title: New Approaches to Evaluating and Monitoring Blood Pressure.
abstract: Digital health innovations for hypertension include cuffless blood pressure sensors, wireless smartphone-enabled upper arm blood pressure monitors, mobile applications, and remote monitoring technologies. Wearable trackers have drawn interest from medical professionals and patients alike. They have the potential to improve hypertension control and medication adherence through easier logging of repeated blood pressure measurements, better connectivity with health-care providers, and medication reminder alerts. With increasing emphasis on home and ambulatory blood pressure monitoring to confirm hypertension prior to treatment, such devices also can help improve the diagnostic landscape. However, privacy, accuracy, and cost concerns have prevented widespread clinical uptake. To foster implementation, device designers and clinical researchers should collaborate on development of rigorous clinical trials that test cardiovascular outcomes associated with emerging technologies. We review the current literature on mobile health technologies and novel diagnostic and management protocols and make recommendations on how to incorporate these innovations into practice.
authors.affiliation: Department of Emergency Medicine & Center of Gerontology and Healthcare Research, Brown University, 55 Claverick Street, Providence, RI, 02903, USA. Elizabeth_goldberg@brown.edu.
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Goldberg
authors.affiliation: Department of Emergency Medicine and Cardiovascular Research Institute, Wayne State University School of Medicine, Integrated Biosciences Center, 6135 Woodward Ave, Detroit, MI, 48202, USA.
authors.forename: Phillip D
authors.initials: PD
authors.lastname: Levy
mesh_terms: D001795:Blood Pressure Determination / Q000295:instrumentation / Q000379:methods; D004636:Emergency Service, Hospital / Q000639:trends; D006801:Humans; D006973:Hypertension / Q000175:diagnosis*; D062069:Inventions; D008991:Monitoring, Physiologic / Q000379:methods; D017216:Telemedicine / Q000379:methods
keywords: Digital health; Emergency department; Hypertension; Measurement; Screening; Sensors; mHealth