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Reseach Article

A New Approach for Blood Pressure Monitoring based on ECG and PPG Signals by using Artihcial Neural Networks

by Younessi Heravi Mohammad Amin, Maghooli Keivan, Joharinia Sima
International Journal of Computer Applications
Foundation of Computer Science (FCS), NY, USA
Volume 103 - Number 12
Year of Publication: 2014
Authors: Younessi Heravi Mohammad Amin, Maghooli Keivan, Joharinia Sima
10.5120/18129-9225

Younessi Heravi Mohammad Amin, Maghooli Keivan, Joharinia Sima . A New Approach for Blood Pressure Monitoring based on ECG and PPG Signals by using Artihcial Neural Networks. International Journal of Computer Applications. 103, 12 ( October 2014), 36-40. DOI=10.5120/18129-9225

@article{ 10.5120/18129-9225,
author = { Younessi Heravi Mohammad Amin, Maghooli Keivan, Joharinia Sima },
title = { A New Approach for Blood Pressure Monitoring based on ECG and PPG Signals by using Artihcial Neural Networks },
journal = { International Journal of Computer Applications },
issue_date = { October 2014 },
volume = { 103 },
number = { 12 },
month = { October },
year = { 2014 },
issn = { 0975-8887 },
pages = { 36-40 },
numpages = {9},
url = { https://ijcaonline.org/archives/volume103/number12/18129-9225/ },
doi = { 10.5120/18129-9225 },
publisher = {Foundation of Computer Science (FCS), NY, USA},
address = {New York, USA}
}
%0 Journal Article
%1 2024-02-06T22:34:24.482547+05:30
%A Younessi Heravi Mohammad Amin
%A Maghooli Keivan
%A Joharinia Sima
%T A New Approach for Blood Pressure Monitoring based on ECG and PPG Signals by using Artihcial Neural Networks
%J International Journal of Computer Applications
%@ 0975-8887
%V 103
%N 12
%P 36-40
%D 2014
%I Foundation of Computer Science (FCS), NY, USA
Abstract

Background: Pulse transit time has been demonstrated as one of the potential parameters for a cuffless blood pressure measurement. The accuracy of this method depends on the initial calibration that is obtained by several measurements. The aim of this study was to employ artificial neural network in order to estimate the blood pressure based on PTT. PTT is de?ned as the time delay between the R-wave of the ECG and the peak of the pulse wave in the ?nger. To train the ANN for modeling the blood pressure, this study used a database containing 65 subjects. For each subject, BP was taken several times in different condition. The trained ANN was capable of establishing a function between the PTT and the BP as an input and a response, respectively. The results of estimating BP were compared with the results of sphygmomanometer method and the error rate was calculated. The absolute error and error percentage in systolic blood pressure between cuff method and the present method were 5. 41±2. 63 mmHg, 4. 09±1. 59% and for diastolic blood pressure were 7. 01±2. 52 mmHg, 6. 88±2. 43%. The results indicated that the BP measurement by cuff method and BP predicted with trained ANN differ by only less than 10%. It is obvious that the neural network prediction fit properly to the cuff results. The results of proposed method were closely in agreement with the results of the sphygmomanometer cuff. So the present method could be applied as an effective tool for the blood pressure estimation.

