Nonlinear Dynamic Modeling of Blood Pressure Waveform: Towards an Accurate Cuffless Monitoring System
Why this work is in the frame
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Bibliographic record
Abstract
The objective is to develop a cuffless modelling approach to accurately estimate the blood pressure (BP) waveform and extract important BP features, such as the systolic BP (SBP), diastolic BP (DBP), and mean BP (MAP). Access to the full waveform has significant advantages over previous cuffless BP estimation tools in terms of accuracy and access to additional cardiovascular health markers (e.g., cardiac output), as well as potentially providing arterial stiffness and identifying different cardiovascular diseases. Nonlinear autoregressive models with exogenous input (NARX) are implemented using an artificial neural network to predict the BP waveforms using electrocardiography (ECG), and/or photoplethysmography (PPG) signals as inputs. The efficacy of the model is compared with a pulse arrival time (PAT) model using 15 subjects from the MIMIC II database. Two training modes are considered: training on the first eight minutes of data for each subject (Predictive training) and testing on the rest (up to 5.2 hours); and training on the first and the last eight minutes (Interval training) and testing the model in between. Predictive training and Interval training exhibited similar results initially, while Interval training resulted in higher accuracy over longer periods. The proposed method models the BP as a dynamical system leading to better accuracy in the estimation of SBP, DBP and MAP when compared to the PAT model. Moreover, the NARX model, with its ability to provide the BP waveform, yields more insight into patient health.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it