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

Abu Baker Sheikh, Paul A. Sobotka, Ishan Garg, Jessilyn P. Dunn, Abdul Mannan Khan Minhas, Md Mobashir Hasan Shandhi, Jeroen Molinger, Barry J. McDonnell, Marat Fudim*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

28 Citations (Scopus)

Abstract

Recent advances in wearable technology through convenient and cuffless systems will enable continuous, non-invasive 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.

Original languageEnglish
Article numbere029297
JournalJournal of the American Heart Association
Volume12
Issue number9
DOIs
Publication statusPublished - 29 Apr 2023

Keywords

  • blood pressure
  • blood pressure variability
  • digital cardiovascular health
  • hypertension
  • noninvasive blood pressure monitoring
  • photoplethysmography
  • smart wearable devices

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