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Cuffless Blood Pressure in clinical practice: challenges, opportunities and current limits
Benoit Henry1, Maxime Merz1, Harry Hoang1
1Service of Anesthesiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Blood Pressure
|January 21, 2024
Summary
Cuffless blood pressure monitoring offers a transformative approach to cardiovascular health. Overcoming challenges in accuracy, calibration, and standardization is key for integrating these innovative technologies into clinical practice.
Area of Science:
- Biomedical Engineering
- Cardiovascular Health
- Wearable Technology
Background:
- Cuffless blood pressure measurement technologies are gaining prominence for their potential to revolutionize cardiovascular monitoring.
- Existing methods often rely on traditional cuff-based devices, limiting continuous and dynamic assessment.
Purpose of the Study:
- To provide a comprehensive review of cuffless blood pressure monitoring systems.
- To examine the challenges, opportunities, and limitations in implementing these technologies.
Main Methods:
- Updated narrative review of diverse cuffless blood pressure measurement technologies.
- Analysis of signal processing, device integration (smartphones, smartwatches), and clinical implementation challenges.
Main Results:
- Technologies like photoplethysmography, tonometry, and ECG analysis are utilized in cuffless devices.
- Accuracy, calibration, standardization, and robust algorithms for signal processing are critical.
- Standardized protocols, validation studies, and regulatory frameworks are necessary for reliable implementation.
Conclusions:
- Cuffless blood pressure monitoring holds significant potential for transforming cardiovascular care through non-invasive, continuous monitoring.
- Addressing technical, clinical, and regulatory complexities via interdisciplinary collaboration is essential.
- Refined devices are expected to redefine the understanding and management of blood pressure and hypertension.
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