Hypertension is a leading cause of morbidity and mortality worldwide. The ability to diagnose and treat hypertension in the ambulatory population is hindered by limited access and poor adherence to current methods of monitoring blood pressure (BP), specifically, cuff-based devices. Remote photoplethysmography (rPPG) evaluates an individual's pulse waveform through a standard camera without physical contact. Cameras are readily available to the majority of the global population via embedded technologies such as smartphones, thus rPPG is a scalable and promising non-invasive method of BP monitoring. The few studies investigating rPPG for BP measurement have excluded high-risk populations, including those with cardiovascular disease (CVD) or its risk factors, as well as subjects in active cardiac arrhythmia. The impact of arrhythmia, like atrial fibrillation, on the prediction of BP using rPPG is currently uncertain. We performed a study to better understand the relationship between rPPG and BP in a real-world sample of ambulatory patients from a cardiology clinic with established CVD or risk factors for CVD. We collected simultaneous rPPG, PPG, BP, ECG, and other vital signs data from 143 subjects while at rest, and used this data plus demographics to train a deep learning model to predict BP. We report that facial rPPG yields a signal that is comparable to finger PPG. Pulse wave analysis (PWA)-based BP estimates on this cohort performed comparably to studies on healthier subjects, and notably, the accuracy of BP prediction in subjects with atrial fibrillation was not inferior to subjects with normal sinus rhythm. In a binary classification task, the rPPG model identified subjects with systolic BP $\geq$ 130 mm Hg with a positive predictive value of 71% (baseline prevalence 48.3%), highlighting the potential of rPPG for hypertension monitoring.

Subtle periodic signals, such as blood volume pulse and respiration, can be extracted from RGB video, enabling noncontact health monitoring at low cost. Advancements in remote pulse estimation -- or remote photoplethysmography (rPPG) -- are currently driven by deep learning solutions. However, modern approaches are trained and evaluated on benchmark datasets with ground truth from contact-PPG sensors. We present the first non-contrastive unsupervised learning framework for signal regression to mitigate the need for labelled video data. With minimal assumptions of periodicity and finite bandwidth, our approach discovers the blood volume pulse directly from unlabelled videos. We find that encouraging sparse power spectra within normal physiological bandlimits and variance over batches of power spectra is sufficient for learning visual features of periodic signals. We perform the first experiments utilizing unlabelled video data not specifically created for rPPG to train robust pulse rate estimators. Given the limited inductive biases, we successfully applied the same approach to camera-based respiration by changing the bandlimits of the target signal. This shows that the approach is general enough for unsupervised learning of bandlimited quasi-periodic signals from different domains. Furthermore, we show that the framework is effective for finetuning models on unlabelled video from a single subject, allowing for personalized and adaptive signal regressors.