A Comparative Study on Instantaneous and Mean Pulse Arrival Time for Cuffless Blood Pressure Estimation

Abstract

Pulse arrival time (PAT) is the delay time between the peak of the R-wave Electrocardiogram (ECG) signal and the peak of Photoplethysmogram (PPG) signals. This method is widely exploited for continuous cuffless blood pressure measurement. In the literature, the PAT was determined based on the mean at a certain number or certain period of heartbeats, but none of them deployed a single pulse wave for PAT calculation. Therefore, in this paper, a relationship between mean PAT (15 pulses ± Standard Deviation (SD)) and instantaneous PAT (a pulse) with blood pressure (BP) was investigated on thirteen healthy male volunteers (aged between 17 to 42 years) through a pedal exercise. The PAT is grouped into three (3) categories which depend on the spatial position of the PPG signal measured; finger (PATf), wrist (PATw), and underfoot (PATt). The ECG and the PPG signals were synchronized using a Nexus-10 MK II data acquisition device and Matlab software (R 2014b) for subsequent analysis. An oscillometric cuff-based blood pressure instrument (Ostar, P2) was used as a BP reference during the experiment. Statistical analysis showed no significant difference in the |r| value between mean (15 pulses ± SD) and instantaneous PAT-BP; hence both methods are applicable for BP estimation using the PAT-BP calibration technique.