Abstract-- The oscillations of the human heart rate are inherently complex and non-linear--they are best described by mathematical chaos, and they present a challenge when applied to the practical domain of cardiovascular health monitoring in everyday life. In this work, we study the non-linear chaotic behavior of heart rate through mutual information and introduce a novel approach for enhancing heart rate estimation in real-life conditions. Our proposed approach not only explains and handles the non-linear temporal complexity from a mathematical perspective but also improves the deep learning solutions when combined with them. We validate our proposed method on four established datasets from real-life scenarios and compare its performance with existing algorithms thoroughly with extensive ablation experiments. Our results demonstrate a substantial improvement, up to 40%, of the proposed approach in estimating heart rate compared to traditional methods and existing machine-learning techniques while reducing the reliance on multiple sensing modalities and eliminating the need for post-processing steps. Healthy biological systems exhibit complex patterns of variability that can be described by mathematical chaos [1], [2]. A healthy heart is not a metronome; instead, its complex and constantly changing oscillations enable the cardiovascular system to rapidly adjust to sudden physical and psychological challenges to homeostasis [2]. Therefore, measuring heart rate (HR) during daily life has significant importance in monitoring individuals' health.

We introduce a novel multimodal dataset and benchmark results for continuous PPG recordings during outdoor activities from 16 participants over 13.5 hours,

Photoplethysmography (PPG) sensors have been widely used in consumer wearable devices to monitor heart rates (HR) and heart rate variability (HRV). Despite the prevalence, PPG signals can be contaminated by motion artifacts induced from daily activities. Existing approaches mainly use the amplitude information to perform PPG peak detection. However, these approaches cannot accurately identify peaks, since motion artifacts may bring random and significant amplitude variations. To improve the performance of PPG peak detection, the time information can be used. Specifically, heart rates exhibit temporal consistency that consecutive heartbeat intervals in a normal person can have limited variations. To leverage the temporal consistency, we propose the Temporal Attentive U-Net, i.e., TAU, to accurately detect peaks from PPG signals. In TAU, we design a time module that encodes temporal consistency in temporal embeddings. We integrate the amplitude information with temporal embeddings using the attention mechanism to estimate peak labels. Our experimental results show that TAU outperforms eleven baselines on heart rate estimation by more than 22.4%. Our TAU model achieves the best performance across various Signal-to-Noise Ratio (SNR) levels. Moreover, we achieve Pearson correlation coefficients higher than 0.9 (p < 0.01) on estimating HRV features from low-noise-level PPG signals.

We present our work on leveraging low-frame-rate monochrome (blue light) videos of fingertips, captured with an off-the-shelf fingerprint capture device, to extract vital signs and identify users. These videos utilize photoplethysmography (PPG), commonly used to measure vital signs like heart rate. While prior research predominantly utilizes high-frame-rate, multi-wavelength PPG sensors (e.g., infrared, red, or RGB), our preliminary findings demonstrate that both user identification and vital sign extraction are achievable with the low-frame-rate data we collected. Preliminary results are promising, with low error rates for both heart rate estimation and user authentication. These results indicate promise for effective biometric systems. We anticipate further optimization will enhance accuracy and advance healthcare and security.

Acoustic signals are crucial for health monitoring, particularly heart sounds which provide essential data like heart rate and detect cardiac anomalies such as murmurs. This study utilizes a publicly available phonocardiogram (PCG) dataset to estimate heart rate using model-driven methods and extends the best-performing model to a multi-task learning (MTL) framework for simultaneous heart rate estimation and murmur detection. Heart rate estimates are derived using a sliding window technique on heart sound snippets, analyzed with a combination of acoustic features (Mel spectrogram, cepstral coefficients, power spectral density, root mean square energy). Our findings indicate that a 2D convolutional neural network (\textbf{\texttt{2dCNN}}) is most effective for heart rate estimation, achieving a mean absolute error (MAE) of 1.312 bpm. We systematically investigate the impact of different feature combinations and find that utilizing all four features yields the best results. The MTL model (\textbf{\texttt{2dCNN-MTL}}) achieves accuracy over 95% in murmur detection, surpassing existing models, while maintaining an MAE of 1.636 bpm in heart rate estimation, satisfying the requirements stated by Association for the Advancement of Medical Instrumentation (AAMI).

