2025年无袖血压:从承诺到实践:一个叙述性回顾
Farah Wehbe1, Swapnil Hiremath
1Division of Nephrology, Department of Medicine, University of Ottawa and the Ottawa Hospital, Ottawa, Ontario, Canada.
Current opinion in nephrology and hypertension
|December 29, 2025
概括
无袖式血压 (BP) 可穿戴设备提供趋势洞察力,但缺乏绝对值的准确性. 临床使用需要对已建立的袖口方法进行验证,特别是在诊断和治疗决策方面.
科学领域:
- 心血管技术的心血管技术
- 生物医学工程 生物医学工程
- 可穿戴的健康设备
背景情况:
- 无袖式血压 (BP) 监测正在消费者可穿戴设备中出现,这是由采用和监管进步推动的.
- 临床医生需要这些设备的准确性,校准稳定性和临床实用性的明确证据.
- 本审查涉及目前的证据状态和无袖BP技术的新兴标准.
研究的目的:
- 综合关于无袖BP技术准确性和稳定的证据.
- 为了澄清无袖手 BP 数据的临床价值和局限性.
- 审查新兴的验证标准和未来的研究重点.
主要方法:
- 对无袖高血压装置的现有证据进行系统审查.
- 分析新兴的验证框架和监管指导.
- 评估现实研究的可行性,准确性和患者偏好.
主要成果:
- 大多数无袖设备依赖替代信号,需要校准,限制绝对值的准确性.
- 新的验证框架强调动态测试 (位置,活动,药物反应,漂移).
- 现实世界研究显示,对手的同意程度和结果数据有限,对特殊人群的担忧.
结论:
- 无袖可穿戴设备可以补充趋势监测和患者参与.
- 诊断和治疗决策必须依赖于经过验证的袖口测量.
- 优先事项包括协调标准,包容性数据集和针对无袖BP技术的以结果为中心的试验.
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