Journal: JMIR mHealth and uHealth
Article Title: Enabling Wearable Pulse Transit Time-Based Blood Pressure Estimation for Medically Underserved Areas and Health Equity: Comprehensive Evaluation Study
doi: 10.2196/27466
Figure Lengend Snippet: Concept overview and study design. Sensor information and placement locations for wearable system (blue) and reference system (purple). Noninvasive pulse transit time (PTT) measurement concept overview using seismocardiogram (SCG) and photoplethysmogram (PPG) sensors. Study protocol tasks in chronological order with duration and mean (SD) of mean arterial pressure (MAP) values for each task. Sample filtered signals from the participant with the lowest signal-to-noise ratio (SNR) signals (n=37): a hypertensive, high BMI, older Black female. In order from top to bottom: electrocardiogram (ECG), SCG, infrared PPG, red PPG, green PPG signals measured from the wearable system (blue) and the synchronized ECG, and arterial blood pressure (ABP) signals measured by the reference system (purple). Systolic blood pressure (SBP; top) and diastolic blood pressure (DBP; bottom) plotted across the full protocol for participant 37, with rest periods (green) and perturbations used to modulate BP (red) highlighted in chronological order, and the location where the reference finger-cuff continuous blood pressure (BP) system was paused during the exercise indicated. ABP: arterial blood pressure; BP: blood pressure; DBP: diastolic blood pressure; ECG: electrocardiogram; LED: light-emitting diode; PD: photodiode; PPG: photoplethysmogram; PTT: pulse transit time; SBP: systolic blood pressure; SCG: seismocardiogram.
Article Snippet: To acquire a timing reference for the start of a cardiac cycle, while serving as a reference for alignment to the wearable system signals, a wireless electrocardiogram (ECG) module (BN-EL50, Biopac Systems) was attached to the participant in a three-lead configuration with Ag/AgCl gel electrodes as shown in .
Techniques: