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可穿戴血压测量设备与高血压管理新方法:数字时代。

Wearable blood pressure measurement devices and new approaches in hypertension management: the digital era.

机构信息

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

Department of Cardiology, Helena Venizelou Hospital, Athens, Greece.

出版信息

J Hum Hypertens. 2022 Nov;36(11):945-951. doi: 10.1038/s41371-022-00675-z. Epub 2022 Mar 23.

Abstract

Out-of-office blood pressure (BP) measurement is considered an integral component of the diagnostic algorithm and management of hypertension. In the era of digitalization, a great deal of wearable BP measuring devices has been developed. These digital blood pressure monitors allow frequent BP measurements with minimal annoyance to the patient while they do promise radical changes regarding the diagnostic accuracy, as the importance of making an accurate diagnosis of hypertension has become evident. By increasing the number of BP measurements in different conditions, these monitors allow accurate identification of different clinical phenotypes, such as masked hypertension and pathological BP variability, that seem to have a negative impact on cardiovascular prognosis. Frequent measurements of BP and the incorporation of new features in BP variability, both enable well-rounded interpretation of BP data in the context of real-life settings. This article is a review of all different technologies and wearable BP monitoring devices.

摘要

门诊外血压(BP)测量被认为是高血压诊断算法和管理的一个组成部分。在数字化时代,已经开发出大量的可穿戴 BP 测量设备。这些数字血压监测器可以在患者最小的不适下进行频繁的 BP 测量,同时也有望在诊断准确性方面带来重大变化,因为准确诊断高血压的重要性已经变得明显。通过增加不同情况下的 BP 测量次数,这些监测器可以准确识别不同的临床表型,如隐匿性高血压和病理性 BP 变异性,这些似乎对心血管预后有负面影响。频繁的 BP 测量和 BP 变异性中加入新的特征,都可以使 BP 数据在现实环境中得到全面的解释。本文综述了所有不同的技术和可穿戴 BP 监测设备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e5/8942176/9eb9dd341ab5/41371_2022_675_Fig1_HTML.jpg

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