eISSN: 2300-6722
ISSN: 1899-1874
Medical Studies/Studia Medyczne
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3/2017
vol. 33
 
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abstract:
Original paper

The smartphone as an instrument for blood pressure measurement

Mariusz Pawłowski, Jakub S. Gąsior, Ewelina Dziedzic, Tomasz Klepko, Marek Dąbrowski

Medical Studies/Studia Medyczne 2017; 33 (3): 222–226
Online publish date: 2017/09/30
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Introduction: Number of population suffering from hypertension is increasing. So that, monitoring of this phenomenon should concentrate attention of medical industry, and receive high priority. One of the recommended procedure in hypertension treatment, and control is home blood pressure monitoring, which can be tested using smartphone application.

Aim of the research: To evaluate the feasibility of a new blood pressure (BP) measurement tool – a smartphone application.

Material and methods: The study included 50 subjects with the diagnosis of hypertension. Blood pressure measurement was tested in the following conditions: using a sphygmomanometer and using a smartphone by a specialist, and using a smartphone by the patient him/herself. The total number of results that differed from the measurement performed by the specialist by more than 5 mm Hg, and by 10% or more, was counted.

Results: Mean results of systolic and diastolic BP did not differ significantly between measurements done by a specialist using a sphygmomanometer and those done using a smartphone application. There were 82% of results of systolic and 92% of diastolic BP that differed from Korotkoff sound technique in a range greater than 5 mm Hg and 36% in systolic and 86% in diastolic BP by 10% or more.

Conclusions: The tested application should not yet be used for BP monitoring.
keywords:

blood pressure, smartphone, mobile technology

references:
Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, Jones DW, Kurtz T, Sheps SG, Roccella EJ. Recommendations for blood pressure measurement in humans and experimental animals: part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Circulation 2005; 111: 697-716.
U.S. Preventive Services Task Force. Screening for high blood pressure: U.S. Preventive Services Task Force reaffirmation recommendation statement. Ann Intern Med 2007; 147: 783-6.
Pickering TG. Principles and techniques of blood pressure measurement. Cardiol Clin 2002; 20: 207-23.
Go AS, Bauman MA, Coleman King SM, Fonarow GC, Lawrence W, Williams KA, Sanchez E; American Heart Association; American College of Cardiology; Centers for Disease Control and Prevention. An effective approach to high blood pressure control: a science advisory from the American Heart Association, the American College of Cardiology, and the Centers for Disease Control and Prevention. Hypertension 2014; 63: 878-85.
Agarwal R, Bills JE, Hecht TJ, Light RP. Role of home blood pressure monitoring in overcoming therapeutic inertia and improving hypertension control: a systematic review and meta-analysis. Hypertension 2011; 57: 29-38.
Funahashi J, Ohkubo T, Fukunaga H, Kikuya M, Takada N, Asayama K, Metoki H, Obara T, Inoue R, Hashimoto J, Totsune K, Kobayashi M, Imai Y. The economic impact of the introduction of home blood pressure measurement for the diagnosis and treatment of hypertension. Blood Press Monit 2006; 11: 257-67.
Niiranen TJ, Hänninen MR, Johansson J, Reunanen A, Jula AM. Home-measured blood pressure is a stronger predictor of cardiovascular risk than office blood pressure: the Finn-Home study. Hypertension 2010; 55: 1346-51.
Ward AM, Takahashi O, Stevens R, Heneghan C. Home measurement of blood pressure and cardiovascular disease: systematic review and meta-analysis of prospective studies. J Hypertens 2012; 30: 449-56.
Pickering TG, White WB; American Society of Hypertension Writing Group. When and how to use self (home) and ambulatory blood pressure monitoring. J Am Soc Hypertens 2008; 4: 119-24.
McManus RJ, Glasziou P, Hayen A, Mant J, Padfield P, Potter J, Bray EP, Mant D. Blood pressure self monitoring: questions and answers from a national conference. BMJ 2008; 337: a2732.
Ozdalga E, Ozdalga A, Ahuja N. The smartphone in medicine: a review of current and potential use among physicians and students. J Med Internet Res 2012; 14: e128.
Buijink AW, Visser BJ, Marshall L. Medical apps for smartphones: lack of evidence undermines quality and safety. Evid Based Med 2013; 18: 90-2.
Gupta G. Are medical Apps the future of medicine? Med J Armed Forces India 2013; 69: 105-6.
Heidenreich PA, Trogdon JG, Khavjou OA, Butler J, Dracup K, Ezekowitz MD, Finkelstein EA, Hong Y, Johnston SC, Khera A, Lloyd-Jones DM, Nelson SA, Nichol G, Orenstein D, Wilson PW, Woo YJ; American Heart Association Advocacy Coordinating Committee; Stroke Council; Council on Cardiovascular Radiology and Intervention; Council on Clinical Cardiology; Council on Epidemiology and Prevention; Council on Arteriosclerosis; Thrombosis and Vascular Biology; Council on Cardiopulmonary; Critical Care; Perioperative and Resuscitation; Council on Cardiovascular Nursing; Council on the Kidney in Cardiovascular Disease; Council on Cardiovascular Surgery and Anesthesia, and Interdisciplinary Council on Quality of Care and Outcomes Research. Forecasting the future of cardiovascular disease in the united states: a policy statement from the American Heart Association. Circulation 2011; 123: 933-44.
Sarwar M, Tariq RS. Impact of Smartphone’s on Society. Eur J Sci Res 2013; 98: 216-26.
Charani E, Castro-Sánchez E, Moore LS, Holmes A. Do smartphone applications in healthcare require a governance and legal framework? It depends on the application! BMC Med 2014; 14: 12-29.
Mosa AS, Yoo I, Sheets L. A systematic review of healthcare applications for smartphones. BMC Med Inform Decis Mak 2012; 12: 67.
Pelegris P, Banitsas K, Orbach T, Marias K. A novel method to detect heart beat rate using a mobile phone. Conf Proc IEEE Eng Med Biol Soc 2010; 54: 88-91.
Cappuccio FP, Kerry SM, Forbes L, Donald A. Blood pressure control by home monitoring: meta-analysis of randomised trials. Br Med J 2004; 329: 145.
Wackel P, Beerman L, West L, Arora G. Tachycardia detection using smartphone applications in pediatric patients. J Pediatr 2014; 164: 1133-5.
Hanning CD, Alexander-Williams JM. Pulse oximetry: a practical review. BMJ 1995; 311: 367-70.
Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet 2005; 365: 217-23.
McAlister FA, Straus SE. Evidence based treatment of hypertension. Measurement of blood pressure: an evidence based review. BMJ 2001; 322: 908-11.
Littenberg B. A practice guideline revisited: screening for hypertension. Ann Intern Med 1995; 122: 937-9.
Campbell NR, McKay DW. Accurate blood pressure measurement: why does it matter? Can Med Assoc J 1999; 161: 277-8.
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