Blood pressure monitor with a position sensor for wrist placement to eliminate hydrostatic pressure effect on blood pressure measurement

Author(s):  
Hironori Sato ◽  
Hiroshi Koshimizu ◽  
Shingo Yamashita ◽  
Toshihiko Ogura
2019 ◽  
Vol 2 (3) ◽  
pp. 206-214
Author(s):  
Putri Indes Oktabriani ◽  
Fuad Ughi ◽  
Aulia Arif Iskandar

The continuous blood pressure measurement research is widely known for helpingthe development of ambulatory blood pressure monitoring where it measures blood pressureevery 15 to 30 minutes throughout the day. The cuff is a problem for the patient withAmbulatory Blood Pressure Monitor. It can make a person feel uncomfortable and must staystill when the cuff starts to inflate. It is limiting and disturbing their daily activity when thedevice is starting to measure the blood pressure. Blood pressure measurement without cuff isbeing proposed in this research, called cuff-less blood pressure measurement. It will be based onPhotoplethysmography (PPG) and Electrocardiography (ECG) signal analysis. ECG (Lead 1,Lead 2, and Lead 3) with PPG signal produced from index finger on the left hand are comparedand analyzed. Then the relation of PPG and ECG signal and the optimum location for daily usecan be obtained. The optimum location will be based on the electrode’s position that producedthe optimum ECG lead Signal to measure blood pressure. Based on the result, PPG and ECGsignal have a linear relation with Blood Pressure Measurement and Lead 1 is more stable inproducing the ECG signal. The equation from Lead 1 appeared as one of the optimum equationsfor measuring Systolic Blood Pressure (SBP) or Diastolic Blood Pressure (DBP).


2019 ◽  
Vol 9 (14) ◽  
pp. 2922 ◽  
Author(s):  
Shing-Hong Liu ◽  
Li-Jen Liu ◽  
Kuo-Li Pan ◽  
Wenxi Chen ◽  
Tan-Hsu Tan

With the advancement of wearable technology, many physiological monitoring instruments are gradually being converted into wearable devices. However, as a consumer product, the blood pressure monitor is still a cuff-type device, which does perform a beat-by-beat continuous blood pressure measurement. Consequently, the cuffless blood pressure measurement device was developed and it is based on the pulse transit time (PTT), although its accuracy remains inadequate. According to the cardiac hemodynamic theorem, blood pressure relates to the arterial characteristics and the contours of the pulse wave include some characteristics of the artery. Therefore, the purpose of this study was to use the contour characteristics of the pulses measured by photoplethysmography (PPG) to estimate the blood pressure using a linear multi-dimension regression model. Ten subjects participated in the experiment, and the blood pressure levels of the subjects were elevated by exercise. The results showed that the mean and standard deviation (mean ± SD) of the root mean square error of the estimated systolic and diastolic pressures within the best five parameters were 6.9 ± 2.81 mmHg and 4.0 ± 0.65 mmHg, respectively. Compared to the results that used one parameter, the PTT, for estimating the systolic and diastolic pressures, 8.2 ± 2.1 mmHg and 4.5 ± 0.79 mmHg, respectively, our results were better.


Author(s):  
Agung W. Setiawan ◽  
Nur A. Heryanto ◽  
Fadel M. Putra ◽  
Febri Suyitno ◽  
M. Andre Martin ◽  
...  

<span>Non-occlusive blood pressure measurement method is developed to avoid the use of discontinuous and uncomfortable cuff-based methods. In this research, Pulse Transit Time (PTT) and Photoplethysmogram Intensity Ratio (PIR) is used to measure blood pressure. Two photoplethysmogram (PPG) sensors that are placed on the wrist and one of the finger joints both on the left hand is used to get the PTT and PIR. The name of the device is ARTSEN. During measurement, there is a measurement error caused by the hydrostatic effect when the device position is not inline with the heart. To minimize this error, this research proposes an automatic continuous blood pressure monitor. The device will conduct measurement only when the height of the device is inline with the heart. Accelerometer and gyroscope are used to detect the height of the device. There are 30 subjects that are involved in this research. To evaluate the performance of the device, there are two measurement conditions, during lying in the bed and sit down position. The blood pressure measurement is conducted using ARTSEN and sphygmomanometer (as the gold standard of blood pressure measurement). The average error of systolic blood pressure is 8 mmHg with standard deviation 5 mmHg, and average error of diastolic blood pressure is 8 mmHg with standard deviation 4 mmHg.</span>


1990 ◽  
Vol 39 (1) ◽  
pp. 99-108 ◽  
Author(s):  
M.-W. Yu ◽  
C.-J. Chen ◽  
C.-J. Wang ◽  
S.-L. Tong ◽  
M. Tien ◽  
...  

AbstractIn order to examine the chronological changes in genetic variance and heritability of arterial systolic and diastolic blood pressure (SBP and DBP) of Chinese infants in Taiwan, a total of 339 same-sexed twin neonates born in four major general teaching hospitals in Taipei City were studied. Based on placentation and 12 red blood cell antigens, 274 monozygotic (MZ) and 65 dizygotic (DZ) twin pairs were identified and followed up to the age of one year. Both SBP and DBP were measured by Doppler blood pressure monitor. Within-pair mean squares of SBP and DBP were consistently smaller in MZ than DZ twins at ages one month and over. The findings remained unchanged after the adjustment for the effects of age, sex, gestational age, placentation and physical state during blood pressure measurement. Falconer's heritability indices for adjusted SBP and DBP at ages two months and over ranged from 0.29 to 0.55 and from 0.27 to 0.45, respectively. The study indicates an important genetic influence on blood pressure during infancy.


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