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Updated: Jan 9, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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On-Device, Continuous, Cuffless, and Accelerometer-Based Blood Pressure Monitoring.

Swapnil Sayan Saha, Muhammed Anwar Puthenveedu, Mahesh Chowdhary

    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
    |December 3, 2025
    PubMed
    Summary
    This summary is machine-generated.

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    Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
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    Pulse rhythm01:30

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    Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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    When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
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    To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
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    This study presents a new cuffless blood pressure monitor using AI and inertial sensors. It offers accurate, continuous, and non-invasive readings for cardiovascular disease management.

    Area of Science:

    • Biomedical Engineering
    • Artificial Intelligence in Healthcare
    • Cardiovascular Monitoring

    Background:

    • Traditional blood pressure monitoring relies on cuffs, limiting continuous and practical use.
    • Non-invasive, cuffless methods are crucial for effective cardiovascular disease management.
    • Existing cuffless technologies often lack accuracy, personalization, or real-world applicability.

    Purpose of the Study:

    • To introduce an intelligent inertial blood pressure measurement device.
    • To enable accurate, continuous, and non-invasive blood pressure estimation using novel sensor fusion and AI.
    • To facilitate practical cardiovascular disease management in non-clinical settings.

    Main Methods:

    • Utilized pulse transit time and ballistocardiography with two accelerometers on the common carotid artery.

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  • Developed a lightweight, on-device neural network for systolic and diastolic blood pressure estimation.
  • Employed platform-aware neural architecture search and transfer learning for model optimization and personalization (30-second calibration).
  • Main Results:

    • Achieved < ±2 mmHg systolic and diastolic error in preclinical trials (18 patients).
    • The neural network model requires <100 kB of memory, enabling on-device processing.
    • The device provides 3 blood pressure readings per second, wirelessly via a smartphone interface.

    Conclusions:

    • The developed cuffless blood pressure monitoring device is accurate, non-invasive, personalizable, and practical.
    • This framework supports continuous blood pressure monitoring in non-clinical settings for expert and non-expert users.
    • The intelligent inertial device represents a significant advancement in remote cardiovascular health management.