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加拿大高血压协会关于在临床实践中使用无袖带血压监测设备的声明。

Hypertension Canada Statement on the Use of Cuffless Blood Pressure Monitoring Devices in Clinical Practice.

作者信息

Landry Céderick, Dubrofsky Lisa, Pasricha Sachin V, Ringrose Jennifer, Ruzicka Marcel, Tran Karen C, Tsuyuki Ross T, Hiremath Swapnil, Goupil Rémi

机构信息

Department of Mechanical Engineering, Université de Sherbrooke, Sherbrooke, Québec, Canada.

Centre de recherche sur le vieillissement, Université de Sherbrooke, Sherbrooke, Québec, Canada.

出版信息

Am J Hypertens. 2025 Apr 15;38(5):259-266. doi: 10.1093/ajh/hpae154.

DOI:10.1093/ajh/hpae154
PMID:39661401
Abstract

BACKGROUND

Cuffless blood pressure (BP) devices are an emerging technology marketed as providing frequent, nonintrusive and reliable BP measurements. With the increasing interest in these devices, it is important for Hypertension Canada to provide a statement regarding the current place of cuffless BP measurements in hypertension management.

METHODS

An overview of the technology in cuffless BP devices, the potential with this technology and the challenges related to determining the accuracy of these devices.

RESULTS

Cuffless BP monitoring is an emerging field where various technologies are applied to measure BP without the use of a brachial cuff. None of the devices currently sold have been validated in static and dynamic conditions using a recognized validation standard. Important issues persist in regard to the accuracy and the place of these devices in clinical practice. Current data only support using validated cuff-based devices for the diagnosis and management of hypertension. Presently, readings from cuffless devices that are used for diagnosis or clinical management need to be confirmed using measurements obtained from a clinically validated BP device.

CONCLUSIONS

Cuffless BP devices are a developing technology designed to track BP in most daily life activities. However, many steps remain before they should be used in clinical practice.

摘要

背景

无袖血压测量设备是一项新兴技术,其宣传卖点是能够提供频繁、非侵入性且可靠的血压测量。随着人们对这些设备的兴趣日益增加,加拿大高血压协会就无袖血压测量在高血压管理中的当前地位发表声明具有重要意义。

方法

对无袖血压设备技术、该技术的潜力以及与确定这些设备准确性相关的挑战进行概述。

结果

无袖血压监测是一个新兴领域,各种技术被用于在不使用臂带的情况下测量血压。目前销售的设备均未按照公认的验证标准在静态和动态条件下进行验证。这些设备在准确性以及在临床实践中的地位方面仍然存在重要问题。目前的数据仅支持使用经过验证的基于袖带的设备进行高血压的诊断和管理。目前,用于诊断或临床管理的无袖设备读数需要使用从经过临床验证的血压设备获得的测量结果进行确认。

结论

无袖血压设备是一项正在发展的技术,旨在在大多数日常生活活动中跟踪血压。然而,在将它们用于临床实践之前,仍有许多步骤要走。

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