Multi-site photoplethysmography technology for blood pressure assessment: challenges and recommendations
Hypertension is one of the most prevalent diseases and is often called the “silent killer” because there are usually no early symptoms. Hypertension is also associated with multiple morbidities, including chronic kidney disease and cardiovascular disease. Early detection and inte...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
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Multidisciplinary Digital Publishing Institute
2020
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| Online Access: | https://hdl.handle.net/1721.1/125447 |
| _version_ | 1826195225019678720 |
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| author | Chan, Gabriel Cooper, Rachel Hosanee, Manish Welykholowa, Kaylie Kyriacou, Panayiotis A. Zheng, Dingchang Allen, John Abbott, Derek Lovell, Nigel H. Fletcher, Richard R Elgendi, Mohamed |
| author2 | Massachusetts Institute of Technology. Device Research Laboratory |
| author_facet | Massachusetts Institute of Technology. Device Research Laboratory Chan, Gabriel Cooper, Rachel Hosanee, Manish Welykholowa, Kaylie Kyriacou, Panayiotis A. Zheng, Dingchang Allen, John Abbott, Derek Lovell, Nigel H. Fletcher, Richard R Elgendi, Mohamed |
| author_sort | Chan, Gabriel |
| collection | MIT |
| description | Hypertension is one of the most prevalent diseases and is often called the “silent killer” because there are usually no early symptoms. Hypertension is also associated with multiple morbidities, including chronic kidney disease and cardiovascular disease. Early detection and intervention are therefore important. The current routine method for diagnosing hypertension is done using a sphygmomanometer, which can only provide intermittent blood pressure readings and can be confounded by various factors, such as white coat hypertension, time of day, exercise, or stress. Consequently, there is an increasing need for a non-invasive, cuff-less, and continuous blood pressure monitoring device. Multi-site photoplethysmography (PPG) is a promising new technology that can measure a range of features of the pulse, including the pulse transit time of the arterial pulse wave, which can be used to continuously estimate arterial blood pressure. This is achieved by detecting the pulse wave at one body site location and measuring the time it takes for it to reach a second, distal location. The purpose of this review is to analyze the current research in multi-site PPG for blood pressure assessment and provide recommendations to guide future research. In a systematic search of the literature from January 2010 to January 2019, we found 13 papers that proposed novel methods using various two-channel PPG systems and signal processing techniques to acquire blood pressure using multi-site PPG that offered promising results. However, we also found a general lack of validation in terms of sample size and diversity of populations. Keywords: photoplethysmography; digital health; global health; intensive care unit; anesthesia; wearable devices; pulse arrival time; pulse transit time; pulse wave; pulse oximeter; hypertension assessment |
| first_indexed | 2024-09-23T10:09:20Z |
| format | Article |
| id | mit-1721.1/125447 |
| institution | Massachusetts Institute of Technology |
| last_indexed | 2024-09-23T10:09:20Z |
| publishDate | 2020 |
| publisher | Multidisciplinary Digital Publishing Institute |
| record_format | dspace |
| spelling | mit-1721.1/1254472024-06-24T19:23:49Z Multi-site photoplethysmography technology for blood pressure assessment: challenges and recommendations Chan, Gabriel Cooper, Rachel Hosanee, Manish Welykholowa, Kaylie Kyriacou, Panayiotis A. Zheng, Dingchang Allen, John Abbott, Derek Lovell, Nigel H. Fletcher, Richard R Elgendi, Mohamed Massachusetts Institute of Technology. Device Research Laboratory Hypertension is one of the most prevalent diseases and is often called the “silent killer” because there are usually no early symptoms. Hypertension is also associated with multiple morbidities, including chronic kidney disease and cardiovascular disease. Early detection and intervention are therefore important. The current routine method for diagnosing hypertension is done using a sphygmomanometer, which can only provide intermittent blood pressure readings and can be confounded by various factors, such as white coat hypertension, time of day, exercise, or stress. Consequently, there is an increasing need for a non-invasive, cuff-less, and continuous blood pressure monitoring device. Multi-site photoplethysmography (PPG) is a promising new technology that can measure a range of features of the pulse, including the pulse transit time of the arterial pulse wave, which can be used to continuously estimate arterial blood pressure. This is achieved by detecting the pulse wave at one body site location and measuring the time it takes for it to reach a second, distal location. The purpose of this review is to analyze the current research in multi-site PPG for blood pressure assessment and provide recommendations to guide future research. In a systematic search of the literature from January 2010 to January 2019, we found 13 papers that proposed novel methods using various two-channel PPG systems and signal processing techniques to acquire blood pressure using multi-site PPG that offered promising results. However, we also found a general lack of validation in terms of sample size and diversity of populations. Keywords: photoplethysmography; digital health; global health; intensive care unit; anesthesia; wearable devices; pulse arrival time; pulse transit time; pulse wave; pulse oximeter; hypertension assessment 2020-05-26T14:58:39Z 2020-05-26T14:58:39Z 2019-11-01 2019-09 2020-03-02T12:58:06Z Article http://purl.org/eprint/type/JournalArticle 2077-0383 https://hdl.handle.net/1721.1/125447 Chan, Gabriel, et al., "Multi-site photoplethysmography technology for blood pressure assessment: challenges and recommendations." Journal of Clinical Medicine 8, 11 (Nov. 2019): no. 1827 doi 10.3390/jcm8111827 ©2019 Author(s) 10.3390/jcm8111827 Journal of Clinical Medicine Creative Commons Attribution https://creativecommons.org/licenses/by/4.0/ application/pdf Multidisciplinary Digital Publishing Institute Multidisciplinary Digital Publishing Institute |
| spellingShingle | Chan, Gabriel Cooper, Rachel Hosanee, Manish Welykholowa, Kaylie Kyriacou, Panayiotis A. Zheng, Dingchang Allen, John Abbott, Derek Lovell, Nigel H. Fletcher, Richard R Elgendi, Mohamed Multi-site photoplethysmography technology for blood pressure assessment: challenges and recommendations |
| title | Multi-site photoplethysmography technology for blood pressure assessment: challenges and recommendations |
| title_full | Multi-site photoplethysmography technology for blood pressure assessment: challenges and recommendations |
| title_fullStr | Multi-site photoplethysmography technology for blood pressure assessment: challenges and recommendations |
| title_full_unstemmed | Multi-site photoplethysmography technology for blood pressure assessment: challenges and recommendations |
| title_short | Multi-site photoplethysmography technology for blood pressure assessment: challenges and recommendations |
| title_sort | multi site photoplethysmography technology for blood pressure assessment challenges and recommendations |
| url | https://hdl.handle.net/1721.1/125447 |
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