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Current Hypertension Reports

Erschienen in:

01.06.2017 | Device-Based Approaches for Hypertension (M Schlaich, Section Editor)

Smartphone Applications for Hypertension Management: a Potential Game-Changer That Needs More Control

verfasst von: Gianfranco Parati, Camilla Torlasco, Stefano Omboni, Dario Pellegrini

Erschienen in: Current Hypertension Reports | Ausgabe 6/2017

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Abstract

Purpose of the Review

This review article will summarize available data on mobile applications for the management of hypertension, by highlighting their potential for clinical use, the current limitations and the yet pending issues to be addressed in future studies.

Recent Findings

The number of available applications related to arterial hypertension and their usage by smartphone owners is constantly increasing. However, most applications lack standardization and scientific validation, and security flaws could be an important, yet still underrated, issue. Small studies showed that treatment strategies based on telemonitoring of home blood pressure with mobile applications could improve blood pressure control, but there are no data on strong outcomes and the high heterogeneity of available studies severely limits the possibility of reaching a definitive conclusion on the impact of such strategies.

Summary

Smartphone applications for arterial hypertension represent a great chance to improve management of this condition. Results from small studies are promising, but there is a strong need for large, long-term, well-designed clinical trials, before these potential solutions might be reliably applied in real-life patients’ care.

Thomopoulos C, Parati G, Zanchetti A. Effects of blood pressure lowering on outcome incidence in hypertension. 4. Effects of various classes of antihypertensive drugs—overview and meta-analysis. J Hypertens. 2015;33:195–211. doi:10.1097/HJH.0000000000000447.CrossRefPubMed

GBD 2015 Risk Factors Collaborators. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1659–724. doi:10.1016/S0140-6736(16)31679-8.CrossRef

Mancia G, Fagard R, Narkiewicz K, Redón J, Zanchetti A, Böhm M, et al. The task force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). 2013 ESH/ESC Guidelines for the management of arterial hypertension. Eur Heart J. 2013;34(28):2159–219. doi:10.1093/eurheartj/eht151.CrossRefPubMed

Corrao G, Zambon A, Parodi A, Poluzzi E, Baldi I, Merlino L, et al. Discontinuation of and changes in drug therapy for hypertension among newly-treated patients: a population-based study in Italy. J Hypertens. 2008;26:819–24. doi:10.1097/HJH.0b013e3282f4edd7.CrossRefPubMed

Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, et al. European Society of Hypertension guidelines for home blood pressure monitoring. J Hum Hypertens. 2010;24:779–85. doi:10.1038/jhh.2010.54.CrossRefPubMed

Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, ESH Working Group on Blood Pressure Monitoring, et al. European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring. J Hypertens. 2008;26:1505–30. doi:10.1097/HJH.0b013e328308da66.CrossRefPubMed

Parati G, Omboni S, Albini F, Piantoni L, Giuliano A, Revera M, et al. Home blood pressure telemonitoring improves hypertension control in general practice. The TeleBPCare study Journal of Hypertension. 2009;27(1):198–203. doi:10.1097/HJH.0b013e3283163caf.CrossRefPubMed

• Omboni S, Gazzola T, Carabelli G, Parati G. Clinical usefulness and cost effectiveness of home blood pressure telemonitoring: meta-analysis of randomized controlled studies. J Hypertens. 2013;31:455–67. doi:10.1097/HJH.0b013e32835ca8dd. Comprehensive review on efficacy and cost-effectiveness of treatment strategies guided by home BP telemonitoring. CrossRefPubMed

De Jongh T, Gurol-Urganci I, Vodopivec-Jamsek V, Car J, Atun R. Mobile phone messaging for facilitating self-management of long-term illnesses. Cochrane Database Syst Rev. 2012;12:CD007459. 679 doi:10.1002/14651858.CD007459.pub2.

10.

Goldberg E, Levy P. New approaches to evaluating and monitoring blood pressure. Curr Hypertens Rep. 2016;18(6):49. doi:10.1007/s11906-016-0650-9.CrossRefPubMed

11.

Quinn CC, Clough SS, Minor JM, Lender D, Okafor MC, Gruber-Baldini A. WellDoc mobile diabetes management randomized controlled trial: change in clinical and behavioral outcomes and patient and physician satisfaction. Diabetes Technol Ther. 2008;10(3):160–8. doi:10.1089/dia.2008.0283.CrossRefPubMed

12.

