Estimation of systolic blood pressure by Random Forest using heart sounds and a ballistocardiogram

Abstract Cuffless blood pressure measurement enables unobtrusive and continuous monitoring that can be integrated with wearable devices to extend healthcare to non-hospital settings. Most of the current research has focused on the estimation of blood pressure based on pulse transit time or pulse arr...

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Main Authors: Rafael Gonzalez-Landaeta, Brenda Ramirez, Jose Mejia
Format: Article
Language:English
Published: Nature Portfolio 2022-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-22205-0
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author Rafael Gonzalez-Landaeta
Brenda Ramirez
Jose Mejia
author_facet Rafael Gonzalez-Landaeta
Brenda Ramirez
Jose Mejia
author_sort Rafael Gonzalez-Landaeta
collection DOAJ
description Abstract Cuffless blood pressure measurement enables unobtrusive and continuous monitoring that can be integrated with wearable devices to extend healthcare to non-hospital settings. Most of the current research has focused on the estimation of blood pressure based on pulse transit time or pulse arrival time using ECG or peripheral cardiac pulse signals as proximal time references. This study proposed the use of a phonocardiogram (PCG) and ballistocardiogram (BCG), two signals detected noninvasively, to estimate systolic blood pressure (SBP). For this, the PCG and the BCG were simultaneously measured in 21 volunteers in the rest, activity, and post-activity conditions. Different features were considered based on the relationships between these signals. The intervals between S1 and S2 of the PCG and the I, J, and K waves of the BCG were statistically analyzed. The IJ and JK slopes were also estimated as additional features to train the machine-learning algorithm. The intervals S1-J, S1-K, S1-I, J-S2, and I-S2 were negatively correlated with changes in SBP (p-val < 0.01). The features were used as explanatory variables for a regressor based on the Random Forest. It was possible to estimate the systolic blood pressure with a mean error of 3.3 mmHg with a standard deviation of ± 5 mmHg. Therefore, we foresee that this proposal has potential applications for wearable devices that use low-cost embedded systems.
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spelling doaj.art-fafa14cb90ca4eecbfd05c3b0084a00b2022-12-22T04:06:59ZengNature PortfolioScientific Reports2045-23222022-10-0112111010.1038/s41598-022-22205-0Estimation of systolic blood pressure by Random Forest using heart sounds and a ballistocardiogramRafael Gonzalez-Landaeta0Brenda Ramirez1Jose Mejia2Department of Electrical and Computer Engineering, Autonomous University of Ciudad JuarezDepartment of Electrical and Computer Engineering, Autonomous University of Ciudad JuarezDepartment of Electrical and Computer Engineering, Autonomous University of Ciudad JuarezAbstract Cuffless blood pressure measurement enables unobtrusive and continuous monitoring that can be integrated with wearable devices to extend healthcare to non-hospital settings. Most of the current research has focused on the estimation of blood pressure based on pulse transit time or pulse arrival time using ECG or peripheral cardiac pulse signals as proximal time references. This study proposed the use of a phonocardiogram (PCG) and ballistocardiogram (BCG), two signals detected noninvasively, to estimate systolic blood pressure (SBP). For this, the PCG and the BCG were simultaneously measured in 21 volunteers in the rest, activity, and post-activity conditions. Different features were considered based on the relationships between these signals. The intervals between S1 and S2 of the PCG and the I, J, and K waves of the BCG were statistically analyzed. The IJ and JK slopes were also estimated as additional features to train the machine-learning algorithm. The intervals S1-J, S1-K, S1-I, J-S2, and I-S2 were negatively correlated with changes in SBP (p-val < 0.01). The features were used as explanatory variables for a regressor based on the Random Forest. It was possible to estimate the systolic blood pressure with a mean error of 3.3 mmHg with a standard deviation of ± 5 mmHg. Therefore, we foresee that this proposal has potential applications for wearable devices that use low-cost embedded systems.https://doi.org/10.1038/s41598-022-22205-0
spellingShingle Rafael Gonzalez-Landaeta
Brenda Ramirez
Jose Mejia
Estimation of systolic blood pressure by Random Forest using heart sounds and a ballistocardiogram
Scientific Reports
title Estimation of systolic blood pressure by Random Forest using heart sounds and a ballistocardiogram
title_full Estimation of systolic blood pressure by Random Forest using heart sounds and a ballistocardiogram
title_fullStr Estimation of systolic blood pressure by Random Forest using heart sounds and a ballistocardiogram
title_full_unstemmed Estimation of systolic blood pressure by Random Forest using heart sounds and a ballistocardiogram
title_short Estimation of systolic blood pressure by Random Forest using heart sounds and a ballistocardiogram
title_sort estimation of systolic blood pressure by random forest using heart sounds and a ballistocardiogram
url https://doi.org/10.1038/s41598-022-22205-0
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