Cited by 625Non-Invasive Vital Sign MonitoringCardiovascular Health and Disease PreventionHemodynamic Monitoring and Therapy

The use of photoplethysmography for assessing hypertension

Open access
Elgendi, Mohamed, Fletcher, Richard, Liang, Yongbo, Howard, Newton, Lovell, Nigel H., Abbott, Derek, Lim, Kenneth, Ward, Rabab·2019·npj Digital Medicine

Abstract

The measurement of blood pressure (BP) is critical to the treatment and management of many medical conditions. High blood pressure is associated with many chronic disease conditions, and is a major source of mortality and morbidity around the world. For outpatient care as well as general health monitoring, there is great interest in being able to accurately and frequently measure BP outside of a clinical setting, using mobile or wearable devices. One possible solution is photoplethysmography (PPG), which is most commonly used in pulse oximetry in clinical settings for measuring oxygen saturation. PPG technology is becoming more readily available, inexpensive, convenient, and easily integrated into portable devices. Recent advances include the development of smartphones and wearable devices that collect pulse oximeter signals. In this article, we review (i) the state-of-the-art and the literature related to PPG signals collected by pulse oximeters, (ii) various theoretical approaches that have been adopted in PPG BP measurement studies, and (iii) the potential of PPG measurement devices as a wearable application. Past studies on changes in PPG signals and BP are highlighted, and the correlation between PPG signals and BP are discussed. We also review the combined use of features extracted from PPG and other physiological signals in estimating BP. Although the technology is not yet mature, it is anticipated that in the near future, accurate, continuous BP measurements may be available from mobile and wearable devices given their vast potential.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1038/s41746-019-0136-7

Cites

86 of 86 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The wavelength of light affects the PPG measurement because green light penetrates less deeply than red and infrared light.

    “The wavelength of light also affects the PPG measurement [18] since green light penetrates less deeply than red and infrared light [51].”

    From Wearable Photoplethysmography for Cardiovascular Monitoring (2022) · cites this paper as [18]

  • Beyond fitness and heart rate monitoring, the primary medical use of PPG has been focused on obtaining information about the cardiovascular system towards cardiovascular disease (CVD) diagnosis and treatment.

    “Beyond fitness and heart rate monitoring, the primary medical use of the PPG has been focused on obtaining information about the cardiovascular system towards cardiovascular disease (CVD) diagnosis and treatment [17,18].”
  • Red light and NIR penetrate deeper into human body and provide a wider range of information about physiological signal.

    “On the contrary, red light and NIR penetrate deeper into the human body and thus provide a wider range of information about the physiological signal [55,56].”

    From The Current State of Optical Sensors in Medical Wearables (2022) · cites this paper as [55]

  • Many algorithms are known where systolic and diastolic BP are estimated from the shape of the PPG curve.

    “Many algorithms are known where systolic and diastolic BP are estimated from the shape of the PPG curve [55,102].”

    From The Current State of Optical Sensors in Medical Wearables (2022) · cites this paper as [55]

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 6

  1. [41]Radha, M. et al. Wrist-worn blood pressure tracking in healthy free-living individuals using neural networks. arXiv preprint arXiv:1805.09121 (2018). · arXiv
  2. [52]Wang, E. J. et al. Seismo: Blood pressure monitoring using built-in smartphone accelerometer and camera. In 2018 CHI Conference on Human Factors in Computing Systems, 425 (ACM Digital Library, Montreal QC, Canada, 2018).
  3. [53]Holz, C. & Wang, E. J. Glabella: Continuously sensing blood pressure behavior using an unobtrusive wearable device. Proc. ACM Inter. Mobile Wearable Ubiquit. Technol.1, 58 (2017).
  4. [60]Banerjee, R., Choudhury, A. D., Sinha, A. & Visvanathan, A. HeartSense: smart phones to estimate blood pressure from photoplethysmography. In Proceedings of the 12th ACM Conference on Embedded Network Sensor Systems 322–323 (The ACM Digital Library, Memphis, Tennessee, 2014).
  5. [73]Choi Y Zhang Q Ko S Noninvasive cuffless blood pressure estimation using pulse transit time and Hilbert-Huang transform Comput. Electr. Eng. 2013 39 103 111 10.1016/j.compeleceng.2012.09.005 · DOI
  6. [84]Kachuee, M., Kirani, M. M., Mohammadzade, H. & Shabany, M. Cuff-less highaccuracy calibration-free blood pressure estimation using pulse transit time. In Circuits and Systems (ISCAS), IEEE International Symposium (IEEE, 2015).

Cited by

Sorted by citations

Authors
Elgendi, M., Fletcher, R., Liang, Y., Howard, N., Lovell, N. H., Abbott, D., Lim, K., & Ward, R.
Affiliations
  • University of British Columbia (CA)
  • University of Massachusetts Chan Medical School (US)
  • University of Oxford (GB)
  • UNSW Sydney (AU)
  • The University of Adelaide (AU)
Corresponding author
Elgendi, Mohamed
Venue
npj Digital Medicine
Published
2019-06-26
Volume
2
Issue
1
Pages
60-60
ISSN
2398-6352 (ISSN-L)
OpenAlex
W2955961229
Cited by
625
References
86
Citations by year
2026: 70 · 2025: 89 · 2024: 87 · 2023: 112 · 2022: 111 · 2021: 94 · 2020: 55 · 2019: 6
FWCI
5.35
Type
journal article
Language
en
Open access
Locations
  • npj Digital Medicine (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • UNSWorks (UNSW Sydney) (submittedVersion, cc-by)
Funders
  • Children's Hospital Foundation
  • BC Children's Hospital
Topics
  • Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
Keywords
photoplethysmography, hypertension, blood pressure estimation, pulse oximetry, wearable devices, smartphone health monitoring, non-invasive blood pressure measurement, physiological signal fusion, continuous blood pressure monitoring

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review