TY - JOUR
T1 - Cuffless blood pressure monitoring promises and challenges
AU - Pandit, Jay A.
AU - Lores, Enrique
AU - Batlle, Daniel
N1 - Funding Information:
D. Batlle is funded by National Institute of Diabetes and Digestive and Kidney Diseases grant RO1DK104785.
Publisher Copyright:
© 2020 by the American Society of Nephrology.
PY - 2020/10
Y1 - 2020/10
N2 - Current BP measurements are on the basis of traditional BP cuff approaches. Ambulatory BP monitoring, at 15-to 30-minute intervals usually over 24 hours, provides sufficiently continuous readings that are superior to the officebased snapshot, but this system is not suitable for frequent repeated use. A true continuous BP measurement that could collectBPpassively andfrequently wouldrequire a cuffless method that couldbe wornby the patient, with the data stored electronically much the same way that heart rate and heart rhythm are already done routinely. Ideally, BP should be measured continuously and frequently during diverse activities during both daytime and nighttime in the same subject by means of novel devices. There is increasing excitement for newer methods to measure BP on the basis of sensors and algorithm development. As new devices are refined and their accuracy is improved, it will be possible to better assess masked hypertension, nocturnal hypertension, and the severity and variability of BP. In this review, we discuss the progression in the field, particularly in the last 5 years, ending with sensor-based approaches that incorporate machine learning algorithms to personalized medicine.
AB - Current BP measurements are on the basis of traditional BP cuff approaches. Ambulatory BP monitoring, at 15-to 30-minute intervals usually over 24 hours, provides sufficiently continuous readings that are superior to the officebased snapshot, but this system is not suitable for frequent repeated use. A true continuous BP measurement that could collectBPpassively andfrequently wouldrequire a cuffless method that couldbe wornby the patient, with the data stored electronically much the same way that heart rate and heart rhythm are already done routinely. Ideally, BP should be measured continuously and frequently during diverse activities during both daytime and nighttime in the same subject by means of novel devices. There is increasing excitement for newer methods to measure BP on the basis of sensors and algorithm development. As new devices are refined and their accuracy is improved, it will be possible to better assess masked hypertension, nocturnal hypertension, and the severity and variability of BP. In this review, we discuss the progression in the field, particularly in the last 5 years, ending with sensor-based approaches that incorporate machine learning algorithms to personalized medicine.
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U2 - 10.2215/CJN.03680320
DO - 10.2215/CJN.03680320
M3 - Review article
C2 - 32680913
AN - SCOPUS:85092237058
SN - 1555-9041
VL - 15
SP - 1531
EP - 1538
JO - Clinical journal of the American Society of Nephrology : CJASN
JF - Clinical journal of the American Society of Nephrology : CJASN
IS - 10
ER -