Improved Discrimination Between Healthy and Hypertensive Individuals Combining Photoplethysmography and Electrocardiography

Abstract

[EN] Cardiovascular disease is one of the leading causes of death, with hypertension (HT) being its main risk factor. Its complications can be avoided with early treatment, but since these patients do not present any symptoms, HT is often detected at very advanced stages. This work presents a model for estimating blood pressure (BP) from electrocardiographic (ECG) and photoplethysmographic (PPG) signals, which can be easily obtained by means of wearable continuous monitoring devices. ECG, PPG and BP recordings from 86 patients were analyzed.A total of 34 standard and new features based on previous works were defined, such as pulse arrival times (PAT), and morphological characteristics of PPG signal. 37 classification models, ranging from Logistic Regression, Support Vector Machines (SVM), Nearest Neighbors, Naive Bayes or Coarse Trees were trained to compare discrimination results. The classifier that provided the highest performance when comparing normotensive patients with prehypertensive and hypertensive patients were Coarse Tree, providing an F1 score of 85.44% (Se of 86.27% and Sp of 77.14%). The use of PPG and ECG features has successfully discriminated between healthy and hypertensive individuals and, thus, could be used to detect HT by embedding these techniques in wearable devices.