Cuffless Blood Pressure in clinical practice: challenges, opportunities and current limits.
Details
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State: Public
Version: Final published version
License: CC BY-NC 4.0
State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_7E8B8EB4D43D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Cuffless Blood Pressure in clinical practice: challenges, opportunities and current limits.
Journal
Blood pressure
ISSN
1651-1999 (Electronic)
ISSN-L
0803-7051
Publication state
Published
Issued date
12/2024
Peer-reviewed
Oui
Volume
33
Number
1
Pages
2304190
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Publication Status: ppublish
Abstract
Background: Cuffless blood pressure measurement technologies have attracted significant attention for their potential to transform cardiovascular monitoring.Methods: This updated narrative review thoroughly examines the challenges, opportunities, and limitations associated with the implementation of cuffless blood pressure monitoring systems.Results: Diverse technologies, including photoplethysmography, tonometry, and ECG analysis, enable cuffless blood pressure measurement and are integrated into devices like smartphones and smartwatches. Signal processing emerges as a critical aspect, dictating the accuracy and reliability of readings. Despite its potential, the integration of cuffless technologies into clinical practice faces obstacles, including the need to address concerns related to accuracy, calibration, and standardization across diverse devices and patient populations. The development of robust algorithms to mitigate artifacts and environmental disturbances is essential for extracting clear physiological signals. Based on extensive research, this review emphasizes the necessity for standardized protocols, validation studies, and regulatory frameworks to ensure the reliability and safety of cuffless blood pressure monitoring devices and their implementation in mainstream medical practice. Interdisciplinary collaborations between engineers, clinicians, and regulatory bodies are crucial to address technical, clinical, and regulatory complexities during implementation. In conclusion, while cuffless blood pressure monitoring holds immense potential to transform cardiovascular care. The resolution of existing challenges and the establishment of rigorous standards are imperative for its seamless incorporation into routine clinical practice.Conclusion: The emergence of these new technologies shifts the paradigm of cardiovascular health management, presenting a new possibility for non-invasive continuous and dynamic monitoring. The concept of cuffless blood pressure measurement is viable and more finely tuned devices are expected to enter the market, which could redefine our understanding of blood pressure and hypertension.
Keywords
Humans, Blood Pressure/physiology, Reproducibility of Results, Blood Pressure Determination/methods, Hypertension/diagnosis, Photoplethysmography/methods, cuffless, cuffless blood pressure, optical blood pressure, photoplethysmography, smartphone, technology, wearable devices
Pubmed
Web of science
Open Access
Yes
Create date
26/01/2024 14:10
Last modification date
03/02/2024 8:13