Double Channel Neural Non Invasive Blood Pressure Prediction

Cardiovascular Diseases represent the leading cause of deaths in the world. Arterial Blood Pressure (ABP) is an important physiological parameter that should be properly monitored for the purposes of prevention. This work applies the neural network output-error (NNOE) model to ABP forecasting. Three input configurations are proposed based on ECG and PPG for estimating both systolic and diastolic blood pressures. The double channel configuration is the best performing one by means of the mean absolute error w.r.t the corresponding invasive blood pressure signal (IBP); indeed, it is also proven to be compliant with the ANSI/AAMI/ISO 81060-2:2013 regulation for non invasive ABP techniques. Both ECG and PPG correlations to IBP signal are further analyzed using Spearman’s correlation coefficient. Despite it suggests PPG is more closely related to ABP, its regression performance is worse than ECG input configuration one. However, this behavior can be explained looking to human biology and ABP computation, which is based on peaks (systoles) and valleys (diastoles) extraction.