Cuffless blood pressure measuring devices: review and statement by the European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability.

Autor:	Stergiou GS; Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Athens, Greece., Mukkamala R; Department of Bioengineering and Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA., Avolio A; Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia., Kyriakoulis KG; Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Athens, Greece., Mieke S; Physikalisch-Technische Bundesanstalt, Berlin, Germany., Murray A; School of Engineering and in the Medical Faculty, Newcastle University, UK., Parati G; Department of Cardiology, San Luca Hospital, IRCCS, Istituto Auxologico Italiano.; Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy., Schutte AE; School of Population Health, University of New South Wales, The George Institute for Global Health, Sydney, Australia., Sharman JE; Menzies Institute for Medical Research, College of Health and Medicine, University of Tasmania, Hobart, Australia., Asmar R; Foundation-Medical Research Institutes, Geneva, Switzerland., McManus RJ; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Asayama K; Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan., De La Sierra A; Hypertension Unit, Department of Internal Medicine, Hospital Mútua Terrassa, University of Barcelona, Barcelona, Spain., Head G; Baker Heart and Diabetes Institute, Melbourne Victoria, Australia., Kario K; Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan., Kollias A; Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Athens, Greece., Myers M; Sunnybrook Health Sciences Centre, University of Toronto, Canada., Niiranen T; Department of Medicine, Turku University Hospital and University of Turku.; Department of Public Health Solutions, Finnish Institute for Health and Welfare, Turku, Finland., Ohkubo T; Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan., Wang J; Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China., Wuerzner G; Service of Nephrology and Hypertension, Lausanne University Hospital and University of Lausanne, CHUV, Lausanne, Switzerland., O'Brien E; The Conway Institute, University College Dublin, Dublin, Ireland., Kreutz R; Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Department of Clinical Pharmacology & Toxicology, Charité University Medicine, Berlin, Germany., Palatini P; Department of Medicine, University of Padova, Padova, Italy.
Jazyk:	angličtina
Zdroj:	Journal of hypertension [J Hypertens] 2022 Aug 01; Vol. 40 (8), pp. 1449-1460. Date of Electronic Publication: 2022 Jun 16.
DOI:	10.1097/HJH.0000000000003224
Abstrakt:	Background: Many cuffless blood pressure (BP) measuring devices are currently on the market claiming that they provide accurate BP measurements. These technologies have considerable potential to improve the awareness, treatment, and management of hypertension. However, recent guidelines by the European Society of Hypertension do not recommend cuffless devices for the diagnosis and management of hypertension. Objective: This statement by the European Society of Hypertension Working Group on BP Monitoring and Cardiovascular Variability presents the types of cuffless BP technologies, issues in their validation, and recommendations for clinical practice. Statements: Cuffless BP monitors constitute a wide and heterogeneous group of novel technologies and devices with different intended uses. Cuffless BP devices have specific accuracy issues, which render the established validation protocols for cuff BP devices inadequate for their validation. In 2014, the Institute of Electrical and Electronics Engineers published a standard for the validation of cuffless BP devices, and the International Organization for Standardization is currently developing another standard. The validation of cuffless devices should address issues related to the need of individual cuff calibration, the stability of measurements post calibration, the ability to track BP changes, and the implementation of machine learning technology. Clinical field investigations may also be considered and issues regarding the clinical implementation of cuffless BP readings should be investigated. Conclusion: Cuffless BP devices have considerable potential for changing the diagnosis and management of hypertension. However, fundamental questions regarding their accuracy, performance, and implementation need to be carefully addressed before they can be recommended for clinical use. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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