Pinout & usage.
These sensors are pretty popular in blood pressure meters. No datasheet exists, but reverse-engineering took only several hours.
Top view (pins are not visible)
+ calibration CS-20A 03 AM-3 5 E 4 3 2 1
Pin numbers taken from Tensoval Comfort service printout. YMMV.
Shielding: GND or N/C
4: GND
3: GND
2: TTL_OUT
1: Vcc +5V
Upon connecting to GND and +5V, strobe signal appears on TTL_OUT. Frequency varies with pressure. rtl-sdr tuned to 24 MHz can pick it easily as alias. Arduino at 16 MHz cannot directly measure the frequency using interrupt handler. OTOH, a 86CH29BF @ 16 MHz can do it on AIN1/ECIN pin. I have not reverse-engineered the firmware nor tried some exact measurements with frequency dividers. It seems to be several MHz.