Wearable Continuous Blood Pressure Monitoring Based on Pulsatile Cycle Volume Adjustment Method

Abstract

Accurate and portable Blood Pressure (BP) monitoring is vital for managing cardiovascular diseases. However, existing wearable continuous BP monitoring technologies are often inaccurate and rely on external calibration, limiting their practical application in continuous BP monitoring. To address this challenge, we have developed a Wearable continuous non-invasive BP Monitor (WeBPM) equipped with a finger cuff sensor, capable of monitoring BP continuously and accurately within medical-grade precision. WeBPM integrates advanced finger oscillographic BP measurement technology to provide reliable self-calibration functionality. Moreover, Pulsatile Cycle Volume Adjustment Method (PCVAM) we proposed for the closed-loop phase can continuously track changes in vasomotor tone under a controlled frequency based on pulsatile cycles, thereby enabling continuous BP measurement. In comparative experiments with the Nexfin monitor, WeBPM demonstrates excellent performance in induced dynamic BP experiments, with measurement errors of (-1.4 ± 6.24) mmHg for Systolic BP (SBP) and (-0.82 ± 4.83) mmHg for Diastolic BP (DBP). Additionally, compared to clinical invasive reference measurements, WeBPM's SBP and DBP measurement errors are (-1.74 ± 4.9) mmHg and (0.37 ± 3.28) mmHg, respectively, further proving its outstanding performance. These results highlight WeBPM's potential in personalized health management and remote monitoring, offering a new solution for continuous non-invasive BP monitoring.