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Caltech Develops First Noninvasive Method to Continually Measure Blood Pressure

caltech.edu

21–30 of 88 posts

Re: Caltech Develops First Noninvasive Method to Continually Measure Blood Pressure

#21
Interesting. I recall working on some devices that implemented something called Pulse Arrival Time [1] which the biomeds on the team told me "isn't blood pressure, but it can be used for the same purposes."

Does this technique have an advantage over PAT? How true is the statement that "PAT can be used for the same purposes?"

[1]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6912522/

Re: Caltech Develops First Noninvasive Method to Continually Measure Blood Pressure

#22

Aside from the home use, If this could be proven to be just as accurate as arterial lines this would be a huge benefit to patients in the ICU or undergoing major surgery where continuous blood pressure is needed. I hate putting in A-lines.

It’s one of my favorite procedures! To each their own I guess.

Re: Caltech Develops First Noninvasive Method to Continually Measure Blood Pressure

#23
post #16

meowdoesnt the apple watch do this already? or was that just heart rate?

Just heart rate and psuedo "EKG."

BP monitoring requires a pressurized cuff which restricts (stops) arterial flow. The readings are the pressure of the cuff as it deflates when the blood starts flowing and when it can no longer be detected.

Re: Caltech Develops First Noninvasive Method to Continually Measure Blood Pressure

#24
post #5
post #4

As a person who had a hypertensive crisis late last year, nothing boils my blood (yes, a pun, I am fine now) more than how people measure blood pressure incorrectly in doctors offices and even hospitals. There are many different things than can increase a BP measurement above the "baseline" including talking, moving around, not having rested but also just waking up, not being in a supported position, only a single va…

As an adult with a congenital heart defect and white coat hypertension, I can relate. Once, a nurse took my blood pressure and immediately freaked out as I was sitting calmly on the exam table. She took it again in the same arm, then hurriedly took it in each of my other limbs before throwing her hands up. Often, I would arrive at the cardiology office having made my way through downtown traffic to find a parking spa…

When I was a dialysis patient with frequent office visits, I've had the same experiences myself. Two things I've ended up doing is get to the hospital 30 minutes early, sit in a quiet area and relax till 10 minutes before the appt. Secondly I've found deep and slow breathing can improve your blood pressure a lot. The problem of white coat syndrome still remain though.

Re: Caltech Develops First Noninvasive Method to Continually Measure Blood Pressure

#25
This believe this blood pressure watch has been approved in a few European countries. It requires you to calibrate against the normal approach every month. I think they are trying to get it approved in the US by next year.

https://aktiia.com/

Re: Caltech Develops First Noninvasive Method to Continually Measure Blood Pressure

#26
post #4

As a person who had a hypertensive crisis late last year, nothing boils my blood (yes, a pun, I am fine now) more than how people measure blood pressure incorrectly in doctors offices and even hospitals. There are many different things than can increase a BP measurement above the "baseline" including talking, moving around, not having rested but also just waking up, not being in a supported position, only a single va…

It's frustrating. I usually bike to the doctor's office, and every time I warn them that they're going to get a systolic 10 higher than if they'll wait until the end of the appointment. They don't wait. The tech-taken entry gets put in the EMR. The doctor takes my BP again at the end, says "oh, great" and that reading gets ignored. :p

As a sibling comment noted, I ended up deciding to just watch my BP at home every now and then. It turns out it's fine and it reduced my metaphorical blood pressure to monitor it myself.

Re: Caltech Develops First Noninvasive Method to Continually Measure Blood Pressure

#27
post #4

As a person who had a hypertensive crisis late last year, nothing boils my blood (yes, a pun, I am fine now) more than how people measure blood pressure incorrectly in doctors offices and even hospitals. There are many different things than can increase a BP measurement above the "baseline" including talking, moving around, not having rested but also just waking up, not being in a supported position, only a single va…

I had hypertension for about 15 years and after quitting drinking and smoking no longer do. I still suffer from white cost hypertension regularly and frequently have to tell nurses to just press the button again - second time drops back to normal range with a drop of about 20/10.

Re: Caltech Develops First Noninvasive Method to Continually Measure Blood Pressure

#28
post #4

As a person who had a hypertensive crisis late last year, nothing boils my blood (yes, a pun, I am fine now) more than how people measure blood pressure incorrectly in doctors offices and even hospitals. There are many different things than can increase a BP measurement above the "baseline" including talking, moving around, not having rested but also just waking up, not being in a supported position, only a single va…

> A single measurement is not sufficient and can result in misdiagnosis.

During an acute care stay, a single blood pressure is a drop in the bucket. It averages out on the long term, and it’s not taken out of context of a clinical presentation.

I would take pressures manually, question unusual values, repeat on the spot and after some time had passed.

Re: Caltech Develops First Noninvasive Method to Continually Measure Blood Pressure

#29
post #6

This approach has been tried before. Bill Softky describes a startup he'd worked for using a similar sound-transduction continuous non-invasive blood-pressure monitoring technique. It ... had problems: Our non-invasive device was supposed to measure blood pressure just as accurately [as an arterial line], but without the cutting, using specially-sculpted sonic vibrations and fancy algorithmic analysis, which was my j…

Paper: https://academic.oup.com/pnasnexus/article/3/7/pgae252/77177... They tested on the carotid artery. I don't know whether they're concerned with addressing issues of wearing this while active. It seems more likely that it will be used in a clinical setting.

The article mentions getting it down to an arm band or patch.

Re: Caltech Develops First Noninvasive Method to Continually Measure Blood Pressure

#30
post #4

As a person who had a hypertensive crisis late last year, nothing boils my blood (yes, a pun, I am fine now) more than how people measure blood pressure incorrectly in doctors offices and even hospitals. There are many different things than can increase a BP measurement above the "baseline" including talking, moving around, not having rested but also just waking up, not being in a supported position, only a single va…

Totally agree and I think the malpractice comes from laziness and a lack of interest in their patients. If they cared, they would do it correctly per the guidelines they hand out to patients themselves! By which I mean these: https://www.heart.org/en/news/2020/05/22/how-to-accurately-m...

It is especially bizarre to me when they don’t listen to patients and make medical decisions like deciding prescriptions and dosage amounts based on false readings.

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