EAAI Journal 2026 Journal Article
An ultra-efficient edge-based wearable system for real-time and remote blood pressure monitoring
- Wei Xiang
- Jian Liu
- Shuaicong Hu
- HaiHui Zhang
- Chao Huang
- Cuiwei Yang
Continuous blood pressure (BP) monitoring is crucial for health management, yet existing methods struggle with efficiency and adaptability in home and clinical environments. To address this, we propose the edge-based blood pressure estimation system (Edge-BP), an ultra-efficient wearable system for real-time, cuffless BP monitoring. First, we present the Cascaded Depthwise Separable Residual Network (CDS-Net), which employs a cascaded depthwise separable residual architecture and attention mechanisms to estimate BP from photoplethysmography (PPG) and electrocardiography (ECG) signals. Furthermore, we propose a progressive distillation-pruning framework, a model compression method that integrates dependency graph–guided structured pruning with dual-teacher knowledge distillation, substantially improving model compression efficiency. We also develop a wearable device for synchronized PPG and ECG acquisition, leveraging cross-database transfer learning to improve adaptability. The optimized model is deployed on a neural processing unit (NPU) and integrated with fourth-generation (4G) communication, enabling remote monitoring and automatic alerts for abnormal BP detection. CDS-Net exhibits superior performance in estimating systolic blood pressure (SBP) and diastolic blood pressure (DBP), with mean absolute error (MAE) 3. 52 mm of mercury (mmHg) and 2. 00 mmHg, respectively. Even after the model is compressed—reducing parameters by 94. 4 % and computational complexity by 93. 7 %—it still achieves MAEs 4. 12 mmHg and 2. 86 mmHg for SBP and DBP estimation. The testing results meet standards set by the British Hypertension Society and the Institute of Electrical and Electronics Engineers. This study provides a comprehensive solution for continuous BP monitoring in both home and clinical settings, paving the way for future advancements in wearable, physiological signal-based health management.