Blood Pressure Monitoring最新文献

Clinical evaluation of the BP2 upper arm blood pressure monitor according to the ISO 81060-2:2018+Amd 1:2020. 根据ISO 81060-2:2018+Amd 1:2020对BP2上臂血压计进行临床评价。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-01 Epub Date: 2025-04-01 DOI: 10.1097/MBP.0000000000000751

Wan Chen, Yuhan Xiang, Zizhuo Zhu, Fujun Shang

{"title":"Clinical evaluation of the BP2 upper arm blood pressure monitor according to the ISO 81060-2:2018+Amd 1:2020.","authors":"Wan Chen, Yuhan Xiang, Zizhuo Zhu, Fujun Shang","doi":"10.1097/MBP.0000000000000751","DOIUrl":"10.1097/MBP.0000000000000751","url":null,"abstract":"Objective: To evaluate the clinical measurement accuracy of the BP2 oscillometric upper arm blood pressure monitor in the general population according to the ISO 81060-2:2018+Amd 1:2020 standard.Methods: Participants were recruited and the same arm sequential method was used for blood pressure measurement according to the ISO 81060-2:2018+Amd 1:2020. The validation results were assessed following the protocol and the Bland-Altman scatterplot was used to show the difference between the test device and reference results.Results: A total of 85 participants were included in the final analysis. For the validation criterion 1, the mean ± SD of the differences between the test device and reference readings was -2.93 ± 7.65 and -2.40 ± 6.82 mmHg for systolic and diastolic blood pressure, respectively. For criterion 2, the ±SD of the averaged differences between the test device and reference readings per participant was ±6.16 and ±5.74 mmHg for systolic and diastolic blood pressure, respectively.Conclusion: The BP2 upper arm blood pressure monitor passed all the requirements of the ISO 81060-2:2018+Amd 1:2020 standard and can be recommended for clinical use and self-measurement in the general population.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"187-190"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of hypertension in individuals with high normal blood pressure is related with sympathetic drive, arterial stiffness, and exercise blood pressure. 正常高血压患者高血压的发生与交感神经驱动、动脉僵硬和运动血压有关。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-01 Epub Date: 2025-04-01 DOI: 10.1097/MBP.0000000000000750

Theodoros Kalos, Kyriakos Dimitriadis, Fotis Tatakis, Nikolaos Pyrpyris, Eleni Manta, Niki Kakouri, Christos Fragoulis, Panagiotis Tsioufis, Dimitrios Konstantinidis, Theodoros Papaioannou, Dimitrios Tousoulis, Konstantina Aggeli, Konstantinos Tsioufis

{"title":"Development of hypertension in individuals with high normal blood pressure is related with sympathetic drive, arterial stiffness, and exercise blood pressure.","authors":"Theodoros Kalos, Kyriakos Dimitriadis, Fotis Tatakis, Nikolaos Pyrpyris, Eleni Manta, Niki Kakouri, Christos Fragoulis, Panagiotis Tsioufis, Dimitrios Konstantinidis, Theodoros Papaioannou, Dimitrios Tousoulis, Konstantina Aggeli, Konstantinos Tsioufis","doi":"10.1097/MBP.0000000000000750","DOIUrl":"10.1097/MBP.0000000000000750","url":null,"abstract":"Background: High normal blood pressure (HNBP) is common in adults worldwide and is associated with a greater likelihood of developing hypertension. Thus, identifying those at risk is crucial, in order to intervene early and reduce future cardiovascular risk. This study aims to examine the role of sympathetic nervous system (SNS), aortic stiffness, and blood pressure (BP) response to exercise as predictors for development of hypertension in individuals with HNBP.Methods: One hundred individuals with HNBP were included in the study. Baseline anthropometric characteristics, BP levels, an electrocardiogram, and an echocardiogram were obtained. In order to evaluate the effect of SNS, aortic stiffness, and exercise response in the transition from the prehypertensive to hypertensive phenotype, we measured the levels of muscle sympathetic nerve activity (MSNA), pulse wave velocity (PWV), and exaggerated BP response (EBPR) to cardiopulmonary exercise, respectively.Results: At 3 years follow up, 40 patients (40%) developed hypertension. Baseline characteristics were similar between the two groups. Those who developed hypertension had sympathetic overactivation, as indicated by the higher mean values of MSNA (35 ± 4.4 vs 28 ± 3.8 bursts per minute; P = 0.003), increased aortic stiffness, and PWV (8.2 ± 0.7 vs 7.2 ± 0.5 m/s; P < 0.001), as well as an EBPR to exercise ( P < 0.001).Conclusion: Increased values of MSNA, PWV, and EBPR were found to be statistically related with hypertension development in HNBP phenotypes. These markers could be of great clinical use in identifying prehypertensives at high risk for developing hypertension.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"161-168"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of the prevalence of hypotension in precapillary pulmonary hypertension patients with preserved right ventricle function. 保留右心室功能的毛细血管前肺动脉高压患者低血压发生率的评估。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-01 Epub Date: 2025-02-24 DOI: 10.1097/MBP.0000000000000747

