Pengukuran Tekanan Darah Non-Invasive Tanpa Manset Menggunakan Metode Pulse Transit Time Berbasis Machine Learning Multivariat Regresi
DOI:
https://doi.org/10.26630/jk.v10i1.1085Keywords:
Machine learning, NIBP, Oscillometric, PTT, PPGAbstract
Currently used non-invasive blood pressure (NIBP) measurements (oscillometric method) has disadvantages related to pumping cuffs which can cause discomfort for patients due to pressure from pumping cuffs.  The aim of this study was to measure blood pressure in a non-invasive manner without cuffs with the Pulse Transit Time (PTT) methodbase on machine learning technology.The blood pressure measurement by the PTT method is obtained from the calculation of the distance of the R-ECG wave with the peak signal photoplethysmogram (PPG). The main problem of the PTT method in some previous studies is that the estimation of systolic (SBP) and diastolic (DBP) values is still inaccurate. The blood pressure measurement method in this study used a combination of PTT calculations with machine learning multivariate regression. Therefore expected to obtain a more accurate estimate of systolic (SBP) and diastolic blood pressure (DBP). This study is a laboratory experiment research on 30 healthy volunteers aged 20 ± 1 years. The measurement of the blood pressure value of the PTT-to-oscillometric method is 5 ± 5 mmHg. The blood pressure values generated by this PTT method have a p-value for the sequential estimation of SBP and DBP of 0.7374 and 0.0262.
References
Brien, E. O., Atkins, N., Stergiou, G., & Karpettas, N. (2010). European Society of Hypertension International Protocol revision 2010 for the validation of blood pressure measuring devices in adults. International Protocol for Device Validation, 15(1), 23–38. https://doi.org/10.1097/MBP.0b013e3283360e98
Daochai, & Sroykham. (2011). Non-invasive blood pressure measurement: Auscultatory method versus oscillometric method Non-invasive Blood Pressure Measurement : Auscultatory method versus Oscillometric method. Biomedical Engineering International Conferense, (January). https://doi.org/10.1109/BMEiCon.2012.6172056
Gesche, et al. (2012). Continuous blood pressure measurement by using the pulse transit time: comparison to a cuff-based method. European Journal of Applied Physiology, 112(1), 309-315.
https://doi.org/10.1007/s00421-011-1983-3
Gunawan, L. (2001). Hipertensi Tekanan Darah Tinggi (8th ed.). Yogyakarta: Kanisius.
Holzinger, A. (n.d.). Machine Learning for Health Informatics. https://doi.org/10.1007/978-3-319-50478-0
Huynh, T. H., & Jafari. (2018). Noninvasive Cuffless Blood Pressure Estimation Using Pulse Transit Time and Impedance. IEEE Transactions on Biomedical Engineering, PP(c), 1.
https://doi.org/10.1109/TBME.2018.2865751
Kementerian Kesehatan Republik Indonesia. (2017). Penyakit Jantung Penyebab Kematian Tertinggi, Kemenkes Ingatkan CERDIK. Jakarta.
Peter, L., Noury, N., & Cerny, M. (2014). A review of methods for non-invasive and continuous blood pressure monitoring: Pulse transit time method is promising? IRBM, 35(5), 271–282. https://doi.org/10.1016/J.IRBM.2014.07.002
Pradeep Menon. (2017). Data Science Simplified Part 5: Multivariate Regression Models.
Selvaraj, N. (2016). Assessment of pulse transit/arrival time as noninvasive blood pressure predictors in finger and earlobe sites. 2016 IEEE Healthcare Innovation Point-of-Care Technologies Conference, HI-POCT 2016, 200–203. https://doi.org/10.1109/HIC.2016.7797731
Sierra, C., & Sierra, A. de la. (2008). Early detection and management of the high-risk patient with elevated blood pressure. Vascular Health and Risk Management, 4(2), 289-296. Barcelona: Dove Medical Press Limited.
Sugiarta, A. I. (2018). Data Science dan Machine Learning sebagai Peluang di Era Revolusi Industri 4.
Tjahjadi, H., & Ramli, K. (2017). Review of photoplethysmography based non-invasive continuous blood pressure methods. QiR 2017-2017 15th International Conference on Quality in Research (QiR): International Symposium on Electrical and Computer Engineering, 2017-Decem, 173-178. https://doi.org/10.1109/QIR.2017.8168477
Downloads
Published
Issue
Section
License
Authors who publish in this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.