Parati Gianfranco, Torlasco Camilla, Omboni Stefano, Pellegrini Dario
Department of Medicine and Surgery, Università degli Studi di Milano Bicocca, Milan, Italy.
Department of Cardiovascular, Neural and Metabolic Sciences, Ospedale San Luca, Istituto Auxologico Italiano, piazza Brescia, 20, 20149, Milan, Italy.
Curr Hypertens Rep. 2017 Jun;19(6):48. doi: 10.1007/s11906-017-0743-0.
This review article will summarize available data on mobile applications for the management of hypertension, by highlighting their potential for clinical use, the current limitations and the yet pending issues to be addressed in future studies.
The number of available applications related to arterial hypertension and their usage by smartphone owners is constantly increasing. However, most applications lack standardization and scientific validation, and security flaws could be an important, yet still underrated, issue. Small studies showed that treatment strategies based on telemonitoring of home blood pressure with mobile applications could improve blood pressure control, but there are no data on strong outcomes and the high heterogeneity of available studies severely limits the possibility of reaching a definitive conclusion on the impact of such strategies. Smartphone applications for arterial hypertension represent a great chance to improve management of this condition. Results from small studies are promising, but there is a strong need for large, long-term, well-designed clinical trials, before these potential solutions might be reliably applied in real-life patients' care.
本文将通过强调移动应用在高血压管理中的临床应用潜力、当前局限性以及未来研究中有待解决的问题,总结有关高血压管理移动应用的现有数据。
与动脉高血压相关的可用应用数量及其在智能手机用户中的使用量正在不断增加。然而,大多数应用缺乏标准化和科学验证,安全漏洞可能是一个重要但仍被低估的问题。小型研究表明,基于移动应用进行家庭血压远程监测的治疗策略可改善血压控制,但尚无关于有力结局的数据,且现有研究的高度异质性严重限制了就此类策略的影响得出明确结论的可能性。用于动脉高血压的智能手机应用为改善该病的管理提供了巨大机会。小型研究的结果很有前景,但在这些潜在解决方案能够可靠地应用于现实生活中的患者护理之前,迫切需要进行大规模、长期、设计良好的临床试验。