Evidence map›Paper›PMID 42098332›Full record

ReviewHypertension research : official journal of the Japanese Society of Hypertension2026

Advancements and challenges in blood pressure monitoring using pulse wave propagation: a comprehensive review and ISO 81060-2 based statistical analysis.

Yang Yu, Andrew Lowe

Abstract readReview
In one paragraph

Review in Hypertension research : official journal of the Japanese Society of Hypertension, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Yang YuAUT Institute of Biomedical Technologies (IBTec), Auckland University of Technology, Auckland, New Zealand. yyu@aut.ac.nz.
Andrew LoweAUT Institute of Biomedical Technologies (IBTec), Auckland University of Technology, Auckland, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular diseases, particularly hypertension, remain a major global health burden, highlighting the need for accurate and accessible blood pressure (BP) monitoring. Cuffless BP measurement (BPM) based on pulse wave propagation methods (PWPM), including pulse arrival time (PAT), pulse transit time (PTT), and pulse wave velocity (PWV), has attracted increasing research interest. This review comprises two components. First, a narrative review of studies published up to June 2025 examines sensing technologies, mathematical models, and validation protocols used in PWPM-based BPM. Second, a statistical re-evaluation of 22 studies published between 2015 and 2025 was conducted using the Credence of Device Acceptability (CDA) and the Probability of Tolerable Error (PTE), grounded in the statistical principles of ISO 81060-2. Accuracy varied widely across physiological conditions, sensing technologies, and study designs, with no single approach demonstrating consistent superiority. The re-evaluation provided a more stringent assessment of performance: only five studies achieved CDA values exceeding 0.95 for both systolic and diastolic BP. Overall, diastolic BP estimation demonstrated superior accuracy compared with systolic BP. Incorporating physiological indices such as arterial compliance and sympathetic activity may improve the robustness and accuracy of BP estimation models. While machine learning shows promise for enhanced feature extraction, calibration tolerance and real-world reliability remain critical challenges. Importantly, the evaluation and development of cuffless BPM technologies should align with validation standards appropriate to the intended application. We recommend that future early-stage studies apply the CDA and PTE framework as supportive accuracy metrics to better assess methodological performance and inform device development and validation.

Indexed as

Blood PressureBlood Pressure DeterminationPulse Wave AnalysisHumansHypertensionCuffless blood pressure monitoringDevice accuracyDigital hypertensionImplemental hypertensionMorning hypertensionPulse wave propagation

Identifiers

PMID42098332
PMCPMC13333497

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.