arXiv:2503.00890cs.CVcs.AI2025-03被引 1

用摄像头无创测血压,对心脏病患者也有效。

Estimating Blood Pressure with a Camera: An Exploratory Study of Ambulatory Patients with Cardiovascular Disease

  • 用手机摄像头采集面部光体积变化信号,结合深度学习预测血压。
  • 在143名心脏病患者中,准确度与健康人群相当,房颤者也不逊色。
  • 能有效识别高血压风险,适合居家长期监测使用。

高血压是全球致病和致死的主要原因。当前基于袖带的血压监测方法受限于设备可及性差和依从性低,难以在门诊人群中推广。远程光电容积脉搏波(rPPG)通过普通摄像头非接触式获取脉搏波形,具有广泛可及性。现有研究多排除心血管疾病(CVD)或心律失常人群,而这些高危群体中rPPG对血压的预测效果尚不明确。本研究在心脏科门诊收集了143名已确诊CVD或具风险因素的受试者静息状态下的同步rPPG、PPG、BP、ECG等数据,利用深度学习模型结合人口学特征预测血压。结果表明,面部rPPG信号与指端PPG相当;基于脉搏波分析(PWA)的血压估计在该队列中表现良好,且房颤患者预测精度不劣于窦性心律者。二分类任务中,模型对收缩压≥130 mm Hg的预测阳性率71%(基线患病率48.3%),凸显rPPG在高血压筛查中的潜力。

原文摘要 · Abstract (English)

Hypertension is a leading cause of morbidity and mortality worldwide. The ability to diagnose and treat hypertension in the ambulatory population is hindered by limited access and poor adherence to current methods of monitoring blood pressure (BP), specifically, cuff-based devices. Remote photoplethysmography (rPPG) evaluates an individual's pulse waveform through a standard camera without physical contact. Cameras are readily available to the majority of the global population via embedded technologies such as smartphones, thus rPPG is a scalable and promising non-invasive method of BP monitoring. The few studies investigating rPPG for BP measurement have excluded high-risk populations, including those with cardiovascular disease (CVD) or its risk factors, as well as subjects in active cardiac arrhythmia. The impact of arrhythmia, like atrial fibrillation, on the prediction of BP using rPPG is currently uncertain. We performed a study to better understand the relationship between rPPG and BP in a real-world sample of ambulatory patients from a cardiology clinic with established CVD or risk factors for CVD. We collected simultaneous rPPG, PPG, BP, ECG, and other vital signs data from 143 subjects while at rest, and used this data plus demographics to train a deep learning model to predict BP. We report that facial rPPG yields a signal that is comparable to finger PPG. Pulse wave analysis (PWA)-based BP estimates on this cohort performed comparably to studies on healthier subjects, and notably, the accuracy of BP prediction in subjects with atrial fibrillation was not inferior to subjects with normal sinus rhythm. In a binary classification task, the rPPG model identified subjects with systolic BP $\geq$ 130 mm Hg with a positive predictive value of 71% (baseline prevalence 48.3%), highlighting the potential of rPPG for hypertension monitoring.

无创监测血压估计rPPG

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