Cuff-Less Estimation of Blood Pressure and Detection of Hypertension/Arteriosclerosis from Fingertip PPG Using Machine Learning: An Experimental Study

Worldwide less than half of adults with hypertension are diagnosed and treated (only 42%), in addition one in five adults with hypertension (21%) has the condition under control. In the American continent, cardiovascular diseases (CVD) are the leading cause of death and high blood pressure (hypertension) is responsible for 50% of CVD deaths. Only a few countries show a population hypertension control rate of more than 50%. In this experimental study, we trained 15 regression-type machine learning algorithms, including traditional and ensemble methods to assess their effectiveness in estimating arterial pressure using noninvasive photoplethysmographic (PPG) signals extracted from 110 study subjects, to identify the risk of hypertension and its correlation with arteriosclerosis. We analyzed the performance of each algorithm using the metrics MSE, MAE, RMSE, and r2. A 10-fold cross-validation showed that the best algorithms for hypertension risk identification were LR, KNN, SVR, RF, LR Baggin, KNNBagging, SVRBagging, and DTBagging. On the other hand, the best algorithms for arterioclesrosis risk identification were LR, KNN, SVR, RF, LR Bagging, and DTBagging. These results suggest that this research is promising and offers valuable information on the acquisition and processing of PPG signals. However, as this is an experimental study, the effectiveness of our model needs to be validated with a larger database. On the other hand, this model represents a support tool for healthcare specialists in the early detection of cardiovascular health, allowing people to self-manage their health and seek medical attention at an early stage.