目的:临床以外的血压(BP)波动在心血管疾病发展中的作用越来越被认识到。晕厥,和过早死亡,并作为定制高血压治疗的有希望的目标。然而,当前基于袖带的BP设备,包括家用和移动设备,无法捕捉到人类活动中BP变异性的广度,经验,和上下文。
结果:无袖口,可穿戴BP设备提供了节拍的承诺,连续,在清醒和睡眠期间进行血压的无创测量,使患者的不便最小。重要的是,无袖口BP装置可以表征BP变异性,允许识别家庭环境中BP激增的患者特定触发因素。不幸的是,证据的速度,regulation,和验证测试已经落后于创新和直接消费者营销的步伐。我们概述了用于无袖口BP监测的可用技术和设备,校准和验证这些设备的注意事项,以及无袖扣BP范式的希望和陷阱。
Blood 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.
Cuffless, 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. We 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.