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The Promise and Illusion of Continuous, Cuffless Blood Pressure Monitoring

  • Hypertension (DS Geller and DL Cohen, Section Editors)
  • Published:
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Abstract

Purpose of Review

Blood pressure (BP) fluctuations outside of clinic are increasingly recognized for their role in the development of cardiovascular disease, syncope, and premature death and as a promising target for tailored hypertension treatment. However, current cuff-based BP devices, including home and ambulatory devices, are unable to capture the breadth of BP variability across human activities, experiences, and contexts.

Recent Findings

Cuffless, wearable BP devices offer the promise of beat-to-beat, continuous, noninvasive measurement of BP during both awake and sleep periods with minimal patient inconvenience. Importantly, cuffless BP devices can characterize BP variability, allowing for the identification of patient-specific triggers of BP surges in the home environment. Unfortunately, the pace of evidence, regulation, and validation testing has lagged behind the pace of innovation and direct consumer marketing.

Summary

We provide an overview of the available technologies and devices for cuffless BP monitoring, considerations for the calibration and validation of these devices, and the promise and pitfalls of the cuffless BP paradigm.

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Acknowledgements

The authors wish to thank Dr. Timothy Plante (U. Vermont) for his contributions toward the conceptualization of the file card thought experiment.

Funding

Dr. Juraschek was supported by NIH grants 5R01HL158622-03 and K23HL135273-01.

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Authors and Affiliations

  1. Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA

    Jiun-Ruey Hu

  2. Department of Medicine, Cook County Health, Chicago, IL, USA

    Dae Yong Park

  3. Department of Internal Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA

    Nikita Agarwal, Matthew Herzig, George Ormseth & Milan Kaushik

  4. Harvard Medical School, Boston, MA, USA

    Duc M. Giao

  5. Section for Research, Division of General Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA

    Ruth-Alma N. Turkson-Ocran & Stephen P. Juraschek

  6. 330 Brookline Avenue, CO-1309, #204, MA, 02215, USA

    Stephen P. Juraschek

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  1. Jiun-Ruey Hu
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Hu, JR., Park, D.Y., Agarwal, N. et al. The Promise and Illusion of Continuous, Cuffless Blood Pressure Monitoring. Curr Cardiol Rep 25, 1139–1149 (2023). https://doi.org/10.1007/s11886-023-01932-4

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