Institute of Electrical and Electronics Engineers (IEEE)
IEEE Transactions on Biomedical Engineering
,  volume 71 ,  issue 12 ,  pages 3569-3592

Wearable Blood Pressure Monitoring Devices: Understanding Heterogeneity in Design and Evaluation

Publication type: Journal Article
Publication date: 2024-12-01
Institute of Electrical and Electronics Engineers (IEEE)
scimago Q1
wos Q2
SJR: 1.113
CiteScore: 9.6
Impact factor: 4.5
ISSN: 00189294, 15582531
Abstract
Objective: Rapid advances in cuffless blood pressure (BP) monitoring have the potential to radically transform clinical care for cardiovascular health. However, due to the large heterogeneity in device design and evaluation, it is difficult to critically and quantitatively evaluate research progress. In this two-part manuscript, we provide a principled way of describing and accounting for heterogeneity in device and study design. Methods: We first provide an overview of foundational elements and design principles of three critical aspects: 1) sensors and systems, 2) pre-processing and feature extraction, and 3) BP estimation algorithms. Then, we critically analyze the state-of-the-art methods via a systematic review. Results: First, we find large heterogeneity in study designs, making fair comparisons extremely challenging. Moreover, many study designs have data leakage and are underpowered. We suggest a first open-contribution BP estimation benchmark for standardization. Next, we observe that BP distribution in the study sample and the time between calibration and test in emerging personalized devices confound BP estimation error. We suggest accounting for these using a convenient metric coined "explained deviation". Finally, we complement this manuscript with a website, https://wearablebp.github.io , containing a bibliography, meta-analysis results, datasets, and benchmarks, providing a timely plaWorm to understand state-of-the-art devices. Conclusion: There is large heterogeneity in device and study design, which should be carefully accounted for when designing, comparing, and contrasting studies. Significance: Our findings will allow readers to parse out the heterogeneous literature and move toward promising directions for safer and more reliable devices in clinical practice and beyond.
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Cheung M. Y. et al. Wearable Blood Pressure Monitoring Devices: Understanding Heterogeneity in Design and Evaluation // IEEE Transactions on Biomedical Engineering. 2024. Vol. 71. No. 12. pp. 3569-3592.
GOST all authors (up to 50) Copy
Cheung M. Y., SABHARWAL A., Cote G. L., Coté G. L., Cote G., Veeraraghavan A. Wearable Blood Pressure Monitoring Devices: Understanding Heterogeneity in Design and Evaluation // IEEE Transactions on Biomedical Engineering. 2024. Vol. 71. No. 12. pp. 3569-3592.
RIS |
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RIS Copy
TY - JOUR
DO - 10.1109/tbme.2024.3434344
UR - https://ieeexplore.ieee.org/document/10623798/
TI - Wearable Blood Pressure Monitoring Devices: Understanding Heterogeneity in Design and Evaluation
T2 - IEEE Transactions on Biomedical Engineering
AU - Cheung, Matt Y.
AU - SABHARWAL, ASHUTOSH
AU - Cote, Gerard L.
AU - Coté, Gerard L.
AU - Cote, Gerard
AU - Veeraraghavan, Ashok
PY - 2024
DA - 2024/12/01
PB - Institute of Electrical and Electronics Engineers (IEEE)
SP - 3569-3592
IS - 12
VL - 71
PMID - 39106139
SN - 0018-9294
SN - 1558-2531
ER -
BibTex |
Cite this
BibTex (up to 50 authors) Copy
@article{2024_Cheung,
author = {Matt Y. Cheung and ASHUTOSH SABHARWAL and Gerard L. Cote and Gerard L. Coté and Gerard Cote and Ashok Veeraraghavan},
title = {Wearable Blood Pressure Monitoring Devices: Understanding Heterogeneity in Design and Evaluation},
journal = {IEEE Transactions on Biomedical Engineering},
year = {2024},
volume = {71},
publisher = {Institute of Electrical and Electronics Engineers (IEEE)},
month = {dec},
url = {https://ieeexplore.ieee.org/document/10623798/},
number = {12},
pages = {3569--3592},
doi = {10.1109/tbme.2024.3434344}
}
MLA
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MLA Copy
Cheung, Matt Y., et al. “Wearable Blood Pressure Monitoring Devices: Understanding Heterogeneity in Design and Evaluation.” IEEE Transactions on Biomedical Engineering, vol. 71, no. 12, Dec. 2024, pp. 3569-3592. https://ieeexplore.ieee.org/document/10623798/.