Quinn CC, Shardell MD, Terrin ML, Barr EA, Ballew SH, Gruber-Baldini A. Cluster-randomized trial of a mobile phone personalized behavioral intervention for blood glucose control. Diabetes Care. 2011;34:1934–42. doi:10.2337/dc11-0366.CrossRefPubMedPubMedCentral

13.

Liang X, Wang Q, Yang X, Cao J, Chen J, Mo X, Huang J, et al. Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysis. Diabet Med. 2011;28:455–63. doi:10.1111/j.1464-5491.2010.03180.x.CrossRefPubMed

14.

Mobile Technology Fact Sheet j Pew Research Center’s Internet & American Life Project [Internet]. pewinternet.org. Available at: http://www.pewinternet.org/fact-sheets/mobile-technology-fact-sheet/. Accessed 31 Oct 2016.

15.

Mobile Health 2012 j Pew Research Center’s Internet & American Life Project [Internet]. pewinternet.org. Available at: http://www.pewinternet.org/2012/11/08/mobile-health-2012/. Accessed 4 Nov 2016.

16.

• Mobile medical applications: guidance for Food and Drug Administration Staff. 2015. http://www.fda.gov/downloads/medicaldevices/deviceregulationandguidance/guidancedocuments/ucm263366.pdf. Accessed 28 Oct 2016. Official statement of the FDA on mHealth applications.

17.

iHealth website. www.ihealthlabs.com [Internet]. Available at: http://www.ihealthlabs.com Accessed 21 Oct 2016.

18.

Withings website. Available at: http://www.withings.com/us/blood-pressure-monitor.html. Accessed 21 Oct 2016.

19.

Association for the Advancement of Medical Instrumentation. American National Standard. ANSI/AAMI/ISO 81060–2:2013 Non-invasive sphygmomanometers—part 2: clinical investigation of automated measurement type. 4301 N. Fairfax Drive, Suite 301, Arlington, VA 22203–1633, USA: AAMI; 2013.

20.

O’Brien E, Atkins N, Stergiou G, Karpettas N, Parati G, Asmar R, Imai Y, Wang J, Mengden T, Shennan A, on behalf of the Working Group on Blood Pressure Monitoring of the European Society of Hypertension. European Society of Hypertension International Protocol revision 2010 for the validation of blood pressure measuring devices in adults. Blood Press Monit. 2010;15:23–38. doi:10.1097/MBP.0b013e3283360e98.CrossRefPubMed

21.

O’Brien E, Petrie J, Littler WA, de Swiet M, Padfield PL, Altman D, Bland M, Coats A, Atkins N. The British Hypertension Society Protocol for the evaluation of blood pressure measuring devices. J Hypertens. 1993;11(suppl 2):S43–63.

22.

Grim CE. Home blood pressure devices for the iPhone do not get the same readings on the same person. J Am Soc Hypertens. 2014;8:e54–5.CrossRef

23.

Dorlas JC, Nijboer JA, Butijn WT, van der Hoeven GM, Settels JJ, Wesseling KH. Effects of peripheral vasoconstriction on the blood pressure in the finger, measured continuously by a new noninvasive method (the Finapres). Anesthesiology. 1985;62(3):342–5.CrossRefPubMed

24.

Bogert LW, Wesseling KH, Schraa O, Van Lieshout EJ, de Mol BA, van Goudoever J, et al. Pulse contour cardiac output derived from non-invasive arterial pressure in cardiovascular disease. Anaesthesia. 2010;65(11):1119–25. doi:10.1111/j.1365-2044.2010.06511.x.CrossRefPubMed

25.

Parati G, Ongaro G, Bilo G, Glavina F, Castiglioni P, Di Rienzo M, et al. Non-invasive beat-to-beat blood pressure monitoring: new developments. Blood Press Monit. 2003;8:31–6. doi:10.1097/01.mbp.0000057014.67622.59.CrossRefPubMed

26.

Martina JR, Westerhof BE, Van Goudoever J, De Jonge N, Van Lieshout JJ, Lahpor JR, et al. Noninvasive blood pressure measurement by the Nexfin monitor during reduced arterial pulsatility: a feasibility study. ASAIO. 2010;56:221–7. doi:10.1097/MAT.0b013e3181d70227.CrossRef

27.