References
  1. Lass J, Meigas K, Karai D, Kattai R, Kaik J, Rossmann M. 2004 Continuous blood pressure monitoring during exercise using pulse wave transit time measurement, Proc. of the 26th Annual International Conference of the IEEE EMBS; 2239-2242.
  2. Campbell NR, Chockalingam A, Fodor JG, McKay DW. 1990 Accurate, reproducible measurement of blood pressure. CMAJ; 143:19–24
  3. Elena C, Guo C, Brenton A, Maxime C. 2013 Non-invasive continuous blood pressure monitoring: a review of current applications. Front. Med; 7(1): 91–101
  4. Maggi R, Viscardi V, Furukawa T, Brignole M. 2010 Non-invasive continuous blood pressure monitoring of tachycardic episodes during interventional electrophysiology. Europace ;12(11):1616-22.
  5. Chen W, Kobayashi T, Ichikawa S, Takeuchi Y, Togawa T. 2000 Continuous estimation of systolic blood pressure using the pulse arrival time and intermittent calibration. Med Biol Eng Comput; 38 (5): 569-74.
  6. Nitzan M, Khanokh B, Slovik Y. 2002 The difference in pulse transit time to the toe and finger measured by photoplethysmography. Physiol Meas: 23(1): 85-93.
  7. Chen Y, Wen C, Tao G, Bi M, Li G. 2009 Continuous and non-invasive blood pressure measurement: a novel modeling methodology of the relationship between blood pressure and pulse wave velocity. Ann Biomed Eng; 37(11):2222–33.
  8. Poon C Y , Zhang Y T, Liu Y B. 2006 Modeling of Pulse Transit Time under the Effects of Hydrostatic Pressure for Cuffless Blood Pressure Measurements, International Conference of IEEE in Medicine and Biology Society; 123-129.
  9. Pollak MH, Obrist PA. 1983 Aortic – radial pulse transit time and ECG Q- wave to radial pulse wave interval as indices of beat by beat blood pressure change. Apasychophysiology;20:21-8.
  10. Zheng D, Murray A. 2009 Non-invasive quanti?cation of peripheral arterial volume distensibility and its non-linear relationship with arterial pressure. J Biomech; 42(8):1032–7.
  11. Callaghan FJ, Babbs CF, Bourland JD, Geddes LA. 1984 The relationship between arterial pulse-wave velocity and pulse frequency at different pressures. J Med Eng Technol; 8(1):15–8.
  12. Geddes LA, Voelz M, James S, Reiner D. 1981 Pulse arrival time as a method of obtaining systolic and diastolic blood pressure indirectly. Med Biol Eng Comput;19(5):671–2.
  13. Younessi Heravi MA, Khalilzadeh MA, Joharinia S. 2014 Continous and cuffless blood pressure monitoring using ECG and SpO2 signals. J Biomed Phys Eng; 4(1):27-32.
  14. Shin SH, Park YB, Rhim HW, Yoo YS, Park YJ, Park DH. 2005 Multibody dynamics in arterial system," Journal of Mechanical Science and Technology; 19(1):343-349.
  15. James D, Lisa Greenstadt L, Shapiro D. 1983 Pulse Transit Time and Blood Pressure: An Intensive Analysis, Psychophysiology; 20(1): 45-49.
  16. Younessi Heravi MA, Khalilzadeh MA. 2014 Designing and Constructing an Optical System to measure Continuous and Cuffless Blood Pressure Using Two Pulse Signals. Iranian Journal of Medical Physics; 10(4): 204-212
  17. Christopher Bishop M. 1995 Neural networks for pattern recognition. Oxford University, USA.
  18. Haykin S. 1999 Neural networks, a comprehensive foundation. Prentice Hall International Editions.
  19. Demuth H, Beale M, Hagan M. 2007 Neural network toolbox 5 user's guide. The Mathworks, Natick.
  20. Kozma R, Sakuma M, Yokoyama Y, Kitamura M. 1996 On the accuracy of mapping back propagation with forgetting. Neurocomp; 13(2):295–311.
  21. Kasabov NK. 1998 Foundations of neural networks fuzzy systems and knowledge engineering. MIT, Cambridge.
  22. Poon CCY, Zhang YT. 2005 Cuff- less and non invasive measurements of arterial blood pressure by pulse transit time. Proc. of the 27th Annual International Conference of the IEEE EMBS.
  23. Payne RA, Symeonides CN, Webb DJ, Maxwell SR. 2006 Pulse transit time measured from the ECG: an unreliable marker of beat-to-beat blood pressure. J Appl Physiol; 100(1):136–41.
  24. Allen J, A Murray A. 2002 Age-related changes in peripheral pulse timing characteristics at the ears, fingers and toes, Journal of Human Hypertension; 16: 711–717.
  25. Zong W, Moody GB, Mark RG. 1998 Effects of vasoactive drugs on the relationship between ECG – pulse wave delay time and arterial blood pressure in ICU patients. Comput Cardiol; 25:673-6.
  26. Youngzoon Y, Jung HC, Gilwon Y. 2009 Non-constrained Blood Pressure Monitoring Using ECG and PPG for Personal Healthcare. J Med Syst; 33:261–266.
  27. Soltane M, Ismail M, Abdul Rashid ZA. 2004 Artificial neural networks (ANN) approach to PPG signal classification. International journal of computing & information sciences ; 2(2): 58-65.
Index Terms

Computer Science
Information Sciences

Keywords

Blood Pressure monitoring Pulse transit time Arti?cial neural network.