scholarly journals ECG-derived Blood Pressure Classification using Complexity Analysis-based Machine Learning

Author(s):  
Monika Simjanoska ◽  
Martin Gjoreski ◽  
Ana Madevska Bogdanova ◽  
Bojana Koteska ◽  
Matjaž Gams ◽  
...  
2021 ◽  
Vol 53 (2) ◽  
Author(s):  
Sen Yang ◽  
Yaping Zhang ◽  
Siu-Yeung Cho ◽  
Ricardo Correia ◽  
Stephen P. Morgan

AbstractConventional blood pressure (BP) measurement methods have different drawbacks such as being invasive, cuff-based or requiring manual operations. There is significant interest in the development of non-invasive, cuff-less and continual BP measurement based on physiological measurement. However, in these methods, extracting features from signals is challenging in the presence of noise or signal distortion. When using machine learning, errors in feature extraction result in errors in BP estimation, therefore, this study explores the use of raw signals as a direct input to a deep learning model. To enable comparison with the traditional machine learning models which use features from the photoplethysmogram and electrocardiogram, a hybrid deep learning model that utilises both raw signals and physical characteristics (age, height, weight and gender) is developed. This hybrid model performs best in terms of both diastolic BP (DBP) and systolic BP (SBP) with the mean absolute error being 3.23 ± 4.75 mmHg and 4.43 ± 6.09 mmHg respectively. DBP and SBP meet the Grade A and Grade B performance requirements of the British Hypertension Society respectively.


2021 ◽  
pp. 247553032110007
Author(s):  
Eric Munger ◽  
Amit K. Dey ◽  
Justin Rodante ◽  
Martin P. Playford ◽  
Alexander V. Sorokin ◽  
...  

Background: Psoriasis is associated with accelerated non-calcified coronary plaque burden (NCB) by coronary computed tomography angiography (CCTA). Machine learning (ML) algorithms have been shown to effectively identify cardiometabolic variables with NCB in cross-sectional analysis. Objective: To use ML methods to characterize important predictors of change in NCB by CCTA in psoriasis over 1-year of observation. Methods: The analysis included 182 consecutive patients with 80 available variables from the Psoriasis Atherosclerosis Cardiometabolic Initiative, a prospective, observational cohort study at baseline and 1-year using the random forest regression algorithm. NCB was assessed at baseline and 1-year from CCTA. Results: Using ML, we identified variables of high importance in the context of predicting changes in NCB. For the cohort that worsened NCB (n = 102), top baseline variables were cholesterol (total and HDL), white blood cell count, psoriasis area severity index score, and diastolic blood pressure. Top predictors of 1-year change were change in visceral adiposity, white blood cell count, total cholesterol, c-reactive protein, and absolute lymphocyte count. For the cohort that improved NCB (n = 80), the top baseline variables were HDL cholesterol related including apolipoprotein A1, basophil count, and psoriasis area severity index score, and top predictors of 1-year change were change in apoA, apoB, and systolic blood pressure. Conclusion: ML methods ranked predictors of progression and regression of NCB in psoriasis over 1 year providing strong evidence to focus on treating LDL, blood pressure, and obesity; as well as the importance of controlling cutaneous disease in psoriasis.


2021 ◽  
Vol 60 (6) ◽  
pp. 5779-5796
Author(s):  
Nashat Maher ◽  
G.A. Elsheikh ◽  
W.R. Anis ◽  
Tamer Emara

2014 ◽  
Vol 2014 ◽  
pp. 1-12 ◽  
Author(s):  
Hudson Fernandes Golino ◽  
Liliany Souza de Brito Amaral ◽  
Stenio Fernando Pimentel Duarte ◽  
Cristiano Mauro Assis Gomes ◽  
Telma de Jesus Soares ◽  
...  

The present study investigates the prediction of increased blood pressure by body mass index (BMI), waist (WC) and hip circumference (HC), and waist hip ratio (WHR) using a machine learning technique named classification tree. Data were collected from 400 college students (56.3% women) from 16 to 63 years old. Fifteen trees were calculated in the training group for each sex, using different numbers and combinations of predictors. The result shows that for women BMI, WC, and WHR are the combination that produces the best prediction, since it has the lowest deviance (87.42), misclassification (.19), and the higher pseudoR2(.43). This model presented a sensitivity of 80.86% and specificity of 81.22% in the training set and, respectively, 45.65% and 65.15% in the test sample. For men BMI, WC, HC, and WHC showed the best prediction with the lowest deviance (57.25), misclassification (.16), and the higher pseudoR2(.46). This model had a sensitivity of 72% and specificity of 86.25% in the training set and, respectively, 58.38% and 69.70% in the test set. Finally, the result from the classification tree analysis was compared with traditional logistic regression, indicating that the former outperformed the latter in terms of predictive power.


2021 ◽  
Author(s):  
Parisa Naraei ◽  
Alireza Sadeghian

Intracranial pressure (ICP), the pressure within the cranium reflects three elements: cerebrospinal fluid, brain tissue and blood pressure. High ICP (above 20 mmHg) is called intracranial hypertension (ICH) which is due to the tumour, swelling or the internal bleeding of brain and may cause secondary damage to the brain. ICP is a crucial parameter in diagnosis of brain injuries. Two models which utilize machine learning techniques to anticipate ICH and assist in clinical decision making were developed in the present thesis. ICP can be monitored through the invasive techniques (i.e., inserting an intraventricular catheter through the skull). Despite the high accuracy, the episodes of ICH can also be manually identified only after placement of catheter which is accompanied by lots of technical difficulties. Furthermore, the ICP signal might not be available continuously or may include unwanted noise that could introduce more complication to the diagnosis and treatment procedure. Considering the difficulties of the invasive techniques, a non-invasive model, capable to predict the ICH helps to save time, estimate the missing ICPs, predict the ICP in advance and accelerate medical intervention. The present thesis introduces two machine learning models to resolve the current limitations: 1- Non-invasive prediction of ICP labels 10 minutes in advance where the status of ICP (normal / ICH) is predicted based on the two components extracted from the physiological signals such as mean arterial blood pressure and respiration rate. 2- Wavelet – clustering where a machine learning solution for ICP estimation using a hybrid wavelet clustering is proposed. The episodes of ICP and derived from ICP (such as cerebral perfusion pressure) are excluded from the second model.


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