Why the study?
Continuous arterial blood pressure is a key cardiovascular monitoring parameter, but methods to improve its measurement accuracy using photoplethysmography signals were needed.
Does an EEMD-TCN model improve the accuracy of continuous blood pressure estimation from PPG signals compared to other neural network models?
Does an EEMD-TCN model improve the accuracy of continuous blood pressure estimation from PPG signals compared to other neural network models?
An EEMD-TCN model using PPG signals provides continuous diastolic blood pressure estimation that meets AAMI standards and achieves a BHS Grade A evaluation.
May support continuous BP monitoring research; leaves open prospective clinical validation before practice adoption.
Arterial blood pressure is not only an important index that must be measured in routine physical examination but also a key monitoring parameter of the cardiovascular system in cardiac surgery, drug testing, and intensive care. To improve the measurement accuracy of continuous blood pressure, this paper uses photoplethysmography (PPG) signals to estimate diastolic blood pressure and systolic blood pressure based on ensemble empirical mode decomposition (EEMD) and temporal convolutional network (TCN). In this method, the clean PPG signal is decomposed by EEMD to obtain n-order intrinsic mode functions (IMF), and then the IMF and the original PPG are input into the constructed TCN neural network model, and the results are output. The results show that TCN has better performance than CNN, CNN-LSTM, and CNN-GRU. Using the data added with IMF, the results of the above neural network model are better than those of the model with only PPG as input, in which the systolic blood pressure (SBP) and diastolic blood pressure (DBP) results of EEMD-TCN are −1.55 ± 9.92 mmHg and 0.41 ± 4.86 mmHg. According to the estimation results, DBP meets the requirements of the AAMI standard, BHS evaluates it as Grade A, SD of SBP is close to the standard AAMI, and BHS evaluates it as Grade B.
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Zhou et al. (2022) studied this question.
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