Vedat Hekimsoy, Ergün Bariş Kaya

{"title":"Assessment of the prevalence of hypotension in precapillary pulmonary hypertension patients with preserved right ventricle function.","authors":"Vedat Hekimsoy, Ergün Bariş Kaya","doi":"10.1097/MBP.0000000000000747","DOIUrl":"10.1097/MBP.0000000000000747","url":null,"abstract":"Objectives: Lower SBP is associated with worse prognosis in precapillary pulmonary hypertension patients. This study aimed to assess the prevalence of hypotension in precapillary pulmonary hypertension patients with preserved right ventricle function receiving pulmonary arterial hypertension (PAH)-specific medication with 24-h ambulatory blood pressure monitoring (ABPM) and to compare the burden of hypotension between patients receiving PAH-specific monotherapy and dual combination therapy (DCT).Methods: This cross-sectional study included 44 precapillary pulmonary hypertension patients who underwent clinical assessment, echocardiography, and 24-h ABPM. Patients were grouped according to the type of treatment regimen: monotherapy or DCT. Hypotension was defined as the occurrence of at least one valid measurement of SBP < 100 mmHg.Results: Mean 24-h, daytime, and nighttime SBP were significantly lower in patients receiving DCT compared to patients receiving monotherapy ( P < 0.05 for all). Episodes with SBP < 100 mmHg during the 24-h, daytime, and nighttime periods were significantly more common in the patients receiving DCT (21.26 ± 9.33 vs 12.26 ± 3.61, 15.58 ± 8.17 vs 8.57 ± 3.60, 5.68 ± 2.63 vs 3.70 ± 2.27, respectively, P < 0.05 for all).Conclusion: Patients on DCT who had relatively advanced pulmonary vascular disease have a higher burden of hypotension. We propose that estimation of the mortality risk relying on a single office blood pressure measurement, as is the case with contemporary risk scores, may give rise to inaccurate results and the incorporation of the assessment of hypotension burden with 24-h ABPM into the risk assessment tools might improve risk stratification.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"145-152"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of the head-up tilt test and the 10-minute NASA lean test for assessing blood pressure and heart rate responses in young individuals with postacute COVID-19 syndrome. 比较平视倾斜测试和10分钟NASA倾斜测试用于评估急性后COVID-19综合征年轻人血压和心率反应的比较

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-01 Epub Date: 2025-03-18 DOI: 10.1097/MBP.0000000000000749

Nontanat Sathaporn, Aomkhwan Timinkul, Watjanarat Panwong, Parkpoom Pipatbanjong, Tanyasorn Dangwisut, Phimkan Phusabsin, Kotchaporn Promjun, Sujittra Kluayhomthong

