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Cuffless Blood Pressure Monitoring

Promises and Challenges

Jay A. Pandit, Enrique Lores and Daniel Batlle
CJASN October 2020, 15 (10) 1531-1538; DOI: https://doi.org/10.2215/CJN.03680320
Jay A. Pandit
1Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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Enrique Lores
2Division of Nephrology and Hypertension, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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Daniel Batlle
2Division of Nephrology and Hypertension, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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Abstract

Current BP measurements are on the basis of traditional BP cuff approaches. Ambulatory BP monitoring, at 15- to 30-minute intervals usually over 24 hours, provides sufficiently continuous readings that are superior to the office-based snapshot, but this system is not suitable for frequent repeated use. A true continuous BP measurement that could collect BP passively and frequently would require a cuffless method that could be worn by the patient, with the data stored electronically much the same way that heart rate and heart rhythm are already done routinely. Ideally, BP should be measured continuously and frequently during diverse activities during both daytime and nighttime in the same subject by means of novel devices. There is increasing excitement for newer methods to measure BP on the basis of sensors and algorithm development. As new devices are refined and their accuracy is improved, it will be possible to better assess masked hypertension, nocturnal hypertension, and the severity and variability of BP. In this review, we discuss the progression in the field, particularly in the last 5 years, ending with sensor-based approaches that incorporate machine learning algorithms to personalized medicine.

  • Blood Pressure Monitoring
  • Ambulatory
  • blood pressure
  • Masked Hypertension
  • Heart Rate
  • Blood Pressure Determination
  • Machine Learning
  • Blood Pressure Monitors
  • Copyright © 2020 by the American Society of Nephrology
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Clinical Journal of the American Society of Nephrology: 15 (10)
Clinical Journal of the American Society of Nephrology
Vol. 15, Issue 10
October 07, 2020
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Cuffless Blood Pressure Monitoring
Jay A. Pandit, Enrique Lores, Daniel Batlle
CJASN Oct 2020, 15 (10) 1531-1538; DOI: 10.2215/CJN.03680320

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Cuffless Blood Pressure Monitoring
Jay A. Pandit, Enrique Lores, Daniel Batlle
CJASN Oct 2020, 15 (10) 1531-1538; DOI: 10.2215/CJN.03680320
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  • Article
    • Abstract
    • Introduction
    • BP Measurement in Common Practice
    • Beyond Brachial Cuff–Based Approaches
    • Pulse Wave Analysis and Machine Learning
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More in this TOC Section

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Keywords

  • Blood Pressure Monitoring
  • Ambulatory
  • blood pressure
  • Masked Hypertension
  • Heart Rate
  • Blood Pressure Determination
  • machine learning
  • Blood Pressure Monitors

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