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Published on: April 19, 2019
Novel Digital Technologies for Blood Pressure Monitoring and Hypertension Management
Allison J Hare1,2,3, Neel Chokshi1,3,4, Srinath Adusumalli1,2,3,4
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA USA.
Insights
Digital health tools can improve hypertension management by enabling frequent blood pressure monitoring and enhancing patient engagement. Clinicians should understand these technologies for optimal patient outcomes.
Area of Science:
- Cardiology
- Digital Health
- Health Informatics
Background:
- Hypertension affects millions of US adults, necessitating improved management beyond traditional office-based care.
- Intermittent blood pressure monitoring in clinics can lead to misdiagnosis (white coat or masked hypertension).
- Digital technology offers new opportunities to reimagine hypertension care delivery.
Purpose of the Study:
- To review existing and emerging digital tools for hypertension management.
- To explore behavioral economic insights for enhancing the impact of digital hypertension tools.
Main Methods:
- Review of current digital health technologies for blood pressure monitoring.
- Assessment of patient-facing platforms and data transmission capabilities.
- Evaluation of emerging technologies like cuffless monitors and AI applications.
- Analysis of telemedicine and text-based platforms for clinical outcomes.
Main Results:
- Digitally connected and cuffless blood pressure monitors offer alternatives to traditional methods, though cuffless devices need further validation.
- Patient hubs and applications facilitate data transmission to clinicians.
- Artificial intelligence is currently limited to risk factor assessment in hypertension.
- Text-based and telemedicine platforms show promise in translating data into improved clinical outcomes.
Conclusions:
- Digital management of hypertension can enhance patient engagement, clinical efficiency, and health outcomes.
- Clinicians need to understand the benefits, limitations, and future of digital health for effective hypertension management.
Purpose Of Review:
Hypertension is common, impacting an estimated 108 million US adults, and deadly, responsible for the deaths of one in six adults annually. Optimal management includes frequent blood pressure monitoring and antihypertensive medication titration, but in the traditional office-based care delivery model, patients have their blood pressure measured only intermittently and in a way that is subject to misdiagnosis with white coat or masked hypertension. There is a growing opportunity to leverage our expanding repository of digital technology to reimagine hypertension care delivery. This paper reviews existing and emerging digital tools available for hypertension management, as well as behavioral economic insights that could supercharge their impact.
Recent Findings:
Digitally connected blood pressure monitors offer an alternative to office-based blood pressure monitoring. A number of cuffless blood pressure monitors are in development but require further validation before they can be deployed for widespread clinical use. Patient-facing hubs and applications offer a means to transmit blood pressure data to clinicians. Though artificial intelligence could allow for curation of this data, its clinical use for hypertension remains limited to assessing risk factors at this time. Finally, text-based and telemedicine platforms are increasingly being employed to translate hypertension data into clinical outcomes with promising results.
Summary:
The digital management of hypertension shows potential as an avenue for increasing patient engagement and improving clinical efficiency and outcomes. It is important for clinicians to understand the benefits, limitations, and future directions of digital health to optimize management of hypertension.
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