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Recurrent Neural Network Models for Blood Pressure Monitoring Using PPG Morphological Features

El Hajj, C. and Kyriacou, P. A. ORCID: 0000-0002-2868-485X (2021). Recurrent Neural Network Models for Blood Pressure Monitoring Using PPG Morphological Features. 2021 43rd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC), 2021, doi: 10.1109/EMBC46164.2021.9630319 ISSN 2694-0604

Abstract

Continuous non-invasive Blood Pressure (BP) monitoring is vital for the early detection and control of hypertension. However, this is yet not possible as all current non-invasive BP devices are cuff-based devices and hence precluding continuous monitoring. Several methods have been proposed to overcome this challenge, one of which utilises the Photoplethysmograph (PPG) signal in an effort to predict reliable BP values from this signal using various computational approaches. Although, good performance has been reported in the literature, it was mainly achieved on a small inadequate sample size using conventional models that are unable to account for the temporal variations in the input vector. To address these limitations, this paper proposes cuff-less and continuous blood pressure estimation using Long Short-term Memory (LSTM) and Gated Recurrent Units (GRU). The models were evaluated on 942 patients acquired from the Multiparameter Intelligent Monitoring in Intensive Care (MIMIC II) dataset. The proposed models produced superior results in comparison with conventional artificial neural network. In particular, the best performance was achieved by the GRU, with mean absolute error and standard deviation of 5.77 ± 8.52 mmHg and 3.33±5.02 mmHg for systolic (SBP) and diastolic blood pressure (DBP), respectively. Furthermore, the results comply with the international standards for cuff-less blood pressure estimation.

Publication Type: Conference or Workshop Item (Paper)
Additional Information: © 2021 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.
Publisher Keywords: Biological system modeling, Estimation, Artificial neural networks, Feature Extraction, Blood pressure, Reliability, Biomedical monitoring
Subjects: R Medicine > RC Internal medicine
T Technology > TA Engineering (General). Civil engineering (General)
Departments: School of Mathematics, Computer Science & Engineering > Engineering > Electrical & Electronic Engineering
Date available in CRO: 20 Dec 2021 12:46
Date deposited: 20 December 2021
Date of first online publication: 9 December 2021
URI: https://openaccess.city.ac.uk/id/eprint/27320
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