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Journal article : Review

The use of photoplethysmography for assessing hypertension

Abstract:
The measurement of blood pressure (BP) is critical to the treatment and management of many medical conditions. High blood pressure is associated with many chronic disease conditions, and is a major source of mortality and morbidity around the world. For outpatient care as well as general health monitoring, there is great interest in being able to accurately and frequently measure BP outside of a clinical setting, using mobile or wearable devices. One possible solution is photoplethysmography (PPG), which is most commonly used in pulse oximetry in clinical settings for measuring oxygen saturation. PPG technology is becoming more readily available, inexpensive, convenient, and easily integrated into portable devices. Recent advances include the development of smartphones and wearable devices that collect pulse oximeter signals. In this article, we review (i) the state-of-the-art and the literature related to PPG signals collected by pulse oximeters, (ii) various theoretical approaches that have been adopted in PPG BP measurement studies, and (iii) the potential of PPG measurement devices as a wearable application. Past studies on changes in PPG signals and BP are highlighted, and the correlation between PPG signals and BP are discussed. We also review the combined use of features extracted from PPG and other physiological signals in estimating BP. Although the technology is not yet mature, it is anticipated that in the near future, accurate, continuous BP measurements may be available from mobile and wearable devices given their vast potential.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/s41746-019-0136-7

Authors

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Role:
Author
ORCID:
0000-0003-1831-0202
More by this author
Role:
Author
ORCID:
0000-0002-8337-6147
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Institution:
University of Oxford
Division:
MSD
Department:
Surgical Sciences
Role:
Author


Publisher:
Springer Nature
Journal:
npj Digital Medicine More from this journal
Volume:
2
Pages:
60
Publication date:
2019-06-26
Acceptance date:
2019-06-05
DOI:
EISSN:
2398-6352
ISSN:
2398-6352
Pmid:
31388564


Language:
English
Keywords:
Subtype:
Review
Pubs id:
1046448
Local pid:
pubs:1046448
Deposit date:
2020-06-08
ARK identifier:

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