无袖血压测量:我们实际上站在哪里?
Ramakrishna Mukkamala1,2, Sanjeev G Shroff1, Konstantinos G Kyriakoulis3
1Department of Bioengineering (R.M., S.G.S.), University of Pittsburgh, PA.
Hypertension (Dallas, Tex. : 1979)
|April 15, 2025
概括
无袖式血压 (BP) 监测显示出有希望的结果,但缺乏可靠的验证. 目前的方法,如脉冲波分析,通常需要校准,并没有显示出与传统袖口BP测量相比的显著准确性改进.
科学领域:
- 生物医学工程 生物医学工程
- 心血管技术的心血管技术
- 医疗信息学 医疗信息学
背景情况:
- 无袖血压 (BP) 测量技术正在迅速发展,许多设备使用脉冲波分析 (PWA) 和脉冲到达时间 (PAT).
- 这些方法通常依赖于机器学习算法,应用于移动设备捕获的脉动波形,旨在方便地估计BP.
- 然而,由于经常需要通过传统袖口BP测量或人口统计数据对个体用户进行校准,这阻碍了广泛采用.
研究的目的:
- 提供最新的无袖血压 (BP) 测量技术的最新进展和挑战.
- 用脉冲波分析 (PWA) 和脉冲到达时间 (PAT) 来批判性地评估设备和研究的当前状态.
- 讨论制定验证标准的进展情况,并探索替代的无袖BP测量方法.
主要方法:
- 审查最近 (2-3年) 关于无袖BP技术的出版物,重点是PWA和PAT.
- 分析当前的设备,包括腕带和智能手机,以及它们的基本方法.
- 检查声称准确性的研究,并评估其测试程序和验证标准.
主要成果:
- 尽管有大量的研究和设备开发,但缺乏令人信服的证据表明PWA和PAT显著提高了BP测量准确度,超出了用袖子BP或人口统计数据进行校准的范围.
- 许多声称高精度的研究采用了不充分的测试程序,引发了对可靠性的担忧.
- 出版物和监管清算设备的大量传播可能不能完全反映真正的技术突破的准确性.
结论:
- 对PWA和PAT用于无袖血压测量的研究持怀疑态度,特别是那些不确定验证程序的研究.
- 对于需要个别校准的无袖BP设备,有必要制定严格的验证标准.
- 未来的研究应该优先发展无袖和无校准的BP测量方法,以克服目前的局限性.
更多相关视频
05:51Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
17.3K
14:28Non-Invasive Monitoring of Microvascular Oxygenation and Reactive Hyperemia using Hybrid, Near-Infrared Diffuse Optical Spectroscopy for Critical Care
Published on: May 10, 2024
1.4K
相关概念视频
01:21Sites for measruring blood pressure
1.4K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.4K
01:30Equipments Used To Measure Blood Pressure
768
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...
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...
768
01:23Assessment of blood pressure in brachial artery(two-step method)
632
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
632
01:17Measurement of Blood Pressure
703
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...
703
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
516
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
516
01:28Special considerations while measuring blood pressure
692
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
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.
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.
692