PENGUIN: General Vital Sign Reconstruction from PPG with Flow Matching State Space Model

Fuente: arXiv
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Auteurs principaux: Suzuki, Shuntaro, Koyama, Shuitsu, Hirano, Shinnosuke, Nagashima, Shunya
Format: Preprint
Publié: 2026
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author Suzuki, Shuntaro
Koyama, Shuitsu
Hirano, Shinnosuke
Nagashima, Shunya
author_facet Suzuki, Shuntaro
Koyama, Shuitsu
Hirano, Shinnosuke
Nagashima, Shunya
contents Photoplethysmography (PPG) plays a crucial role in continuous cardiovascular health monitoring as a non-invasive and cost-effective modality. However, PPG signals are susceptible to motion artifacts and noise, making accurate estimation of vital signs such as arterial blood pressure (ABP) challenging. Existing estimation methods are often restricted to a single-task or environment, limiting their generalizability across diverse PPG decoding scenarios. Moreover, recent general-purpose approaches typically rely on predictions over multi-second intervals, discarding the morphological characteristics of vital signs. To address these challenges, we propose PENGUIN, a generative flow-matching framework that extends deep state space models, enabling fine-grained conditioning on PPG for reconstructing multiple vital signs as continuous waveforms. We evaluate PENGUIN using six real-world PPG datasets across three distinct vital sign reconstruction tasks (electrocardiogram reconstruction, respiratory monitoring, and ABP monitoring). Our method consistently outperformed both task-specific and general-purpose baselines, demonstrating PENGUIN as a general framework for robust vital sign reconstruction from PPG.
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id arxiv_https___arxiv_org_abs_2602_03858
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle PENGUIN: General Vital Sign Reconstruction from PPG with Flow Matching State Space Model
Suzuki, Shuntaro
Koyama, Shuitsu
Hirano, Shinnosuke
Nagashima, Shunya
Signal Processing
Machine Learning
Photoplethysmography (PPG) plays a crucial role in continuous cardiovascular health monitoring as a non-invasive and cost-effective modality. However, PPG signals are susceptible to motion artifacts and noise, making accurate estimation of vital signs such as arterial blood pressure (ABP) challenging. Existing estimation methods are often restricted to a single-task or environment, limiting their generalizability across diverse PPG decoding scenarios. Moreover, recent general-purpose approaches typically rely on predictions over multi-second intervals, discarding the morphological characteristics of vital signs. To address these challenges, we propose PENGUIN, a generative flow-matching framework that extends deep state space models, enabling fine-grained conditioning on PPG for reconstructing multiple vital signs as continuous waveforms. We evaluate PENGUIN using six real-world PPG datasets across three distinct vital sign reconstruction tasks (electrocardiogram reconstruction, respiratory monitoring, and ABP monitoring). Our method consistently outperformed both task-specific and general-purpose baselines, demonstrating PENGUIN as a general framework for robust vital sign reconstruction from PPG.
title PENGUIN: General Vital Sign Reconstruction from PPG with Flow Matching State Space Model
topic Signal Processing
Machine Learning
url https://arxiv.org/abs/2602.03858