Stress-Induced Blood Pressure Elevation Self-Measured by a Wearable Watch-Type Device.
Stress-Induced Blood Pressure Elevation Self-Measured by a Wearable Watch-Type Device.
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DOI：
10.1093/ajh/hpaa139
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发表时间：
2021-04-20
影响因子：
3.2
通讯作者：
Kario K
中科院分区：
文献类型：
--
作者：
Tomitani N;Kanegae H;Suzuki Y;Kuwabara M;Kario K
心理压力会导致血压（BP）变异，这是心血管事件的一个重要且独立的危险因素。我们比较了最近开发的可穿戴手表式血压监测 (WBPM) 设备和动态血压监测 (ABPM) 设备在检测 50 名具有 1 种或多种心血管危险因素的门诊患者中动态压力引起的血压升高方面的有效性。 WBPM 和 ABPM 均佩戴在受试者的非惯用手上。每 30 分钟自动测量一次 ABPM，每次 ABPM 测量后都会进行自我测量的 WBPM 测量。我们还收集了有关情境条件的自我报告信息，包括受试者在每次血压测量时的情绪状态。我们分析了 642 个配对血压读数，相应日记条目中自我报告的情绪状态为快乐、平静、焦虑或紧张。在混合效应分析中，在 WBPM（收缩压 [SBP]：9.3 ± 2.1 mm Hg，P < 0.001；舒张压 [DBP]：8.4 ± 1.4 mm Hg，P < 0.001）和 ABPM（SBP： 10.7 ± 2.1 毫米汞柱，P < 0.001；舒张压：5.6 ± 1.4 毫米汞柱，P < 0.001）。 WBPM 自我测量的情绪压力引起的绝对血压水平与 ABPM 自动测量的相似（SBP、WBPM：141.1 ± 2.7 mm Hg；ABPM：140.3 ± 2.7 mm Hg；P = 0.724）。受试者测量血压时的位置也与血压升高显着相关。 WBPM 的自我测量可以像 ABPM 一样准确地检测动态条件下由多种因素（包括情绪压力）引起的血压变化。
Psychological stress contributes to blood pressure (BP) variability, which is a significant and independent risk factor for cardiovascular events. We compared the effectiveness of a recently developed wearable watch-type BP monitoring (WBPM) device and an ambulatory BP monitoring (ABPM) device for detecting ambulatory stress-induced BP elevation in 50 outpatients with 1 or more cardiovascular risk factors. The WBPM and ABPM were both worn on the subject’s nondominant arm. ABPM was measured automatically at 30-minute intervals, and each ABPM measurement was followed by a self-measured WBPM measurement. We also collected self-reported information about situational conditions, including the emotional state of subjects at the time of each BP measurement. We analyzed 642 paired BP readings for which the self-reported emotional state in the corresponding diary entry was happy, calm, anxious, or tense. In a mixed-effect analysis, there were significant differences between the BP values measured during negative (anxious, tense) and positive (happy, calm) emotions in both the WBPM (systolic BP [SBP]: 9.3 ± 2.1 mm Hg, P < 0.001; diastolic BP [DBP]: 8.4 ± 1.4 mm Hg, P < 0.001) and ABPM (SBP: 10.7 ± 2.1 mm Hg, P < 0.001; DBP: 5.6 ± 1.4 mm Hg, P < 0.001). The absolute BP levels induced by emotional stress self-measured by the WBPM were similar to those automeasured by the ABPM (SBP, WBPM: 141.1 ± 2.7 mm Hg; ABPM: 140.3 ± 2.7 mm Hg; P = 0.724). The subject’s location at the BP measurement was also significantly associated with BP elevation. The self-measurement by the WBPM could detect BP variability induced by multiple factors, including emotional stress, under ambulatory conditions as accurately as ABPM.
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影响因子：
8.3
作者：
Vrijkotte, TGM;van Doornen, LJP;de Geus, EJC
通讯作者：
de Geus, EJC
影响因子：
8.3
作者：
Johansson, Jouni K.;Niiranen, Teemu J.;Jula, Antti M.
通讯作者：
Jula, Antti M.
DOI：
10.1136/bmj.i4098
发表时间：
2016-08-09
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Stevens SL;Wood S;Koshiaris C;Law K;Glasziou P;Stevens RJ;McManus RJ
通讯作者：
McManus RJ
影响因子：
8.3
作者：
Ishiyama, Yusuke;Hoshide, Satoshi;Kario, Kazuomi
通讯作者：
Kario, Kazuomi
影响因子：
2.8
作者：
Kario, Kazuomi;Shin, Jinho;Wang, Ji-Guang
通讯作者：
Wang, Ji-Guang