Abstract

We developed a prototype for measuring physiological data for pulse transit time (PTT) estimation that will be used for ambulatory blood pressure (BP) monitoring. The device is comprised of an embedded system with multimodal sensors that streams high-throughput data to a custom Android application. The primary focus of this paper is on the hardware–software codesign that we developed to address the challenges associated with reliably recording data over Bluetooth on a resource-constrained platform. In particular, we developed a lossless compression algorithm that is based on optimally selective Huffman coding and Huffman prefixed coding, which yields virtually identical compression ratios to the standard algorithm, but with a 67–99% reduction in the size of the compression tables. In addition, we developed a hybrid software–hardware flow control method to eliminate microcontroller (MCU) interrupt-latency related data loss when multi-byte packets are sent from the phone to the embedded system via a Bluetooth module at baud rates exceeding 115,200 bit/s. The empirical error rate obtained with the proposed method with the baud rate set to 460,800 bit/s was identically equal to . Our robust and computationally efficient physiological data acquisition system will enable field experiments that will drive the development of novel algorithms for PTT-based continuous BP monitoring.

Highlights

  • High blood pressure is a high risk factor for cardiovascular diseases [1] and effective BP monitoring may potentially decrease mortality and improve a patient’s quality of life by reducing hospitalization [2]

  • We envision an unobtrusive device based on pulse transit time (PTT) methods that is comprised of wearable seismocardiogram (SCG) and gyrocardiogram (GCG) for proximal timing, reflectance-mode photoplethysmogram for distal timing, and an electrocardiogram (ECG) that is used as a timing reference

  • We developed a prototype of an end-to-end system for conveniently recording high throughput physiological data that will be used for monitoring BP in a mobile setting

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Summary

Introduction

High blood pressure is a high risk factor for cardiovascular diseases (that cause 7.1 million deaths annually) [1] and effective BP monitoring may potentially decrease mortality and improve a patient’s quality of life by reducing hospitalization [2]. Data measured with these sensing modalities would ideally be preserved for further analysis by a clinician, which can be achieved either by storing the data locally on a Secure Digital (SD) card or by transmitting them over a wireless network to, for instance, a Bluetooth-enabled smartphone. The latter is preferable because it minimizes the burden placed on the user for reliably transferring data from the wearable device. A smartphone acting in an Internet gateway role may be used to deliver over-the-air firmware updates and enable interesting applications such as customized sensing

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