Beat-to-Beat Continuous Blood Pressure Estimation Using Bidirectional Long Short-Term Memory Network
Dongseok Lee, Hyunbin Kwon, Dongyeon Son, Heesang Eom, Cheolsoo Park, Yonggyu Lim, Chulhun Seo, Kwangsuk Park
Abstract
Continuous blood pressure (BP) monitoring is important for patients with hypertension. However, BP measurement with a cuff may be cumbersome for the patient. To overcome this limitation, various studies have suggested cuffless BP estimation models using deep learning algorithms. A generalized model should be considered to decrease the training time, and the model reproducibility should be taken into account in multi-day scenarios. In this study, a BP estimation model with a bidirectional long short-term memory network is proposed. The features are extracted from the electrocardiogram, photoplethysmogram, and ballistocardiogram. The leave-one-subject-out (LOSO) method is incorporated to generalize the model and fine-tuning is applied. The model was evaluated using one-day and multi-day tests. The proposed model achieved a mean absolute error (MAE) of 2.56 and 2.05 mmHg for the systolic and diastolic BP (SBP and DBP), respectively, in the one-day test. Moreover, the results demonstrated that the LOSO method with fine-tuning was more compatible in the multi-day test. The MAE values of the model were 5.82 and 5.24 mmHg for the SBP and DBP, respectively.