The Promise and Illusion of Continuous, Cuffless Blood Pressure Monitoring.
The Promise and Illusion of Continuous, Cuffless Blood Pressure Monitoring.
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连续无袖血压监测的承诺与幻想。
DOI：
10.1007/s11886-023-01932-4
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发表时间：
2023
影响因子：
3.7
通讯作者：
Juraschek,StephenP
中科院分区：
文献类型：
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作者：
Hu,Jiun-Ruey;Park,DaeYong;Agarwal,Nikita;Herzig,Matthew;Ormseth,George;Kaushik,Milan;Giao,DucM;Turkson-Ocran,Ruth-AlmaN;Juraschek,StephenP
综述的目的临床外血压（BP）波动因其在心血管疾病、晕厥和过早死亡的发展中的作用而被越来越多地认识到，并且作为定制高血压治疗的一个有希望的目标。然而，当前基于袖带的血压设备（包括家用和流动设备）无法捕获人类活动、经历和环境中血压变化的广度。最新发现无袖带、可穿戴血压设备有望在清醒和睡眠期间对血压进行逐次、连续、无创测量，同时最大限度地减少患者的不便。重要的是，无袖血压计可以表征血压变异性，从而可以识别家庭环境中患者特定的血压激增触发因素。不幸的是，证据、监管和验证测试的步伐落后于创新和直接消费者营销的步伐。总结我们概述了无袖血压监测的可用技术和设备、这些设备的校准和验证的注意事项，以及无袖血压范式的前景和缺陷。
Purpose of ReviewBlood pressure (BP) fluctuations outside of clinic are increasingly recognized for their role in the development of cardiovascular disease, syncope, and premature death and as a promising target for tailored hypertension treatment. However, current cuff-based BP devices, including home and ambulatory devices, are unable to capture the breadth of BP variability across human activities, experiences, and contexts.Recent FindingsCuffless, wearable BP devices offer the promise of beat-to-beat, continuous, noninvasive measurement of BP during both awake and sleep periods with minimal patient inconvenience. Importantly, cuffless BP devices can characterize BP variability, allowing for the identification of patient-specific triggers of BP surges in the home environment. Unfortunately, the pace of evidence, regulation, and validation testing has lagged behind the pace of innovation and direct consumer marketing.SummaryWe provide an overview of the available technologies and devices for cuffless BP monitoring, considerations for the calibration and validation of these devices, and the promise and pitfalls of the cuffless BP paradigm.