Blood Pressure Monitoring最新文献

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Validating the accuracy of the YuWell YE680B automated upper-arm blood pressure monitor in pediatric and adult populations according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (ISO 81060-2:2018/Amd.1:2020/Amd.2:2024). 根据医疗器械进步协会/欧洲高血压学会/国际标准化组织(ISO 81060-2:2018/Amd.1:2020 20/Amd.2:2024),验证YuWell YE680B自动上臂血压监测仪在儿科和成人人群中的准确性。
IF 1 4区 医学
Blood Pressure Monitoring Pub Date : 2026-08-01 Epub Date: 2026-06-24 DOI: 10.1097/MBP.0000000000000808
Feng Liang, Bingbing Zhang, Chi Yuan, Dongju Xu, Bing Song
{"title":"Validating the accuracy of the YuWell YE680B automated upper-arm blood pressure monitor in pediatric and adult populations according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (ISO 81060-2:2018/Amd.1:2020/Amd.2:2024).","authors":"Feng Liang, Bingbing Zhang, Chi Yuan, Dongju Xu, Bing Song","doi":"10.1097/MBP.0000000000000808","DOIUrl":"10.1097/MBP.0000000000000808","url":null,"abstract":"<p><p>Accurate blood pressure (BP) measurement is essential for hypertension management. Automated oscillometric BP monitors must be validated according to international standards before clinical and home use. This study aimed to evaluate the accuracy of the YuWell YE680B automated upper-arm BP monitor in accordance with the ISO 81060-2:2018 Universal Standard and its amendments, Amd.1:2020 and Amd.2:2024. A validation study was conducted using the same-arm sequential measurement method in a mixed population of adults and children aged greater than or equal to 3 years. Reference BP measurements were obtained by two trained observers using a calibrated mercury sphygmomanometer and a dual-head stethoscope. Device accuracy was assessed according to ISO criteria 1 and 2, and agreement was evaluated using Bland-Altman analysis. A total of 100 participants contributed to 300 valid paired measurements. The mean difference (test - reference) was -0.3 ± 6.77 mmHg for SBP and 0.4 ± 6.08 mmHg for DBP, fulfilling the requirements of ISO criterion 1. The SD of the participant-level mean differences was 5.81 mmHg for SBP and 5.32 mmHg for DBP, meeting the thresholds of ISO criterion 2. Bland-Altman analysis demonstrated good agreement across the measured BP range, with differences evenly distributed across the supported arm circumference range (17-52 cm). The YuWell YE680B automated upper-arm BP monitor met the accuracy requirements of ISO 81060-2:2018/Amd.1:2020/Amd.2:2024 in a mixed population of adults and children aged greater than or equal to 3 years. These findings support its use for BP measurement in clinical and home settings.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"198-203"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148155008","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
Photoplethysmography based remote cardiac blood pressure monitoring compared with 24-h ambulatory blood pressure monitoring. 基于光电容积脉搏波的远程心脏血压监测与24小时动态血压监测的比较。
IF 1 4区 医学
Blood Pressure Monitoring Pub Date : 2026-08-01 Epub Date: 2026-06-24 DOI: 10.1097/MBP.0000000000000804
Mariska van Vliet, Jan J J Aalberts, Cora Hamelinck, Arnaud D Hauer, Dieke Hoftijzer, Stefan H J Monnink, Jurjan C Schipper, Eelko Ronner
{"title":"Photoplethysmography based remote cardiac blood pressure monitoring compared with 24-h ambulatory blood pressure monitoring.","authors":"Mariska van Vliet, Jan J J Aalberts, Cora Hamelinck, Arnaud D Hauer, Dieke Hoftijzer, Stefan H J Monnink, Jurjan C Schipper, Eelko Ronner","doi":"10.1097/MBP.0000000000000804","DOIUrl":"10.1097/MBP.0000000000000804","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the accuracy of a novel wrist-worn cuff-calibrated photoplethysmography (PPG)-based remote patient monitoring device as an alternative to ambulatory blood pressure monitoring (ABPM).</p><p><strong>Methods: </strong>This prospective single-center study included 40 adult patients undergoing standard 24 h ABPM with a 30-min measurement interval. Participants were equipped with a wrist-worn PPG device (CardioWatch 287-2; Corsano Health B.V., The Hague, The Netherlands, manufactured by MMT, Geneva, Switzerland) throughout the ABPM period. Investigational and reference measurements were compared using the average difference and SD for the full 24-h period as well as for awake and asleep periods, individually. Differences in awake-asleep blood pressure (BP) change between the investigational and reference devices were evaluated for all patients and per night-time BP dipper category. Finally, investigational BP monitoring accuracy under motion was visualized.</p><p><strong>Results: </strong>Throughout the 24-h period, the absolute difference in average SBP and DBP was 3.65 (SD ± 4.57) and 2.98 (SD ± 3.91), respectively. Similar results were obtained for the subsets of day- and night-time determinations. The absolute difference in average awake-asleep BP change was 2.36 (SD ± 2.40) for SBP and 2.17 (SD ± 2.13) for DBP. Comparable absolute differences were present within each of the night-time dipper categories. The performance of the investigational device remained stable under motion.</p><p><strong>Conclusion: </strong>This study presents initial evidence supporting the accuracy of the evaluated wrist-worn PPG-based device in measuring 24-h as well as day- and night-time BP. In all cases, the average difference and SD remained below the cutoff values described by recent European Society of Hypertension guidelines. Therefore, the presented method can provide an accurate alternative to ABPM.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"185-192"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216187","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
