A pilot study exploring novel contexts for out-of-office blood pressure measurement

IntroductionOut-of-office blood pressure (BP) monitoring is increasingly valuable in the diagnosis and management of hypertension. With advances in wearable BP technologies, the ability to gain insight into BP outside of traditional centers of care has expanded greatly.MethodsHere we explore the usa...

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Main Authors: Francis Allinson, Nolan Mejia, Lauren Ariniello, Giorgio Quer, Evan D. Muse
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1351746/full
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author Francis Allinson
Nolan Mejia
Lauren Ariniello
Giorgio Quer
Evan D. Muse
Evan D. Muse
author_facet Francis Allinson
Nolan Mejia
Lauren Ariniello
Giorgio Quer
Evan D. Muse
Evan D. Muse
author_sort Francis Allinson
collection DOAJ
description IntroductionOut-of-office blood pressure (BP) monitoring is increasingly valuable in the diagnosis and management of hypertension. With advances in wearable BP technologies, the ability to gain insight into BP outside of traditional centers of care has expanded greatly.MethodsHere we explore the usability of a novel, wrist-worn BP cuff monitor for out-of-office data collection with participants following digital cues rather than in-person instruction. Transmitted measurements were used to evaluate BP variation with the time of day and day of week, BP variation with mood, and orthostatic measurements.ResultsFifty participants, with a mean age of 44.5 years, were enrolled and received the BP monitor. 82% of the participants transmitted data via the smartphone application, and the median wear time of the device during the 4-week study was 11 days (IQR 8-17).DiscussionThis prospective digital pilot study illustrates the usability of wearable oscillometric BP technology combined with digital cues via a smartphone application to obtain complex out-of-office BP measurements, including orthostatic vital signs and BP associated with emotion. 25 out of 32 participants who attempted orthostatic vital signs based on in-app instruction were able to do so correctly, while 24 participants transmitted BP readings associated with emotion, with a significant difference in BP noted between calm and stressed emotional states.
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spelling doaj.art-5ed22b38fcc04b11b55c18a28a2d46612024-02-23T04:55:55ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-02-011110.3389/fcvm.2024.13517461351746A pilot study exploring novel contexts for out-of-office blood pressure measurementFrancis Allinson0Nolan Mejia1Lauren Ariniello2Giorgio Quer3Evan D. Muse4Evan D. Muse5Division of Cardiovascular Disease, Scripps Clinic, La Jolla, CA, United StatesScripps Research Translational Institute, La Jolla, CA, United StatesScripps Research Translational Institute, La Jolla, CA, United StatesScripps Research Translational Institute, La Jolla, CA, United StatesDivision of Cardiovascular Disease, Scripps Clinic, La Jolla, CA, United StatesScripps Research Translational Institute, La Jolla, CA, United StatesIntroductionOut-of-office blood pressure (BP) monitoring is increasingly valuable in the diagnosis and management of hypertension. With advances in wearable BP technologies, the ability to gain insight into BP outside of traditional centers of care has expanded greatly.MethodsHere we explore the usability of a novel, wrist-worn BP cuff monitor for out-of-office data collection with participants following digital cues rather than in-person instruction. Transmitted measurements were used to evaluate BP variation with the time of day and day of week, BP variation with mood, and orthostatic measurements.ResultsFifty participants, with a mean age of 44.5 years, were enrolled and received the BP monitor. 82% of the participants transmitted data via the smartphone application, and the median wear time of the device during the 4-week study was 11 days (IQR 8-17).DiscussionThis prospective digital pilot study illustrates the usability of wearable oscillometric BP technology combined with digital cues via a smartphone application to obtain complex out-of-office BP measurements, including orthostatic vital signs and BP associated with emotion. 25 out of 32 participants who attempted orthostatic vital signs based on in-app instruction were able to do so correctly, while 24 participants transmitted BP readings associated with emotion, with a significant difference in BP noted between calm and stressed emotional states.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1351746/fullblood pressurehypertensiondigital medicinepersonalized medicineprevention
spellingShingle Francis Allinson
Nolan Mejia
Lauren Ariniello
Giorgio Quer
Evan D. Muse
Evan D. Muse
A pilot study exploring novel contexts for out-of-office blood pressure measurement
Frontiers in Cardiovascular Medicine
blood pressure
hypertension
digital medicine
personalized medicine
prevention
title A pilot study exploring novel contexts for out-of-office blood pressure measurement
title_full A pilot study exploring novel contexts for out-of-office blood pressure measurement
title_fullStr A pilot study exploring novel contexts for out-of-office blood pressure measurement
title_full_unstemmed A pilot study exploring novel contexts for out-of-office blood pressure measurement
title_short A pilot study exploring novel contexts for out-of-office blood pressure measurement
title_sort pilot study exploring novel contexts for out of office blood pressure measurement
topic blood pressure
hypertension
digital medicine
personalized medicine
prevention
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1351746/full
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