Introduction of Boosting Algorithms in Continuous Non-Invasive Cuff-less Blood Pressure Estimation using Pulse Arrival Time.

Abstract

Blood Pressure (BP) is a critical biomarker for cardiorespiratory health. Conventional non-invasive BP measurement devices are mostly built on the principle of auscultation, oscillometry, or tonometry. The strong correlation between the Pulse Arrival Time (PAT) and BP has enabled unconstrained cuff-less BP monitoring. In this paper, we exploited that relationship for estimating Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP), and Mean Arterial pressure (MAP) values. The proposed model involves extraction of PAT values by denoising the signals using advanced filtering techniques and finally employing machine learning algorithms to estimate cuff-less BP. The results are validated against Advancement of Medical Instrumentation (AAMI) standards and British Hypertension Society (BHS) protocols. The proposed method meets the AAMI standards in the context of estimating DBP and MAP values. The model's accuracy achieved Grade A for both MAP and DBP values using the CatBoost algorithm, whereas it achieved grade A for MAP and Grade B for DBP using the XGBoost algorithm based on the BHS standards.