{"title":"Comparison of the head-up tilt test and the 10-minute NASA lean test for assessing blood pressure and heart rate responses in young individuals with postacute COVID-19 syndrome.","authors":"Nontanat Sathaporn, Aomkhwan Timinkul, Watjanarat Panwong, Parkpoom Pipatbanjong, Tanyasorn Dangwisut, Phimkan Phusabsin, Kotchaporn Promjun, Sujittra Kluayhomthong","doi":"10.1097/MBP.0000000000000749","DOIUrl":"10.1097/MBP.0000000000000749","url":null,"abstract":"Background: Individuals with postacute COVID-19 syndrome (PACS) typically exhibit abnormal hemodynamic responses during upright positioning, including orthostatic hypotension and postural orthostatic tachycardia syndrome. The 10-minute NASA lean test (NLT) has been suggested for this condition. However, no comparative study with the head-up tilt table test (HUTT) has been conducted. This study aimed to compare blood pressure and heart rate responses during the 10-minute duration of NLT and HUTT.Methods: Eighty young individuals (aged 22.0 ± 3.1 years) with PACS underwent both tests, with a 30-minute interval between tests. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were measured every minute, and the differences between supine and upright positions were analyzed.Results: There were no significant differences in SBP changes between HUTT and NLT (-7.8 ± 6.2 vs. -7.1 ± 7.5 mmHg) with a mean difference of -0.7 ± 9.0 mmHg. However, DBP changes were significantly lower in HUTT compared to NLT (-0.9 ± 6.4 vs. 1.5 ± 6.9 mmHg for NLT) with a mean difference of -2.4 ± 7.1 mmHg. Maximal HR was significantly lower in HUTT compared to NLT (92.0 ± 11.4 vs. 96.2 ± 10.8 bpm for NLT) with a mean difference of -4.2 ± 6.9 bpm. Additionally, HR changes were significantly lower in HUTT compared to NLT (21.5 ± 8.1 vs. 27.0 ± 9.0 bpm) with a mean difference of -5.4 ± 6.4 bpm.Conclusion: The NLT demonstrated comparability with the HUTT in detecting SBP changes. However, clinical applications should consider differences in measuring DBP and HR changes.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"153-160"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation assessment of a cuff-based central blood pressure device according to Artery Society recommendations. 根据动脉协会的建议，对基于袖带的中心血压装置进行验证评估。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-01 Epub Date: 2025-05-06 DOI: 10.1097/MBP.0000000000000754

Tan V Bui, Dean S Picone, Wojciech P Kosmala, Michał J Kosowski, Jowita Zachwyc, Giacomo Pucci, Alessio Arrivi, Rosa Curcio, Martin G Schultz, J Andrew Black, Nathan Dwyer, Philip Roberts-Thomson, Sarang Paleri, Heath Adams, James E Sharman

{"title":"Validation assessment of a cuff-based central blood pressure device according to Artery Society recommendations.","authors":"Tan V Bui, Dean S Picone, Wojciech P Kosmala, Michał J Kosowski, Jowita Zachwyc, Giacomo Pucci, Alessio Arrivi, Rosa Curcio, Martin G Schultz, J Andrew Black, Nathan Dwyer, Philip Roberts-Thomson, Sarang Paleri, Heath Adams, James E Sharman","doi":"10.1097/MBP.0000000000000754","DOIUrl":"10.1097/MBP.0000000000000754","url":null,"abstract":"Objective: Uscom BP+ is a cuff-based blood pressure (BP) device designed to noninvasively estimate central BP as distinct from conventional brachial BP. This study aimed to assess the accuracy of the Uscom BP+ device compared with invasively measured BP.Methods: Automated noninvasive cuff central BP (using the Uscom BP+ device) and invasive central aortic BP were recorded simultaneously in 191 participants (65% male, aged 66 ± 11 years) receiving coronary angiography at three independent research sites in Australia, Poland, and Italy. Validation procedures were undertaken according to the Artery Society recommendations and with a minimally acceptable error (mean ± SD) of ≤5 ± ≤8 mmHg as pass criteria.Results: Using the device default calibration technique [brachial cuff systolic blood pressure (SBP) and diastolic blood pressure (DBP)], cuff central SBP underestimated invasive central SBP [mean (SD) difference: -10.2 (11.2) mmHg] and cuff central DBP overestimated invasive central DBP [mean (SD) difference: 9.8 (8.5) mmHg]. When calibrating by brachial cuff mean arterial pressure and DBP, SBP accuracy was improved, but variability remained high [mean (SD) difference: -6.3 (14.4) mmHg, P = 0.004 vs. default calibration, whereas DBP accuracy and variability remained similar [mean (SD) difference: 10.9 (8.5) mmHg, P = 0.19 vs. default calibration].Conclusion: The Uscom BP+ cuff device does not pass the Artery Society accuracy criteria compared with invasively measured central BP.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"181-186"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between inter-arm blood pressure difference and prevalence of renal artery stenosis in patients with ischemic stroke. 缺血性脑卒中患者臂间血压差与肾动脉狭窄发生率的关系。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-01 Epub Date: 2025-04-09 DOI: 10.1097/MBP.0000000000000753

