Feasibility Study of Pulse Width at Half Amplitude of Camera PPG for Contactless Blood Pressure Estimation

Non-contact blood pressure (BP) estimation with imaging photoplethysmogram (PPG) that can be acquired by camera is a promising alternative to cuff-based technology because of its nature of pervasive, low-cost, and being continuous. Most of the non-contact BP estimation methods are based on the principle of pulse transit time (PTT) as being used for wearable cuffless BP measurement. However, PTT-based method on the one hand requires simultaneous capture of images of multiple skin sites with the sites being at a distance from each other; and on the other hand, it can only partially reflect BP changes according to previous studies. In this paper, we propose to use a different camera PPG feature that has not yet been fully studied - pulse width at half amplitude (PWHA) for the evaluation of BP in a non-contact way. PWHA can be obtained from a single-site camera PPG, and it can indicate BP changes. The relationship of PWHA and BP was analyzed on 16 healthy subjects with BP changes induced by deep breathing and stepping exercise. The results showed that beat-to-beat PWHA can well track dynamic BP changes, and it is inversely related to BP across the sampled population and within each individual with about 80% individuals having high correlations. The findings suggest that PWHA can reflect the dynamic changes in cardiovascular characteristics and thereby BP changes, demonstrating the feasibility of imaging PWHA for non-contact BP estimation beyond the PTT method.Clinical Relevance- This provides a potential new method for non-contact BP, which allows BP monitoring at home, clinical setting, and public places in a pervasive manner. It reduces contacts between persons during a pandemic and offers an ever-present way to monitor BP.