血压测量的历史和演变
Su A Noh1, Hwang-Soo Kim1, Si-Hyuck Kang2,3
1Cardiovascular Center, Department of Internal Medicine, Seoul National University Bundang Hospital, 82, Gumi-Ro 173 Beon-Gil, Bundang-Gu, Seongnam-Si, Gyeonggi-Do, 13620, South Korea.
Clinical hypertension
|April 1, 2024
概括
精确的血压 (BP) 测量对于高血压管理至关重要. 本综述涵盖了历史,当前和新兴的BP监测技术,突出了它们的优点,缺点和未来潜力.
科学领域:
- 心血管医学 心血管医学
- 生物医学工程 生物医学工程
- 医疗技术 医疗技术 医学技术
背景情况:
- 高血压是全球主要的死亡原因,通常是无症状的,需要可靠的血压 (BP) 测量用于早期检测和治疗.
- 尽管有可用的方法,但全球的高血压意识和控制仍然不足以达到最佳水平,这强调了需要改进诊断工具的需要.
研究的目的:
- 为血液压力测量技术的演变提供全面的概述.
- 介绍和讨论新的和新兴的BP测量技术,包括它们的应用和限制.
主要方法:
- 血压测量技术的历史回顾,从侵入性方法到听力和振荡计方法.
- 探索当前的技术进步,包括传感器和机器学习,用于新的BP监测.
- 分析各种BP测量方法的优点,缺点和验证挑战.
主要成果:
- 传统的方法,如听力和振荡计测量,已经使临床血压评估成为可能.
- 新型无袖技术提供持续监测和捕捉动态BP波动,但需要校准并带来验证挑战.
- 新兴的方法承诺更方便的BP监测,但在准确性,精度和标准化方面面临障碍.
结论:
- 技术进步正在推动血压测量方面的创新,为更全面的患者监测提供了潜力.
- 解决新方法的局限性,特别是在校准和验证方面,对于其临床采用至关重要.
- 持续的研究和开发对于通过准确和可访问的BP测量工具来改善高血压管理至关重要.
相关概念视频
01:17Measurement of Blood Pressure
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Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
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01:30Equipments Used To Measure Blood Pressure
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Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
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01:23Assessment of blood pressure in brachial artery(two-step method)
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01:21Sites for measruring blood pressure
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01:28Special considerations while measuring blood pressure
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Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
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01:10Pre-Procedural Guidelines for Assessing Blood Pressure
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