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2025年8月11日 (月) 22:37時点における版


Traditional blood strain measurements utilizing a cuff present a single, BloodVitals wearable snapshot reading, which might miss essential patterns in blood pressure fluctuations. Researchers have now developed a sophisticated wearable ultrasound patch that enables for continuous, noninvasive blood pressure monitoring. This wearable system provides a relentless stream of blood stress waveform information, enabling detailed tracking of blood strain developments. The device, which has undergone intensive clinical validation on more than 100 patients, marks a serious achievement in steady cardiovascular well being monitoring. Published in Nature Biomedical Engineering, this technology has the potential to transform blood pressure monitoring both in clinical settings and at home. Developed by researchers at the University of California San Diego (La Jolla, CA, BloodVitals home monitor USA), the patch, about the dimensions of a postage stamp, BloodVitals SPO2 is small, versatile, and adheres to the pores and skin. When positioned on the forearm, it offers real-time, exact readings of blood strain from deep throughout the body.



The patch is composed of silicone elastomer and features a series of small piezoelectric transducers sandwiched between stretchable copper electrodes. These transducers emit and obtain ultrasound waves that observe changes in the diameter of blood vessels, translating these signals into blood stress readings. The new BloodVitals wearable patch builds on an earlier prototype, bettering upon it with two key innovations geared toward enhancing its efficiency for steady monitoring. First, BloodVitals SPO2 the piezoelectric transducers have been packed closer together, expanding the patch’s coverage to better target smaller, clinically related arteries, such as the brachial and radial arteries. Second, a backing layer was added to dampen excess vibrations from the transducers, bettering the readability of the alerts and the accuracy of the monitoring. In validation exams, the patch’s outcomes have been comparable to these from a standard blood pressure cuff and the arterial line, a clinical machine used for steady blood strain monitoring, though the arterial line is very invasive, limits patient mobility, and could cause discomfort.



The patch, however, gives a more simple, reliable, and comfy various. The researchers performed intensive security and accuracy exams, involving 117 contributors. One set of assessments had seven individuals wearing the patch during every day actions like cycling, raising arms and legs, performing psychological tasks, meditating, eating, and drinking vitality drinks. In a larger group of 85 individuals, the patch was evaluated during postural adjustments, such as moving from sitting to standing. In all tests, the patch’s readings closely matched those of a blood stress cuff. The gadget was also examined in a clinical setting with 21 patients in a cardiac catheterization lab and four patients in the intensive care unit after surgery, where the patch’s measurements closely aligned with those from the arterial line. This reveals the patch's potential as a noninvasive different for blood stress monitoring. Looking forward, the crew is preparing for giant-scale clinical trials and plans to incorporate machine studying to reinforce the device’s capabilities. They're additionally working on a wireless, battery-powered model for lengthy-term use, which will integrate seamlessly with hospital systems. "A big advance of this work is how thoroughly we validated this know-how, thanks to the work of our medical collaborators," said Sheng Xu, a professor in the Aiiso Yufeng Li Family Department of Chemical and Nano Engineering at UC San Diego, in whose lab the system was pioneered. "Blood pressure may be everywhere in the place relying on elements like white coat syndrome, masked hypertension, every day activities or use of remedy, which makes it difficult to get an correct analysis or handle therapy. That’s why it was so vital for us to check this gadget in a large number of actual-world and clinical settings.



Disclosure: The authors don't have any conflicts of curiosity to declare. Correspondence: Thomas MacDonald, Medicines Monitoring Unit and Hypertension Research Centre, Division of Medical Sciences, University of Dundee, Ninewells Hospital & Medical School, Dundee DD1 9SY, UK. Hypertension is the most common preventable trigger of cardiovascular illness. Home blood strain monitoring (HBPM) is a self-monitoring tool that may be incorporated into the care for patients with hypertension and is advisable by main pointers. A rising body of proof supports the advantages of patient HBPM in contrast with workplace-primarily based monitoring: these embody improved management of BP, diagnosis of white-coat hypertension and prediction of cardiovascular risk. Furthermore, HBPM is cheaper and easier to perform than 24-hour ambulatory BP monitoring (ABPM). All HBPM gadgets require validation, nevertheless, as inaccurate readings have been found in a excessive proportion of monitors. New know-how options an extended inflatable area throughout the cuff that wraps all the way in which round the arm, rising the ‘acceptable range’ of placement and thus decreasing the affect of cuff placement on reading accuracy, thereby overcoming the constraints of present gadgets.



However, even though the affect of BP on CV danger is supported by considered one of the best bodies of clinical trial data in medication, few clinical studies have been devoted to the difficulty of BP measurement and its validity. Studies additionally lack consistency in the reporting of BP measurements and some don't even provide particulars on how BP monitoring was performed. This text goals to debate the benefits and disadvantages of home BP monitoring (HBPM) and examines new technology aimed toward bettering its accuracy. Office BP measurement is related to a number of disadvantages. A study by which repeated BP measurements were made over a 2-week period beneath research study circumstances found variations of as a lot as 30 mmHg with no therapy adjustments. A current observational research required primary care physicians (PCPs) to measure BP on 10 volunteers. Two skilled research assistants repeated the measures instantly after the PCPs.