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无创血压测量技术的进展

Advances in Non-Invasive Blood Pressure Measurement Techniques.

作者信息

Panula Tuukka, Sirkia Jukka-Pekka, Wong David, Kaisti Matti

出版信息

IEEE Rev Biomed Eng. 2023;16:424-438. doi: 10.1109/RBME.2022.3141877. Epub 2023 Jan 5.

Abstract

Hypertension, or elevated blood pressure (BP), is a marker for many cardiovascular diseases and can lead to life threatening conditions such as heart failure, coronary artery disease and stroke. Several techniques have recently been proposed and investigated for non-invasive BP monitoring. The increasing desire for telemonitoring solutions that allow patients to manage their own conditions from home has accelerated the development of new BP monitoring techniques. In this review, we present the recent progress in non-invasive blood pressure monitoring solutions emphasizing clinical validation and trade-offs between available techniques. We introduce the current BP measurement techniques with their underlying operating principles. New promising proof-of-concept studies are presented and recent modeling and machine learning approaches for improved BP estimation are summarized. This aids discussions on how new BP monitors should evaluated in order to bring forth new home monitoring solutions in wearable form factor. Finally, we discuss on unresolved challenges in making convenient, reliable and validated BP monitoring solutions.

摘要

高血压,即血压(BP)升高,是许多心血管疾病的一个指标,可导致诸如心力衰竭、冠状动脉疾病和中风等危及生命的状况。最近已经提出并研究了几种用于无创血压监测的技术。对允许患者在家中管理自身病情的远程监测解决方案的需求不断增加,加速了新的血压监测技术的发展。在这篇综述中,我们介绍了无创血压监测解决方案的最新进展,重点强调了临床验证以及现有技术之间的权衡。我们介绍了当前的血压测量技术及其基本工作原理。展示了新的有前景的概念验证研究,并总结了用于改进血压估计的最新建模和机器学习方法。这有助于讨论应如何评估新的血压监测器,以便推出可穿戴外形的新家庭监测解决方案。最后,我们讨论了在开发方便、可靠且经过验证的血压监测解决方案方面尚未解决的挑战。

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