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

Citation

Stergiou, GS and Mukkamala, R and Avolio, A and Kyriakoulis, KG and Mieke, S and Murray, A and Parati, G and Schutte, AE and Sharman, JE and Asmar, R and McManus, RJ and Asayama, K and De La Sierra, A and Head, G and Kario, K and Kollias, K and Myers, M and Niiranen, T and Ohkubo, T and Wang, J and Wuerzner, G and O'Brien, E and Kreutz, R and Palatini, P, European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability, Cuffless blood pressure measuring devices: review and statement by the European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability, Journal of hypertension, 40, (8) pp. 1449-1460. ISSN 1473-5598 (2022) [Refereed Article]

Copyright Statement

2022 Wolters Kluwer Health Inc.

Official URL: https://journals.lww.com/jhypertension/Fulltext/20...

DOI: doi:10.1097/HJH.0000000000003224

Abstract

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.

Item Details

Item Type:Refereed Article
Keywords:blood pressure, hypertension, public health, education
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Cardiology (incl. cardiovascular diseases)
Objective Division:Health
Objective Group:Clinical health
Objective Field:Diagnosis of human diseases and conditions
UTAS Author:Sharman, JE (Professor James Sharman)
ID Code:153008
Year Published:2022
Web of Science® Times Cited:6
Deposited By:Menzies Institute for Medical Research
Deposited On:2022-09-01
Last Modified:2022-10-25
Downloads:0

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