Blood Pressure Variability in Clinical Practice: Past, Present and the Future.
Abu Baker SheikhPaul A SobotkaIshan GargJessilyn P DunnAbdul Mannan Khan MinhasMd Mobashir Hasan ShandhiJeroen MolingerBarry J McDonnellMarat FudimPublished in: Journal of the American Heart Association (2023)
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.
Keyphrases
- heart rate
- blood pressure
- heart rate variability
- high frequency
- cognitive decline
- mental illness
- hypertensive patients
- chronic kidney disease
- cardiovascular disease
- clinical practice
- mild cognitive impairment
- atrial fibrillation
- transcranial magnetic stimulation
- preterm infants
- mental health
- heart failure
- end stage renal disease
- type diabetes
- coronary artery disease
- cardiovascular events
- peritoneal dialysis
- metabolic syndrome
- insulin resistance
- skeletal muscle
- cardiovascular risk factors
- weight loss