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Photoplethysmography based remote cardiac blood pressure monitoring compared with 24-h ambulatory blood pressure monitoring.

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Τίτλος: Photoplethysmography based remote cardiac blood pressure monitoring compared with 24-h ambulatory blood pressure monitoring.
Συγγραφείς: van Vliet M; Department of Cardiology, Reinier de Graaf Hospital, Delft, The Netherlands., Aalberts JJJ, Hamelinck C, Hauer AD, Hoftijzer D, Monnink SHJ, Schipper JC, Ronner E
Πηγή: Blood pressure monitoring [Blood Press Monit] 2026 Aug 01; Vol. 31 (4), pp. 185-192. Date of Electronic Publication: 2026 Jun 24.
Τύπος έκδοσης: Clinical Study; Comparative Study; Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Lippincott Williams & Wilkins Country of Publication: England NLM ID: 9606438 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-5725 (Electronic) Linking ISSN: 13595237 NLM ISO Abbreviation: Blood Press Monit Subsets: MEDLINE
Imprint Name(s): Publication: <2000->: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: London ; Philadelphia, PA : Rapid Science Publishers, c1996-
Ιατρικοί όροι (MeSH): Blood Pressure Monitoring, Ambulatory*/methods , Blood Pressure Monitoring, Ambulatory*/instrumentation , Photoplethysmography*/methods , Photoplethysmography*/instrumentation , Blood Pressure*, Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Remote Patient Monitoring
Περίληψη: Objective: To evaluate the accuracy of a novel wrist-worn cuff-calibrated photoplethysmography (PPG)-based remote patient monitoring device as an alternative to ambulatory blood pressure monitoring (ABPM).
Methods: This prospective single-center study included 40 adult patients undergoing standard 24 h ABPM with a 30-min measurement interval. Participants were equipped with a wrist-worn PPG device (CardioWatch 287-2; Corsano Health B.V., The Hague, The Netherlands, manufactured by MMT, Geneva, Switzerland) throughout the ABPM period. Investigational and reference measurements were compared using the average difference and SD for the full 24-h period as well as for awake and asleep periods, individually. Differences in awake-asleep blood pressure (BP) change between the investigational and reference devices were evaluated for all patients and per night-time BP dipper category. Finally, investigational BP monitoring accuracy under motion was visualized.
Results: Throughout the 24-h period, the absolute difference in average SBP and DBP was 3.65 (SD ± 4.57) and 2.98 (SD ± 3.91), respectively. Similar results were obtained for the subsets of day- and night-time determinations. The absolute difference in average awake-asleep BP change was 2.36 (SD ± 2.40) for SBP and 2.17 (SD ± 2.13) for DBP. Comparable absolute differences were present within each of the night-time dipper categories. The performance of the investigational device remained stable under motion.
Conclusion: This study presents initial evidence supporting the accuracy of the evaluated wrist-worn PPG-based device in measuring 24-h as well as day- and night-time BP. In all cases, the average difference and SD remained below the cutoff values described by recent European Society of Hypertension guidelines. Therefore, the presented method can provide an accurate alternative to ABPM.
(Copyright © 2026 The Author(s). Published by Wolters Kluwer Health, Inc.)
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Contributed Indexing: Keywords: 24-hour ambulatory blood pressure monitoring; blood pressure; evaluation; photoplethysmography; remote monitoring; wearable diagnostics
Entry Date(s): Date Created: 20260611 Date Completed: 20260623 Latest Revision: 20260630
Update Code: 20260630
DOI: 10.1097/MBP.0000000000000804
PMID: 42274189
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1473-5725
DOI:10.1097/MBP.0000000000000804