Gesche H, Grosskurth D, Küchler G, Patzak A. Continuous blood pressure measurement by using the pulse transit time: comparison to a cuff-based method. Eur J Appl Physiol. 2012;112(1):309–15. doi:10.1007/s00421-011-1983-3.CrossRefPubMed

28.

Bilo G, Zorzi C, Ochoa Munera JE, Torlasco C, Giuli V, Parati G. Validation of the Somnotouch-NIBP noninvasive continuous blood pressure monitor according to the European Society of Hypertension International Protocol revision 2010. Blood Press Monit. 2015;20(5):291–4. doi:10.1097/mbp.0000000000000124.CrossRefPubMedPubMedCentral

29.

•• Kumar N, Khunger M, Gupta A, Garg N. A content analysis of smartphone-based applications for hypertension management. J Am Soc Hypertens. 2015;9(2):130–6. doi:10.1016/j.jash.2014.12.001. A comprehensive review of the available applications on the major mobile platforms. CrossRefPubMed

30.

Plante TB, Urrea B, MacFarlane ZT, Blumenthal RS, Miller ER 3rd, Appel LJ, et al. Validation of the instant blood pressure 54 smartphone app. JAMA Intern Med. 2016;176(5):700–2. doi:10.1001/ jamainternmed.2016.0157.

31.

Omboni S, CaseriniM, Coronetti C. Telemedicine andM-Health in hypertension management: technologies, applications and clinical evidence. High Blood Press Cardiovasc Prev. 2016;23(3):187–96. doi:10.1007/s40292-016-0143-6.

32.

•• McKay F, Cheng C, Wright A, Shill J, Stephens H, Uccellini M. Evaluating mobile phone applications for health behaviour change: a systematic review. J Telemed Telecare. 2016; doi:10.1177/1357633X16673538. Interesting review on the methodology of evaluation of mHealth application. PubMed

33.

Privacy and Data Management on Mobile Devices j Pew Research Center ’s Internet & American Life Project [Internet]. pewinternet.org Available at: http://www.pewinternet.org/2012/09/05/privacy-and-data-management-on-mobile-devices/. Accessed 31 Oct 2016.

34.

•• Burke L, Ma J, Azar K, Bennett G, Peterson E, Zheng Y, et al. Current science on consumer use of mobile health for cardiovascular disease prevention. Circulation. 2015;132(12):1157–213. doi:10.1161/CIR.0000000000000232. Official statement by the AHA on mHealth applications for cardiovascular prevention. CrossRefPubMed

35.

Uhlig K, Patel K, Ip S, Kitsios G, Balk E. Self-measured blood pressure monitoring in the management of hypertension. Ann Intern Med. 2013;159(3):185. doi:10.7326/0003-4819-159-3-201308060-00008.

36.

Liu S, Dunford S, Leung Y, Brooks D, Thomas S, Eysenbach G, et al. Reducing blood pressure with internet-based interventions: a meta-analysis. Can J Cardiol. 2013;29(5):613–21. doi:10.1016/j.cjca.2013.02.007.CrossRefPubMed

37.

Bloss C, Wineinger N, Peters M, Boeldt D, Ariniello L, Kim J, et al. A prospective randomized trial examining health care utilization in individuals using multiple smartphone-enabled biosensors. PeerJ. 2016 Jan 14;4:e1554. doi:10.7717/peerj.1554.CrossRefPubMedPubMedCentral

38.

Albini F, Xiaoqiu L, Torlasco C, Soranna D, Faini A, Ciminaghi R, et al. An ICT and m-Health integrated approach to optimize patients’ education on hypertension and its management by physicians: the Patients Optimal Strategy of Treatment (POST) pilot study. Conf Proc IEEE Eng Med Biol Soc. In press.

Titel: Smartphone Applications for Hypertension Management: a Potential Game-Changer That Needs More Control
verfasst von: Gianfranco Parati
Camilla Torlasco
Stefano Omboni
Dario Pellegrini
Publikationsdatum: 01.06.2017
Verlag: Springer US
Erschienen in: Current Hypertension Reports / Ausgabe 6/2017
Print ISSN: 1522-6417
Elektronische ISSN: 1534-3111
DOI: https://doi.org/10.1007/s11906-017-0743-0

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Abstract

Purpose of the Review

Recent Findings

Summary

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