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Multi-framework validation of wearable cuffless blood pressure monitors

Wearable cuffless blood pressure monitors can provide important diagnostic and prognostic insights for cardiovascular care. However, their safe and effective clinical adoption depends on rigorous, multi-framework validation strategies capable of ensuring accuracy, building clinical trust and supporting equitable global implementation.

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References

  1. Picone, D. S. et al. Validation status of blood pressure measuring devices sold globally. JAMA 327, 680–681 (2022).

    Article  Google Scholar 

  2. Hua, J. et al. Wearable cuffless blood pressure monitoring: from flexible electronics to machine learning. Wearable Electron. 1, 78–90 (2024).

    Article  Google Scholar 

  3. Cohen, J. B. et al. Apple Watch for hypertension screening. Hypertension 83, e26031 (2026).

    Article  Google Scholar 

  4. Jamieson, A. et al. A guide to consumer-grade wearables in cardiovascular clinical care and population health for non-experts. npj Cardiovasc. Health 2, 44 (2025).

    Article  Google Scholar 

  5. Tan, I. et al. Evaluation of the ability of a commercially available cuffless wearable device to track blood pressure changes. J. Hypertens. 41, 1003–1010 (2023).

    Article  Google Scholar 

  6. Writing Committee Members et al. AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM guideline for the prevention, detection, evaluation and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation 152, e114–218 (2025).

    Article  Google Scholar 

  7. Yang, E. et al. Cuffless blood pressure measurement devices—international perspectives on accuracy and clinical use: a narrative review. JAMA Cardiol. 10, 624–631 (2025).

    Article  Google Scholar 

  8. Sola, J. et al. Guidance for the interpretation of continual cuffless blood pressure data for the diagnosis and management of hypertension. Front. Med. Technol. 4, 899143 (2023).

    Article  Google Scholar 

  9. Stergiou, G. S. et al. European Society of Hypertension recommendations for the validation of cuffless blood pressure measuring devices: European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability. J. Hypertens. 41, 2074–2087 (2023).

    Article  Google Scholar 

  10. Shen, Z., Chakraborti, T., Banerji, C. R. S. & Ding, X. Conformal prediction quantifies wearable cuffless blood pressure with certainty. Sci. Rep. 15, 26697 (2025).

    Article  Google Scholar 

  11. Henry, B. et al. Cuffless blood pressure in clinical practice: challenges, opportunities and current limits. Blood Press. 33, 2304190 (2024).

    Article  Google Scholar 

  12. Islam, S. M. S. et al. Wearable cuffless blood pressure monitoring devices: a systematic review and meta-analysis. Eur. Heart J. Digit. Health 3, 323–337 (2022).

    Article  Google Scholar 

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Correspondence to Kanimozhi Sadasivam.

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Draft guidance issued by the US Food and Drug Administration (FDA): https://www.fda.gov/regulatory-information/search-fda-guidance-documents/cuffless-non-invasive-blood-pressure-measuring-devices-clinical-performance-testing-and-evaluation

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Sadasivam, K., Sinha, S., KNR, A. et al. Multi-framework validation of wearable cuffless blood pressure monitors. Nat Rev Bioeng (2026). https://doi.org/10.1038/s44222-026-00422-w

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