
measurements of BP. Based on the principle of using PAT to
estimate BP, two PPG sensors are used to measure the PATD
between the earlobe and the wrist to measure BP. The device is
compared with a gold standard PPG sensor and validation of
the concept is conducted with a preliminary study involving 9
healthy subjects. Results show that the mean BP and PATD are
correlated with a 0.3 factor. This preliminary study shows the
feasibility of continuous monitoring of BP using a pair of PPG
placed on the ear lobe and wrist with PATD measurements is
possible.
Date Issued
2016-12-15
Date Acceptance
2016-08-15
Citation
IEEE Wireless Health 2016, 2016
Publisher
IEEE
Journal / Book Title
IEEE Wireless Health 2016
Copyright Statement
© 2016 IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works.
Sponsor
Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
Engineering & Physical Science Research Council (EPSRC)
Grant Number
RDB04 79560
RD207
EP/L014149/1
Source
IEEE Wireless Health 2016
Subjects
Science & Technology
Technology
Life Sciences & Biomedicine
Computer Science, Interdisciplinary Applications
Engineering, Electrical & Electronic
Medical Informatics
Telecommunications
Computer Science
Engineering
OVERNIGHT
Publication Status
Published
Start Date
2016-10-25
Finish Date
2016-10-27
Coverage Spatial
National Institutes of Health, Bethesda, MD, USA