Monitoring Non-dipping Heart Rate by Consumer-Grade Wrist-Worn Devices: An Avenue for Cardiovascular Risk Assessment in Hypertension

Baka, Tomáš; Šimko, Fedor

doi:10.3389/fcvm.2021.711417

Cited by 5 publications

(3 citation statements)

References 47 publications

(62 reference statements)

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“…We speculate that patients with CKD and non-dipping PR have an additional risk of cardiovascular events and poor kidney outcomes compared to patients with CKD and dipping PR. Non-dipping PR is an important but neglected parameter, and only limited studies focusing on this topic have emerged in recent decades ( 41 ). A new attempt to monitor non-dipping PR with wearable devices has been proposed in a recent review ( 41 ).…”

Section: Discussionmentioning

confidence: 99%

“…Non-dipping PR is an important but neglected parameter, and only limited studies focusing on this topic have emerged in recent decades ( 41 ). A new attempt to monitor non-dipping PR with wearable devices has been proposed in a recent review ( 41 ). Therefore, we await future studies with these new devices to further investigate the effects of non-dipping PR on CKD.…”

Section: Discussionmentioning

confidence: 99%

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Non-dipping pulse rate and chronic changes of the kidney in patients with chronic kidney disease

Oba

Kanzaki²,

Haruhara³

et al. 2023

Front. Cardiovasc. Med.

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IntroductionAn insufficient decrease in nocturnal pulse rate (PR), non-dipping PR, reflects autonomic imbalance and is associated with cardiovascular events and all-cause mortality. We aimed to investigate the clinical and microanatomical structural findings associated with the non-dipping PR status in patients with chronic kidney disease (CKD).MethodsThis cross-sectional study included 135 patients who underwent ambulatory blood pressure monitoring and kidney biopsy concurrently at our institution between 2016 and 2019. Non-dipping PR status was defined as (daytime PR-nighttime PR)/daytime PR <0.1. We compared clinical parameters and microstructural changes in the kidney between patients with and without non-dipping PR, including 24 h proteinuria, glomerular volume, and Mayo Clinic/Renal Pathology Society Chronicity Score.ResultsThe median age was 51 years (interquartile range: 35–63), 54% of which were male, and the median estimated glomerular filtration rate was 53.0 (30.0–75.0) mL/min/1.73 m2. Non-dipping PR status was observed in 39 patients. Patients with non-dipping PR were older and had worse kidney function, higher blood pressure, greater prevalence of dyslipidemia, lower hemoglobin levels, and a larger amount of urinary protein excretion than patients with dipping PR. Patients with non-dipping PR had more severe glomerulosclerosis, interstitial fibrosis, tubular atrophy, and arteriosclerosis. In the multivariable analysis, the severe chronic changes of the kidney were associated with non-dipping PR status after adjusting for age, sex, and other clinical parameters (odds ratio = 20.8; 95% confidence interval, 2.82–153; P = 0.003).ConclusionThis study is the first to indicate that non-dipping PR is significantly associated with chronic microanatomical changes in the kidneys of patients with CKD.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Non-dipping pulse rate and chronic changes of the kidney in patients with chronic kidney disease

Oba

Kanzaki²,

Haruhara³

et al. 2023

Front. Cardiovasc. Med.

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“…Manufacturers continue to invest in new functionality of these devices, and their population adoption is growing as prices decrease. The consumer wearable device industry is growing exponentially, and as consumers have increasing biophysical data at their disposal, healthcare providers can choose to encourage proper vetting of these devices and embrace the data as ancillary support to medical decision making [48].…”

Section: Sleep Cycle Trackingmentioning

confidence: 99%

Smart Watches: Capturing Our Hearts

P¹,

A²,

L³

2022

J Cardiothorac Surg Ther

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Smart watches are growing in popularity, with about one-in-five Americans reporting daily use of a smart watch or fitness tracker. Smart watches continue to gain functionality as technology improves, and have established their utility in several applications of physiological tracking including detection of atrial fibrillation, a common arrhythmia. Because they serve as a substitute for a typical wrist watch and have potentially lifesaving health and fitness features, smart watches present a unique opportunity to monitor and objectively track cardiac rhythm and sleep patterns. This current review seeks to explore the potential benefits and limits of smart watches in select cardiac applications, namely detecting arrhythmias and measuring heart rate variability (HRV). Because sleep quality and quantity often have an impact on cardiovascular systems, we also discuss smart watch sleep-cycle tracking functions.

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