Journal ArticleDOI
The Emerging Role of Mobile-Health Applications in the Management of Hypertension.
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TLDR
A large number of commercially available m-health applications may facilitate self-management of hypertension by enhancing medication adherence, maintaining a log of blood pressure measurements, and facilitating physician-patient communication.Abstract:
Mobile-health technology, frequently referred to as m-health, encompasses smartphone, tablet, or personal computer use in the management of chronic disease. There has been a rise in the number of commercially available smartphone applications and website-based platforms which claim to help patients manage hypertension. Very little research has been performed confirming whether or not use of these applications results in improved blood pressure (BP) outcomes. In this paper, we review existing literature on m-health systems and how m-health can affect hypertension management. M-health systems help patients manage hypertension in the following ways: (1) setting alarms and reminders for patients to take their medications, (2) linking patients’ BP reports to their electronic medical record for their physicians to review, (3) providing feedback to patients about their BP trends, and (4) functioning as point-of-care BP sensors. M-health applications with alarms and reminders can increase medication compliance while applications that share ambulatory BP data with patients’ physicians can foster improved patient-physician dialog. However, the most influential tool for achieving positive BP outcomes appears to be patient-directed feedback about BP trends. A large number of commercially available m-health applications may facilitate self-management of hypertension by enhancing medication adherence, maintaining a log of blood pressure measurements, and facilitating physician-patient communication. A small number of applications function as BP sensors, thereby transforming the smartphone into a medical device. Such BP sensors often generate unreliable recordings. Patients must be cautioned regarding the use of smartphones for BP measurement at least until these applications have been more extensively validated.read more
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Journal ArticleDOI
Effect of Home Blood Pressure Monitoring via a Smartphone Hypertension Coaching Application or Tracking Application on Adults With Uncontrolled Hypertension: A Randomized Clinical Trial
Stephen D. Persell,Yaw A. Peprah,Dawid Lipiszko,Ji Young Lee,Jim Jun Li,Jody D. Ciolino,Kunal N. Karmali,Hironori Sato +7 more
TL;DR: In this randomized clinical trial of 297 adults with uncontrolled hypertension, participants randomized to a smartphone coaching app did not have lower blood pressure at 6 months compared with those receiving a blood pressure tracking app.
Journal ArticleDOI
Assessment of Mobile Health Apps Using Built-In Smartphone Sensors for Diagnosis and Treatment: Systematic Survey of Apps Listed in International Curated Health App Libraries.
TL;DR: Diligent mHealth app library curation, medical device regulation constraints, and cross-platform differences in mobile phone sensor architectures may all contribute to the observed limited availability of mHealth apps using built-in phone sensors in curated m health app libraries.
Journal ArticleDOI
E-Health in Hypertension Management: an Insight into the Current and Future Role of Blood Pressure Telemonitoring
TL;DR: Out-of-office blood pressure monitoring techniques are currently recommended by hypertension guidelines worldwide to confirm the diagnosis of hypertension and to monitor the appropriateness of treatment, but such techniques are not always effectively implemented or timely available in the routine clinical practice.
Journal ArticleDOI
Guideline of the Brazilian Society of Cardiology on Telemedicine in Cardiology - 2019
Marcelo Antônio Cartaxo Queiroga Lopes,Gláucia Maria Moraes de Oliveira,Antonio Luiz Pinho Ribeiro,Fausto J. Pinto,Helena Cramer Veiga Rey,Leandro Ioschpe Zimerman,Carlos E. Rochitte,Fernando Bacal,Carisi Anne Polanczyk,Cídio Halperin,Edson Araujo,Evandro Tinoco Mesquita,José Airton de Arruda,Luis Eduardo Paim Rohde,Max Grinberg,Miguel Antonio Moretti,Paulo Caramori,Roberto Botelho,Andréa Araujo Brandão,Ludhmila Abrahão Hajjar,Alexandre Fonseca Santos,Alexandre Siciliano Colafranceschi,Ana Paula Beck da Silva Etges,Barbara Campos Abreu Marino,Bruna Stella Zanotto,Bruno Ramos Nascimento,Cesar R. Medeiros,Daniel Vítor Vasconcelos Santos,Daniela Matos Arrowsmith Cook,Eduardo Antoniolli,Erito Marques de Souza Filho,Erito Marques de Souza Filho,Fábio Fernandes,Fabio Gandour,Francisco Fernandez,Germano Emilio Conceição Souza,Guilherme de Souza Weigert,Castro I,Jamil Ribeiro Cade,José Albuquerque de Figueiredo Neto,Juliano L Fernandes,Marcelo Hadlich,Marco Antonio Praça Oliveira,Maria Beatriz Moreira Alkmim,Maria Cristina da Paixão,Maurício Lopes Prudente,Miguel A. S. Aguiar Netto,Milena Soriano Marcolino,Mônica Amorim de Oliveira,Osvaldo Simonelli,Pedro Alves Lemos Neto,Priscila Raupp da Rosa,Renato Minelli Figueira,R. Cury,Rodrigo Coelho Almeida,Sandra Regina Franco Lima,Silvio Henrique Barberato,Thiago Inocencio Constancio,Wladimir Fernandes de Rezende +58 more
TL;DR: A Sociedade Brasileira de Cardiologia (SBC) fazer uma diretriz em telemedicina aplicada a cardiologie, tambem designada telecardiología.
Journal ArticleDOI
Noninvasive and Nonocclusive Blood Pressure Monitoring via a Flexible Piezo-Composite Ultrasonic Sensor
TL;DR: In this article, a flexible piezo-composite ultrasonic sensor was reported for continuous blood pressure measurement through ultrasonic motion tracking of blood vessel wall, which was designed and fabricated with a layer of PZT-5A/polydimethylsiloxane (PDMS) anisotropic 1-3 composite and silver nanowire based stretchable electrodes.
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Journal ArticleDOI
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TL;DR: Home BP telemonitoring and pharmacist case management achieved better BP control compared with usual care during 12 months of intervention that persisted during 6 months of postintervention follow-up.
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