The Widespread Use of Wearable Technology Coincides With a Major Healthcare Advance
Wearable technology has been a major trend for the past few years, but now it's about to get even more widespread...
Wearable technology has been a major trend for the past few years, but now it's about to get even more widespread...
Apple Inc.released the first Apple Watch in April 2015. At that time, it was mostly marketed as a fitness and fashion accessory. However, it has quickly developed into one of the most popular pieces of consumer health tech on the market, and data generated from the device is commonly encountered...
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c BP (DBP) compared to conventional ambulatory monitoring (ABPM); and antihypertensive medication-induced BP changes compared to cuff-based home BP monitoring (HBPM).
Methods:
We fitted 41 participants (32% females, 58 ± 14 years, 80% hypertensive) with a wrist-wearable cuffless BP device (Aktiia) continuously for 6–12 days. At the beginning and the end of this period, 24-h ABPM was performed. Three participants with hypertension (one female; 60 ± 8 years) wore the Aktiia device and performed HBPM continuously one week before and 2 weeks after antihypertensive medication uptitration.
Results:
Compared to ABPM, Aktiia reported higher average SBP for 24-h (difference 4.9 mmHg, 95% CI [1.9, 7.9]) and night-time (15.5[11.8, 19.1] mmHg; all P ≤ 0.01), but similar daytime (1.0 [–1.8, 3.8] mmHg; P = 0.48). Similarly, average cuffless DBP was higher for 24-h (4.2 [2.3, 6.0] mmHg) and night-time (11.8 [9.5, 14.1] mmHg; both P < 0.001), but similar during daytime (1.4 [–0.4, 3.23] mmHg; P = 0.13). Aktiia also reported reduced night-time dip for SBP (difference 14.2 [12.1, 16.3] mmHg) and DBP (10.2 [8.5, 11.9] mmHg; both P < 0.001). The average medication-induced SBP/DBP decline after 2 weeks of uptitration was –1.0/–0.8 mmHg with Aktiia vs. –19.7/–11.5 mmHg with HBPM (P = 0.03 for difference).
Conclusion:
This cuffless wearable device did not accurately track night-time BP decline and results suggested it was unable to track medication-induced BP changes.
Graphical abstract:
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