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JAMA Cardiology
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Review
April23, 2025
EugeneYang,MD, MS1; Aletta E.Schutte,MSc, PhD2,3; GeorgeStergiou,MD, PhD4; et al Fernando StuardoWyss,MD5; YvonneCommodore-Mensah,PhD, MHS, RN6; AugustineOdili,MD7; IanKronish,MD, MPH8; Hae-YoungLee,MD, PhD9; DaichiShimbo,MD10
Author Affiliations Article Information
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1University of Washington School of Medicine, Seattle
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2School of Population Health, University of New South Wales, Sydney, New South Wales, Australia
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3The George Institute for Global Health, Sydney, New South Wales, Australia
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4Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Athens, Greece
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5Guatemala Cardiovascular Services and Technology, Guatemala City, Guatemala
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6Johns Hopkins Bloomberg School of Nursing, Baltimore, Maryland
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7College of Health Sciences, University of Abuja, Abuja, Nigeria
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8Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, New York
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9Department of Internal Medicine, Division of Cardiology, Seoul National University Hospital, Seoul, South Korea
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10Columbia Hypertension Lab, Columbia University Irving Medical Center, New York, New York
JAMA Cardiol. Published online April 23, 2025. doi:10.1001/jamacardio.2025.0662
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Abstract
Importance Hypertension is a primary modifiable risk factor for cardiovascular death and disability. Accurate blood pressure (BP) measurement is essential for the diagnosis and treatment of hypertension. Conventional BP measurement with cuff devices is recommended but difficult for patients to perform due to inconvenience, discomfort, and challenges with appropriate cuff sizing and measurement protocols. The emergence of cuffless BP devices provides an opportunity to address many of these problems, including inconvenience, patient comfort, positional requirements, and continuous measurement.
Observations Cuffless BP measurement devices are appealing to patients and clinicians, but validation of these technologies is essential before they can be deployed for clinical use. Key issues that remain include accuracy with risk of undertreatment or overtreatment, equitable access for low- and middle-income countries and minoritized populations, data privacy concerns, and how the devices will be deployed in clinical practice.
Conclusions Clinicians and patients should only use validated BP cuff devices until cuffless BP measurement devices are appropriately tested and validated.
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Yang E, Schutte AE, Stergiou G, et al. Cuffless Blood Pressure Measurement Devices—International Perspectives on Accuracy and Clinical Use: A Narrative Review. JAMA Cardiol. Published online April 23, 2025. doi:10.1001/jamacardio.2025.0662
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