Haiwen Li, Li Liu, Xianbi Tang, Kaiquan Jing, Chuzheng Pan

{"title":"Association between inter-arm blood pressure difference and prevalence of renal artery stenosis in patients with ischemic stroke.","authors":"Haiwen Li, Li Liu, Xianbi Tang, Kaiquan Jing, Chuzheng Pan","doi":"10.1097/MBP.0000000000000753","DOIUrl":"10.1097/MBP.0000000000000753","url":null,"abstract":"Objective: Renal artery stenosis (RAS) which is a potentially reversible cause of hypertension and renal insufficiency is associated with poor prognosis in ischemic stroke patients. The inter-arm blood pressure difference (IABD) is independently related to the atherosclerosis of the arteries. This study was to evaluate the relationship of RAS with IABD in ischemic stroke patients.Materials and methods: This study was a cross-sectional observational study of consecutive patients with ischemic stroke who had not a history of RAS. Abdominal aortography was performed to screen for RAS after the cerebrovascular diagnostic procedure. RAS was defined as the presence of ≥50% stenosis in either renal artery. Univariate and multivariate analysis were performed to investigate the association of the clinical variables including IABD with RAS.Results: RAS and systolic IABD ≥ 10 mmHg were detected in 62 (14.7%) and 142 (33.6%) of all ischemic stroke patients ( n = 422), respectively. Patients with systolic IABD ≥ 10 mmHg were more likely to have RAS than patients without (59.7 vs 29.2%, P < 0.001). The logistic regression analysis showed that systolic IABD ≥ 10 mmHg was independently associated with RAS (odds ratio, 3.67; 95% confidence interval: 2.02-6.65; P < 0.001).Conclusion: Measuring SBP between arms may help identify individuals with RAS in ischemic stroke patients.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"175-180"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation of the YuWell YE990 medical automatic electronic blood pressure monitor according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization Universal Standard (ISO 81060-2:2018/Amd.1:2020). 根据医疗器械发展协会/欧洲高血压学会/国际标准化组织通用标准（ISO 81060-2:2018/ am .1:2020）验证宇威尔YE990医用自动电子血压计。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-01 Epub Date: 2025-05-06 DOI: 10.1097/MBP.0000000000000755

