Blood Pressure Variability in Clinical Practice: Past, Present and the Future

被引：57

作者：

Sheikh, Abu Baker ^{[1
]}

Sobotka, Paul A. ^{[2
]}

Garg, Ishan ^{[1
]}

Dunn, Jessilyn P. ^{[3
,4
]}

Minhas, Abdul Mannan Khan ^{[5
]}

Shandhi, Md Mobashir Hasan ^{[3
]}

Molinger, Jeroen ^{[6
]}

McDonnell, Barry J. ^{[7
]}

Fudim, Marat ^{[2
,8
]}

机构：

[1] Univ New Mexico, Dept Internal Med, Hlth Sci Ctr, Albuquerque, NM USA

[2] Duke Univ, Div Cardiol, Med Ctr, 2301 Erwin Rd, Durham, NC 27710 USA

[3] Duke Univ, Dept Biomed Engn, Durham, NC USA

[4] Duke Univ, Dept Biostat & Bioinformat, Durham, NC USA

[5] Forest Gen Hosp, Dept Internal Med, Hattiesburg, MO USA

[6] Duke Univ Hosp, Sch Med, Durham, NC USA

[7] Cardiff Metropolitan Univ, Sch Sport & Hlth Sci, Dept Biomed Res, Cardiff, Wales

[8] Duke Clin Res Inst, Durham, NC USA

来源：

JOURNAL OF THE AMERICAN HEART ASSOCIATION | 2023年 / 12卷 / 09期

关键词：

blood pressure; blood pressure variability; digital cardiovascular health; hypertension; noninvasive blood pressure monitoring; photoplethysmography; smart wearable devices; TRANSIENT ISCHEMIC ATTACK; TO-VISIT VARIABILITY; PROGNOSTIC-SIGNIFICANCE; HEART-RATE; CHANNEL BLOCKER; ORGAN DAMAGE; ASSOCIATION; MANAGEMENT; HYPERTENSION; MORTALITY;

D O I：

10.1161/JAHA.122.029297

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Recent advances in wearable technology through convenient and cuffless systems will enable continuous, noninvasive monitoring of blood pressure (BP), heart rate, and heart rhythm on both longitudinal 24-hour measurement scales and high-frequency beat-to-beat BP variability and synchronous heart rate variability and changes in underlying heart rhythm. Clinically, BP variability is classified into 4 main types on the basis of the duration of monitoring time: very-short-term (beat to beat), short-term (within 24 hours), medium-term (within days), and long-term (over months and years). BP variability is a strong risk factor for cardiovascular diseases, chronic kidney disease, cognitive decline, and mental illness. The diagnostic and therapeutic value of measuring and controlling BP variability may offer critical targets in addition to lowering mean BP in hypertensive populations.

引用

页数：16

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