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A review of machine learning techniques in photoplethysmography for the non-invasive cuff-less measurement of blood pressure
Hypertension or high blood pressure is a leading cause of death throughout the world and a critical factor for increasing the risk of serious diseases, including cardiovascular diseases such as stroke and heart failure. Blood pressure is a primary vital sign that must be monitored regularly for the early detection, prevention and treatment of cardiovascular diseases. Traditional blood pressure measurement techniques are either invasive or cuff-based, which are impractical, intermittent, and uncomfortable for patients. Over the past few decades, several indirect approaches using photoplethysmogram (PPG) have been investigated, namely, pulse transit time, pulse wave velocity, pulse arrival time and pulse wave analysis, in an effort to utilise PPG for estimating blood pressure. Recent advancements in signal processing techniques, including machine learning and artificial intelligence, have also opened up exciting new horizons for PPG-based cuff less and continuous monitoring of blood pressure. Such a device will have a significant and transformative impact in monitoring patients’ vital signs, especially those at risk of cardiovascular disease. This paper provides a comprehensive review for non-invasive cuff-less blood pressure estimation using the PPG approach along with their challenges and limitations
Long-term Blood Pressure Prediction with Deep Recurrent Neural Networks
Existing methods for arterial blood pressure (BP) estimation directly map the
input physiological signals to output BP values without explicitly modeling the
underlying temporal dependencies in BP dynamics. As a result, these models
suffer from accuracy decay over a long time and thus require frequent
calibration. In this work, we address this issue by formulating BP estimation
as a sequence prediction problem in which both the input and target are
temporal sequences. We propose a novel deep recurrent neural network (RNN)
consisting of multilayered Long Short-Term Memory (LSTM) networks, which are
incorporated with (1) a bidirectional structure to access larger-scale context
information of input sequence, and (2) residual connections to allow gradients
in deep RNN to propagate more effectively. The proposed deep RNN model was
tested on a static BP dataset, and it achieved root mean square error (RMSE) of
3.90 and 2.66 mmHg for systolic BP (SBP) and diastolic BP (DBP) prediction
respectively, surpassing the accuracy of traditional BP prediction models. On a
multi-day BP dataset, the deep RNN achieved RMSE of 3.84, 5.25, 5.80 and 5.81
mmHg for the 1st day, 2nd day, 4th day and 6th month after the 1st day SBP
prediction, and 1.80, 4.78, 5.0, 5.21 mmHg for corresponding DBP prediction,
respectively, which outperforms all previous models with notable improvement.
The experimental results suggest that modeling the temporal dependencies in BP
dynamics significantly improves the long-term BP prediction accuracy.Comment: To appear in IEEE BHI 201
Fall Prediction and Prevention Systems: Recent Trends, Challenges, and Future Research Directions.
Fall prediction is a multifaceted problem that involves complex interactions between physiological, behavioral, and environmental factors. Existing fall detection and prediction systems mainly focus on physiological factors such as gait, vision, and cognition, and do not address the multifactorial nature of falls. In addition, these systems lack efficient user interfaces and feedback for preventing future falls. Recent advances in internet of things (IoT) and mobile technologies offer ample opportunities for integrating contextual information about patient behavior and environment along with physiological health data for predicting falls. This article reviews the state-of-the-art in fall detection and prediction systems. It also describes the challenges, limitations, and future directions in the design and implementation of effective fall prediction and prevention systems
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