Dongju Xu, Haiqin Tang, Cuidi Wang, Hui Cheng, Wenhui Wu, Qi Lu, Hejun Liu

{"title":"Validation of the YuWell YE990 medical automatic electronic blood pressure monitor according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization Universal Standard (ISO 81060-2:2018/Amd.1:2020).","authors":"Dongju Xu, Haiqin Tang, Cuidi Wang, Hui Cheng, Wenhui Wu, Qi Lu, Hejun Liu","doi":"10.1097/MBP.0000000000000755","DOIUrl":"10.1097/MBP.0000000000000755","url":null,"abstract":"To validate the accuracy of the YuWell YE990 automated oscillometric upper-arm medical blood pressure (BP) monitor in adults according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ISO) Universal standards (ISO 81060-2:2018 and Amendment 1:2020). Participants were recruited to meet the age, sex, BP, and cuff distribution criteria of the AAMI/ESH/ISO standards. BP was measured using a mercury sphygmomanometer (reference device) and YE990 (test device) following a same-arm sequential protocol with two trained observers and a supervisor. Bland-Altman plots were used to assess agreement, and scatter plots were used to assess the performance across varying arm sizes. Ninety-nine subjects were recruited and 85 were analyzed. The YE990 passed the accuracy requirements of the AAMI/ESH/ISO standards, with mean differences of 0.4 ± 6.31 mmHg for systolic BP and -0.9 ± 6.28 mmHg for diastolic BP for validation criterion 1. For validation criterion 2, the SD of the average BP difference between the test device and reference BP per subject was 5.00/5.70 mmHg (systolic/diastolic). YuWell YE990 meets the AAMI/ESH/ISO universal accuracy standard (ISO 81060-2:2018+Amd.1:2020) and is recommended for clinical use.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"191-195"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influence of cuff size on the accuracy of supine blood pressure measurement. 袖带尺寸对仰卧位血压测量精度的影响。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-01 Epub Date: 2025-04-17 DOI: 10.1097/MBP.0000000000000752

Song Meiyan, Junwei Zheng, Wu Ying, Chen Wen, Xu Kaizu, Liming Lin

{"title":"Influence of cuff size on the accuracy of supine blood pressure measurement.","authors":"Song Meiyan, Junwei Zheng, Wu Ying, Chen Wen, Xu Kaizu, Liming Lin","doi":"10.1097/MBP.0000000000000752","DOIUrl":"10.1097/MBP.0000000000000752","url":null,"abstract":"Objective: The discrepancy in blood pressure (BP) measurements while in a supine position using an upper-arm automated sphygmomanometer equipped with cuffs of varying sizes remains unresolved.Methods: In this single-center, randomized crossover trial, a total of 223 inpatients from the Affiliated Hospital of Putian University were enrolled between August and September 2023. Three sets of triplicate BP measurements were obtained while the participants were in a supine position using an automated sphygmomanometer with randomly assigned appropriately sized, undersized, or oversized BP cuffs.Results: The average age of the subjects was 65.1 ± 18.4 years, with 109 (48.9%) being male and 78 (35%) having coexisting hypertension. Based on the measured mid-arm circumference, a small-sized, regular-sized, and large-sized BP cuff was deemed appropriate for 50, 113, and 60 participants, respectively. In patients requiring small-sized cuffs, the use of regular and large-sized cuffs resulted in a significant reduction in systolic BP by -4.0 [95% confidence interval (CI): -9.8 to 1.9] mmHg and -6.9 (95% CI: -8.0 to -5.8) mmHg, respectively, as well as diastolic BP by -3.4 (95% CI: -8.0 to 1.2) mmHg and -4.1 (95% CI: -5.3 to 2.8) mmHg, respectively. In contrast, among patients requiring large-sized cuffs, the use of small and regular-sized cuffs increased systolic BP by 6.2 (95% CI: 4.2 to 8.2) mmHg and 2.3 (95% CI: -1.4 to 6.1) mmHg, respectively, and diastolic BP increased by 2.6 (95% CI: 1.5 to 3.7) mmHg and 0.2 (95% CI: -4.7 to 5.2) mmHg, respectively.Conclusion: Our findings suggest that miscuffing affects supine BP measured by an automated sphygmomanometer.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"169-174"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing a nomogram to identify patients at risk of orthostatic hypotension in Chinese patients. 建立一种体位性低血压风险识别图。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-06-26 DOI: 10.1097/MBP.0000000000000760

