Cardiovascular sensing systems must preserve clinically useful information despite signal degradation, wireless losses, energy constraints, and edge-computation latency. We introduce Physiological Information Reliability (PIR), a cross-layer framework that represents physiological information value jointly with wireless, energy, and computation states and uses a contextual bandit to adapt sensing and communication decisions. We integrate multimodal ECG/PPG signal-quality estimation with physiological information value and an adaptive network-coding layer under burst-erasure conditions. Across controlled multiseed experiments, PIR-LinUCB demonstrates a promising low-energy operating point while maintaining medical latency constraints and competitive physiological estimation performance relative to fixed and heuristic policies. We analyze the resulting accuracy-energy-latency trade-offs and identify limitations of proxy PIV estimation and simulated communication dynamics. These results provide an initial computational demonstration of physiological-information-aware resource allocation and motivate future clinical and real-channel validation.
Objective. To develop and evaluate a cuffless continuous blood pressure (BP) estimator using temporal physiological and demographic features. We propose a hybrid Transformer framework to estimate diastolic and systolic BP from ECG/PPG-derived feature sequences. Approach. Rather than raw waveforms, the framework models 10-step sequences of six physiological descriptors and two demographic covariates. A Multi-Source Temporal Encoder Module combines Transformer, Kolmogorov-Arnold Network, and XGBoost branches to capture complementary temporal, nonlinear, and tabular information. A Dynamic Conditional Fusion-Decoder applies differential multi-head attention, token-weighted aggregation, and gated residual correction. A robust composite objective jointly optimizes DBP and SBP. Main results. Using the MIMIC-III Waveform and Clinical Databases, the source pool comprised 28,486 waveform segments from 203 subjects, and feature generation retained 53,621 observations from 166 subjects. On 2,431 segment-level held-out test windows, mean error +/- standard deviation was 0.41 +/- 3.74 mmHg for diastolic BP and -1.60 +/- 5.95 mmHg for systolic BP, with 95% limits of agreement of [-6.93, 7.74] and [-13.25, 10.06] mmHg, respectively. The proportions within 10 mmHg were 98.48% and 94.36%. The framework achieved the lowest standard deviations and narrowest limits of agreement among the locally retrained baselines. Significance. The feature-sequence fusion framework improved agreement with reference BP and fell within numerical AAMI and BHS Grade A thresholds on this split. This retrospective analysis is not formal device validation; subject-disjoint and external evaluation remain necessary before clinical use.