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手机及应用程序在动脉高血压患者管理中的应用

Mobile phones and applications in the management of patients with arterial hypertension.

作者信息

Michalakeas Christos, Katsi Vasiliki, Soulaidopoulos Stergios, Dilaveris Polychronis, Vrachatis Dimitrios, Lekakis Ioannis, Vlachopoulos Charalambos, Tsioufis Konstantinos, Tousoulis Dimitrios

机构信息

Second Department of Cardiology, Attikon Hospital, Athens Medical School, National and Kapodistrian University of Athens Athens, Greece.

First Department of Cardiology, Hippokration Hospital, Athens Medical School, National and Kapodistrian University of Athens Greece.

出版信息

Am J Cardiovasc Dis. 2020 Oct 15;10(4):419-431. eCollection 2020.

Abstract

The use of mobile health (mHealth) in the field of medicine is constantly evolving and advancing. Arterial hypertension, a major modifiable cardiovascular risk factor with a high prevalence in the general population, frequently remains underdiagnosed and thus untreated. Furthermore, the majority of hypertensive patients fail to achieve blood pressure target levels. The purpose of this review is to identify and evaluate current use of mHealth strategies, with focus on mobile phones, smartphones and applications, in the management of patients with arterial hypertension. Current mobile technology has the capacity to inform and motivate the general public for timely diagnosis of hypertension, to facilitate communication between physicians and patients, to aid in the monitoring of blood pressure levels and the optimization of treatment and to promote, in general, a healthy lifestyle and assist in the management of other cardiovascular risk factors. There is potential for positive impact of mHealth technology in the management of arterial hypertension, as well as probable detrimental effects that warrant caution. The research in this field is ongoing and future well-conducted studies are needed in order to establish the use of mobile technology in arterial hypertension management.

摘要

移动健康(mHealth)在医学领域的应用正在不断发展和进步。动脉高血压是一种主要的可改变的心血管危险因素,在普通人群中患病率很高,常常仍未得到诊断,因此也未得到治疗。此外,大多数高血压患者未能达到血压目标水平。本综述的目的是识别和评估当前mHealth策略在动脉高血压患者管理中的应用,重点关注手机、智能手机和应用程序。当前的移动技术有能力告知和激励公众及时诊断高血压,促进医生与患者之间的沟通,帮助监测血压水平并优化治疗,总体上促进健康的生活方式并协助管理其他心血管危险因素。mHealth技术在动脉高血压管理中可能产生积极影响,也可能存在需要谨慎对待的有害影响。该领域的研究正在进行,未来需要开展精心设计的研究,以确定移动技术在动脉高血压管理中的应用。

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