Suli Zheng, Min Pan, Pingping Wu, Wenqin Cai

{"title":"Developing a nomogram to identify patients at risk of orthostatic hypotension in Chinese patients.","authors":"Suli Zheng, Min Pan, Pingping Wu, Wenqin Cai","doi":"10.1097/MBP.0000000000000760","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000760","url":null,"abstract":"Objective: This study aimed to explore the factors associated with orthostatic hypotension and to develop a nomogram to predict the risk of orthostatic hypotension.Methods: Orthostatic hypotension is defined as a fall in systolic blood pressure (SBP) of at least 20 mmHg or diastolic blood pressure (DBP) of at least 10 mmHg within 3 min of standing. In this cross-sectional analysis, 1708 patients were collected from January 2016 to June 2018. These patients were divided into the orthostatic hypotension group and the non-orthostatic hypotension group. The variables were selected by least absolute shrinkage and selection operator (LASSO) regression. The characteristic variables selected in the LASSO regression were analyzed using multivariable logistic regression to construct the predictive model. The predictive model was displayed using a nomogram. The model performances were evaluated by the area under the receiver operating characteristic curve (AUC), calibration curve, and decision curve analysis.Results: The prevalence of orthostatic hypotension was 14.3% in this study. The LASSO and multivariable logistic regression analyses suggested that age, diabetes duration, seat SBP, supine SBP, and albumin were associated with orthostatic hypotension. The AUC of the nomogram was 0.796 [95% confidence interval (CI): 0.759-0.834] in the training set and 0.832 (95% CI: 0.780-0.885) in the validation set. Calibration curves were drawn and showed acceptable predictive performance, and the decision curve analysis showed that the proposed nomogram had strong clinical applicability.Conclusion: Age, diabetes duration, seat SBP, supine SBP, and albumin were associated with orthostatic hypotension. The nomogram model established by the factors provided an effective way to forecast the risk of orthostatic hypotension.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antihypertensive treatment of a patient with normal blood pressure: case report and call for paying attention. 血压正常患者的降压治疗1例报告及注意事项。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-06-10 DOI: 10.1097/MBP.0000000000000758

Hasan Atmaca, Mustafa Kemal Erol, Ertan Yetkin

{"title":"Antihypertensive treatment of a patient with normal blood pressure: case report and call for paying attention.","authors":"Hasan Atmaca, Mustafa Kemal Erol, Ertan Yetkin","doi":"10.1097/MBP.0000000000000758","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000758","url":null,"abstract":"The current 2024 European Society of Cardiology (ESC) guideline for the management of elevated blood pressure and hypertension defines blood pressure less than 115/65 mmHg by ambulatory blood pressure monitoring (ABPM) as nonelevated, blood pressures in-between 115-129 and 65-79 mmHg as elevated blood pressure, and hypertension as ≥130/80 mmHg. There, might be patients seeking medical attention for the symptoms, apparently nonspecific but suggestive of hypertension with optimal, or not elevated, or elevated blood pressure values. A female patient with complaints of headache and dizziness lasting for 2 months has been evaluated in cardiology outpatient clinic and assessed by ABPM. It has been told that she had previously blood pressure of 90-100/50-60 mmHg and was suffering from headache when systolic blood pressure exceeds 110 mmHg. Her 24-h ABPM revealed systolic and diastolic blood pressure as 106/63 mmHg showing nighttime decrease compared with daytime pressures (98/59 mmHg and 108/68 mmHg, respectively). Thereafter, she was instructed to keep continuing the life-style modification and given to beta-blocker (bisoprolol 5 mg) as an antihypertensive treatment. At the end of the 2 weeks of follow-up period, she was headache-free and was feeling comfortable and well with a mean home blood pressure of 98/56 mmHg. We have presented prosperous antihypertensive treatment of a female patient suffering from headache and dizziness with a numerically normal or nonelevated blood pressure. In the presence of symptoms and having not elevated or elevated blood pressure levels, patients' history on previous measure of blood pressure might facilitate our decision-making process.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0