SIFPBPNet: A Dual-Path Network for Wearable and Cuffless Blood Pressure Estimation via Individualized Steady-state Representation
TL;DR
A dual-path architecture termed SIFPBPNet is proposed, which separately represents steady-state and instantaneous features, through a Steady-state Feature Path (SFP) and an Instantaneous Feature Path (IFP) and an Instantaneous Feature Path (IFP).
Abstract
Continuous and cuffless blood pressure (BP) monitoring using photoplethysmography (PPG) is of great interest for low-cost and personalized cardiovascular health management. However, significant population heterogeneity and the"one-to-many mapping"problem, where similar waveforms across individuals correspond to different BP levels, limit the accuracy of conventional population-based models. To address this challenge, we propose a dual-path architecture termed SIFPBPNet, which separately represents steady-state and instantaneous features, through a Steady-state Feature Path (SFP) and an Instantaneous Feature Path (IFP). The SFP employs a Graph Attention Network (GAT) to extract individual-specific and long-term characteristics from multi-day historical PPG trajectories. In parallel, the IFP captures short-term dynamics from current PPG segments and incorporates the steady-state prior via a cross-attention mechanism. Experiments on a large-scale wearable dataset demonstrate that SIFPBPNet achieves a Mean Absolute Error (MAE) of 8.57 and 5.97 mmHg for systolic and diastolic BP, respectively, outperforming state-of-the-art models. Furthermore, the SFP module consistently improves performance when integrated into various backbone architectures, yielding 2.8-13.1% relative MAE reductions for systolic BP. These results highlight the strong generalizability and plug-and-play transferability of the SFP module, underscoring its great potential for accurate cuffless BP monitoring.
