Cargando…

Multimodal Photoplethysmography-Based Approaches for Improved Detection of Hypertension

Elevated blood pressure (BP) is a major cause of death, yet hypertension commonly goes undetected. Owing to its nature, it is typically asymptomatic until later in its progression when the vessel or organ structure has already been compromised. Therefore, noninvasive and continuous BP measurement me...

Descripción completa

Detalles Bibliográficos
Autores principales: Welykholowa, Kaylie, Hosanee, Manish, Chan, Gabriel, Cooper, Rachel, Kyriacou, Panayiotis A., Zheng, Dingchang, Allen, John, Abbott, Derek, Menon, Carlo, Lovell, Nigel H., Howard, Newton, Chan, Wee-Shian, Lim, Kenneth, Fletcher, Richard, Ward, Rabab, Elgendi, Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230564/
https://www.ncbi.nlm.nih.gov/pubmed/32331360
http://dx.doi.org/10.3390/jcm9041203
_version_ 1783534983769489408
author Welykholowa, Kaylie
Hosanee, Manish
Chan, Gabriel
Cooper, Rachel
Kyriacou, Panayiotis A.
Zheng, Dingchang
Allen, John
Abbott, Derek
Menon, Carlo
Lovell, Nigel H.
Howard, Newton
Chan, Wee-Shian
Lim, Kenneth
Fletcher, Richard
Ward, Rabab
Elgendi, Mohamed
author_facet Welykholowa, Kaylie
Hosanee, Manish
Chan, Gabriel
Cooper, Rachel
Kyriacou, Panayiotis A.
Zheng, Dingchang
Allen, John
Abbott, Derek
Menon, Carlo
Lovell, Nigel H.
Howard, Newton
Chan, Wee-Shian
Lim, Kenneth
Fletcher, Richard
Ward, Rabab
Elgendi, Mohamed
author_sort Welykholowa, Kaylie
collection PubMed
description Elevated blood pressure (BP) is a major cause of death, yet hypertension commonly goes undetected. Owing to its nature, it is typically asymptomatic until later in its progression when the vessel or organ structure has already been compromised. Therefore, noninvasive and continuous BP measurement methods are needed to ensure appropriate diagnosis and early management before hypertension leads to irreversible complications. Photoplethysmography (PPG) is a noninvasive technology with waveform morphologies similar to that of arterial BP waveforms, therefore attracting interest regarding its usability in BP estimation. In recent years, wearable devices incorporating PPG sensors have been proposed to improve the early diagnosis and management of hypertension. Additionally, the need for improved accuracy and convenience has led to the development of devices that incorporate multiple different biosignals with PPG. Through the addition of modalities such as an electrocardiogram, a final measure of the pulse wave velocity is derived, which has been proved to be inversely correlated to BP and to yield accurate estimations. This paper reviews and summarizes recent studies within the period 2010–2019 that combined PPG with other biosignals and offers perspectives on the strengths and weaknesses of current developments to guide future advancements in BP measurement. Our literature review reveals promising measurement accuracies and we comment on the effective combinations of modalities and success of this technology.
format Online
Article
Text
id pubmed-7230564
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-72305642020-05-22 Multimodal Photoplethysmography-Based Approaches for Improved Detection of Hypertension Welykholowa, Kaylie Hosanee, Manish Chan, Gabriel Cooper, Rachel Kyriacou, Panayiotis A. Zheng, Dingchang Allen, John Abbott, Derek Menon, Carlo Lovell, Nigel H. Howard, Newton Chan, Wee-Shian Lim, Kenneth Fletcher, Richard Ward, Rabab Elgendi, Mohamed J Clin Med Review Elevated blood pressure (BP) is a major cause of death, yet hypertension commonly goes undetected. Owing to its nature, it is typically asymptomatic until later in its progression when the vessel or organ structure has already been compromised. Therefore, noninvasive and continuous BP measurement methods are needed to ensure appropriate diagnosis and early management before hypertension leads to irreversible complications. Photoplethysmography (PPG) is a noninvasive technology with waveform morphologies similar to that of arterial BP waveforms, therefore attracting interest regarding its usability in BP estimation. In recent years, wearable devices incorporating PPG sensors have been proposed to improve the early diagnosis and management of hypertension. Additionally, the need for improved accuracy and convenience has led to the development of devices that incorporate multiple different biosignals with PPG. Through the addition of modalities such as an electrocardiogram, a final measure of the pulse wave velocity is derived, which has been proved to be inversely correlated to BP and to yield accurate estimations. This paper reviews and summarizes recent studies within the period 2010–2019 that combined PPG with other biosignals and offers perspectives on the strengths and weaknesses of current developments to guide future advancements in BP measurement. Our literature review reveals promising measurement accuracies and we comment on the effective combinations of modalities and success of this technology. MDPI 2020-04-22 /pmc/articles/PMC7230564/ /pubmed/32331360 http://dx.doi.org/10.3390/jcm9041203 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Welykholowa, Kaylie
Hosanee, Manish
Chan, Gabriel
Cooper, Rachel
Kyriacou, Panayiotis A.
Zheng, Dingchang
Allen, John
Abbott, Derek
Menon, Carlo
Lovell, Nigel H.
Howard, Newton
Chan, Wee-Shian
Lim, Kenneth
Fletcher, Richard
Ward, Rabab
Elgendi, Mohamed
Multimodal Photoplethysmography-Based Approaches for Improved Detection of Hypertension
title Multimodal Photoplethysmography-Based Approaches for Improved Detection of Hypertension
title_full Multimodal Photoplethysmography-Based Approaches for Improved Detection of Hypertension
title_fullStr Multimodal Photoplethysmography-Based Approaches for Improved Detection of Hypertension
title_full_unstemmed Multimodal Photoplethysmography-Based Approaches for Improved Detection of Hypertension
title_short Multimodal Photoplethysmography-Based Approaches for Improved Detection of Hypertension
title_sort multimodal photoplethysmography-based approaches for improved detection of hypertension
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230564/
https://www.ncbi.nlm.nih.gov/pubmed/32331360
http://dx.doi.org/10.3390/jcm9041203
work_keys_str_mv AT welykholowakaylie multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT hosaneemanish multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT changabriel multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT cooperrachel multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT kyriacoupanayiotisa multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT zhengdingchang multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT allenjohn multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT abbottderek multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT menoncarlo multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT lovellnigelh multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT howardnewton multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT chanweeshian multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT limkenneth multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT fletcherrichard multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT wardrabab multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension
AT elgendimohamed multimodalphotoplethysmographybasedapproachesforimproveddetectionofhypertension