Electrocardiograms (ECGs) and photoplethysmograms (PPGs) are generally used to monitor an individual's cardiovascular health. In clinical settings, ECGs and fingertip PPGs are the main signals used for assessing cardiovascular health, but the equipment necessary for their collection precludes their use in daily monitoring. Although PPGs obtained from wrist-worn devices are susceptible to noise due to motion, they have been widely used to continuously monitor cardiovascular health because of their convenience. Therefore, we would like to combine the ease with which PPGs can be collected with the information that ECGs provide about cardiovascular health by developing models to synthesize ECG signals from paired PPG signals. We tackled this problem using generative adversarial networks (GANs) and found that models trained using the original GAN formulations can be successfully used to synthesize ECG signals from which heart rate can be extracted using standard signal processing pipelines. Incorporating a frequency-domain constraint to model training improved the stability of model performance and also the performance on heart rate estimation.

Smart watches and other wearable devices are equipped with photoplethysmography (PPG) sensors for monitoring heart rate and other aspects of cardiovascular health. However, PPG signals collected from such devices are susceptible to corruption from noise and motion artifacts, which cause errors in heart rate estimation. Typical denoising approaches filter or reconstruct the signal in ways that eliminate much of the morphological information, even from the clean parts of the signal that would be useful to preserve. In this work, we develop an algorithm for denoising PPG signals that reconstructs the corrupted parts of the signal, while preserving the clean parts of the PPG signal. Our novel framework relies on self-supervised training, where we leverage a large database of clean PPG signals to train a denoising autoencoder. As we show, our reconstructed signals provide better estimates of heart rate from PPG signals than the leading heart rate estimation methods. Further experiments show significant improvement in Heart Rate Variability (HRV) estimation from PPG signals using our algorithm. We conclude that our algorithm denoises PPG signals in a way that can improve downstream analysis of many different health metrics from wearable devices.

We present a novel learning-based method that achieves state-of-the-art performance on several heart rate estimation benchmarks extracted from photoplethysmography signals (PPG). We consider the evolution of the heart rate in the context of a discrete-time stochastic process that we represent as a hidden Markov model. We derive a distribution over possible heart rate values for a given PPG signal window through a trained neural network. Using belief propagation, we incorporate the statistical distribution of heart rate changes to refine these estimates in a temporal context. From this, we obtain a quantized probability distribution over the range of possible heart rate values that captures a meaningful and well-calibrated estimate of the inherent predictive uncertainty. We show the robustness of our method on eight public datasets with three different cross-validation experiments.

Nowadays, Hearth Rate (HR) monitoring is a key feature of almost all wrist-worn devices exploiting photoplethysmography (PPG) sensors. However, arm movements affect the performance of PPG-based HR tracking. This issue is usually addressed by fusing the PPG signal with data produced by inertial measurement units. Thus, deep learning algorithms have been proposed, but they are considered too complex to deploy on wearable devices and lack the explainability of results. In this work, we present a new deep learning model, PULSE, which exploits temporal convolutions and multi-head cross-attention to improve sensor fusion's effectiveness and achieve a step towards explainability. We evaluate the performance of PULSE on three publicly available datasets, reducing the mean absolute error by 7.56% on the most extensive available dataset, PPG-DaLiA. Finally, we demonstrate the explainability of PULSE and the benefits of applying attention modules to PPG and motion data.

Wrist-worn smart devices are providing increased insights into human health, behaviour and performance through sophisticated analytics. However, battery life, device cost and sensor performance in the face of movement-related artefact present challenges which must be further addressed to see effective applications and wider adoption through commoditisation of the technology. We address these challenges by demonstrating, through using a simple optical measurement, photoplethysmography (PPG) used conventionally for heart rate detection in wrist-worn sensors, that we can provide improved heart rate and human activity recognition (HAR) simultaneously at low sample rates, without an inertial measurement unit. This simplifies hardware design and reduces costs and power budgets. We apply two deep learning pipelines, one for human activity recognition and one for heart rate estimation. HAR is achieved through the application of a visual classification approach, capable of robust performance at low sample rates. Here, transfer learning is leveraged to retrain a convolutional neural network (CNN) to distinguish characteristics of the PPG during different human activities. For heart rate estimation we use a CNN adopted for regression which maps noisy optical signals to heart rate estimates. In both cases, comparisons are made with leading conventional approaches. Our results demonstrate a low sampling frequency can achieve good performance without significant degradation of accuracy. 5 Hz and 10 Hz were shown to have 80.2% and 83.0% classification accuracy for HAR respectively. These same sampling frequencies also yielded a robust heart rate estimation which was comparative with that achieved at the more energy-intensive rate of 256 Hz.