A Review of the Application Progress of Non-Invasive Hemodynamic Monitoring in the Precision Treatment of Hypertension

ABSTRACT: Hypertension affects many patients worldwide, and its precise treatment is the focus of clinical research. Currently, conventional clinical methods for monitoring blood pressure can only intermittently measure systolic and diastolic blood pressure and cannot monitor important hemodynamic parameters such as cardiac output (CO), systemic vascular resistance (SVR), and arterial elasticity, thereby affecting the formulation of individualized treatment plans. In recent decades, the emergence of non-invasive hemodynamic monitoring methods has addressed these clinical challenges. These methods use non-invasive methods to monitor parameters such as cardiac pumping function, vascular resistance, and volume status, helping clinicians better understand the pathophysiology of hypertension and facilitating a shift from “empirical blood pressure reduction” to “precision treatment based on hemodynamics”. This article aims to introduce the technical principles, main parameters, and clinical applications of non-invasive hemodynamic monitoring, with a focus on discussing its clinical value in hypertension classification, formulation of individualized treatment plans, assessment of treatment effects, and management of special populations. Based on this, future application and development directions are proposed, aiming to provide references and evidence for the clinical practice of precise hypertension treatment.