Blood pressure · 2025
Case report: use of a cuffless blood pressure monitoring device compared to ambulatory blood pressure monitoring in a pregnant patient.
СтатьяКлинический случайСравнительное исследованиеНазвание и аннотация: Перевод в очереди
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Gassmann Natacha, Jaques David, Pasquier Théodore, Le Tinier Bénédicte, Ponte Belen, Dufey Teso Anne
Аннотация
BACKGROUND: Blood pressure (BP) monitoring is crucial for the management of hypertensive disorders of pregnancy. Cuffless, continuous BP-monitoring devices have been developed, but have yet to be validated during pregnancy.
OBJECTIVES: To describe the case of a 37-year-old patient presenting primary hyperaldosteronism, who suffered from severe preeclampsia during her first pregnancy. She chose to wear a cuffless BP monitoring device (AKTIIA) during her second pregnancy while undergoing three 24-h ABPM sessions. She developed preeclampsia, leading to hospitalisation and premature birth at 32 weeks of pregnancy. We aimed to compare the results obtained with these two methods for BP monitoring.
METHODS: We described the pregnancy and medication evolution. We compared results obtained during the same 24-hour period with the AKTIIA device and ABPM device, on two occasions during pregnancy and at 6 months postpartum. Mean daytime, nighttime and 24-hour blood pressure values were calculated during these three sessions, and the difference in paired BP values illustrated with a Bland and Altmann plot. Individual BP readings aquired by both devices within the same 5-minute intervals were also compared.
RESULTS AND CONCLUSIONS: For three 24-h ABPM sessions, daytime mean BP values were comparable between the ABPM cuff and the AKTIIA device, but we noted noted significant differences between the ABPM and AKTIIA's measurements during nighttime. The AKTIIA device helped to ensure closer monitoring of her blood pressure. Our results highlight the need for formal validation of such devices during pregnancy.
OBJECTIVES: To describe the case of a 37-year-old patient presenting primary hyperaldosteronism, who suffered from severe preeclampsia during her first pregnancy. She chose to wear a cuffless BP monitoring device (AKTIIA) during her second pregnancy while undergoing three 24-h ABPM sessions. She developed preeclampsia, leading to hospitalisation and premature birth at 32 weeks of pregnancy. We aimed to compare the results obtained with these two methods for BP monitoring.
METHODS: We described the pregnancy and medication evolution. We compared results obtained during the same 24-hour period with the AKTIIA device and ABPM device, on two occasions during pregnancy and at 6 months postpartum. Mean daytime, nighttime and 24-hour blood pressure values were calculated during these three sessions, and the difference in paired BP values illustrated with a Bland and Altmann plot. Individual BP readings aquired by both devices within the same 5-minute intervals were also compared.
RESULTS AND CONCLUSIONS: For three 24-h ABPM sessions, daytime mean BP values were comparable between the ABPM cuff and the AKTIIA device, but we noted noted significant differences between the ABPM and AKTIIA's measurements during nighttime. The AKTIIA device helped to ensure closer monitoring of her blood pressure. Our results highlight the need for formal validation of such devices during pregnancy.