Accuracy of the OMRON M2 Intelli IT+ (HEM-7146T2-EBK) device for self-blood pressure measurements in children and adult populations according to the International Organization for Standardization Universal Standard (ISO 81060-2:2018/AMD 2:2024) protocol. 根据国际标准化组织通用标准(ISO 81060-2:2018/AMD 2:24 24)协议,用于儿童和成人自我血压测量的欧姆龙M2 Intelli IT+ (hm - 7146t2 - ebk)设备的准确性。
IF 1 4区 医学
Blood Pressure Monitoring Pub Date : 2026-08-01 Epub Date: 2026-06-24 DOI: 10.1097/MBP.0000000000000801
Avag Avagyan, Parounak Zelveian, Jirar Topouchian, Zoya Hakobyan, Heghine Gharibyan, Roland Asmar
{"title":"Accuracy of the OMRON M2 Intelli IT+ (HEM-7146T2-EBK) device for self-blood pressure measurements in children and adult populations according to the International Organization for Standardization Universal Standard (ISO 81060-2:2018/AMD 2:2024) protocol.","authors":"Avag Avagyan, Parounak Zelveian, Jirar Topouchian, Zoya Hakobyan, Heghine Gharibyan, Roland Asmar","doi":"10.1097/MBP.0000000000000801","DOIUrl":"10.1097/MBP.0000000000000801","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the accuracy of the OMRON M2 Intelli IT+ (HEM-7146T2-EBK) brachial device for BP measurement in children and adults, according to the International Organization for Standardization (ISO) 81060-2:2018/AMD 2:2024 Standard.</p><p><strong>Methods: </strong>OMRON M2 Intelli IT+ is an oscillometric device designed to measure BP at the brachial level. This study adhered to the ISO 81060-2:2018/AMD 2:2024 protocol and employed the same arm sequential BP measurement method. A total of 85 participants meeting the protocol-specified age, sex, BP, and cuff distribution criteria were included. The accuracy analysis utilized criterion 1 and criterion 2 defined in the ISO protocol.</p><p><strong>Results: </strong>Eighty-seven individuals were selected; two were excluded because of high BP variability ( n  = 1) and arrhythmia ( n  = 1). Eighty-five participants (50 adults and 35 children) were included. Mean BP differences between the observer measurements were -0.1 ± 2.1/0.5 ± 1.9 mmHg [systolic BP (SBP)/diastolic BP (DBP)]. In the children and adult population ( n  = 85), criterion 1, the mean BP differences between the reference measurements and the device were -2.1 ± 4.4/-0.3 ± 3.7 mmHg for SBP and DBP (≤5 ± 8 mmHg); criterion 2 was 3.1/2.9 mmHg for SBP and DBP (≤6.62/6.95 mmHg). In the children's population ( n  = 35), criterion 1 values were -3.7 ± 4.0/-1.1 ± 4.1 mmHg for SBP and DBP (≤5 ± 8 mmHg).</p><p><strong>Conclusion: </strong>The OMRON M2 Intelli IT+ (HEM-7146T2-EBK) device meets the requirements of the ISO 81060-2:2018/AMD 2:2024 protocol, supporting its use in children and adults for home BP monitoring.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"173-180"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589845","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
Testing the accuracy of blood pressure measuring devices: challenges and pitfalls of validation studies. 测试血压测量装置的准确性:验证研究的挑战和陷阱。
IF 1 4区 医学
Blood Pressure Monitoring Pub Date : 2026-08-01 Epub Date: 2026-06-24 DOI: 10.1097/MBP.0000000000000802
Paolo Palatini
{"title":"Testing the accuracy of blood pressure measuring devices: challenges and pitfalls of validation studies.","authors":"Paolo Palatini","doi":"10.1097/MBP.0000000000000802","DOIUrl":"10.1097/MBP.0000000000000802","url":null,"abstract":"<p><p>Several protocols have been devised for the validation of blood pressure (BP) measurement monitors to establish minimum standards of accuracy. Three aspects are crucial for improving the agreement between the device and the reference BP which depend on the quality of the laboratory and the experience of the investigators: (a) the choice of the most appropriate cuff in relation to the subject's arm size. As shown by Marks and Groch the measurement error gradually and remarkably increases in a linear fashion when the optimal cuff width/arm circumference ratio is not achieved. This mandates that in expert laboratories numerous cuffs should be available with progressively increasing bladder width. (b) Minimizing patient's BP variability during testing is the most challenging goal to achieve for reducing the SD of the between-method BP differences. Habituation to the medical environment can be increased by prolonging the pretest interval to 15-30 min. (c) The laboratory must be of high standard both in terms of environmental conditions and available instrumentation. A perfect harmony and interrelationship of the team members in the various stages of the test must be achieved. This condition is acquired through a long period of formal education and supervised practice. Recently, several validation studies have achieved bias and precision far below the minimum required criteria probably due to a more careful and rigorous assessment of performance. This led some authors to suggest to move the threshold of the mean difference between device and reference BP from 5 down to 3 mmHg.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"157-162"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627174","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 B.Well TH-75 oscillometric upper-arm blood pressure monitor in general population according to the AAMI/ESH/ISO universal standard (ISO 81060-2:2018+Amd1:2020+Amd2:2024). 根据AAMI/ESH/ISO通用标准(ISO 81060-2:2018+Amd1:2020+ am2d:2024)对普通人群进行B.Well TH-75振荡上臂血压监测仪的验证。
IF 1 4区 医学
Blood Pressure Monitoring Pub Date : 2026-08-01 Epub Date: 2026-02-25 DOI: 10.1097/MBP.0000000000000797
Yage Wang, Jialiang Ma, Yang Zhang, Jieqiong Zhang
{"title":"Validation of the B.Well TH-75 oscillometric upper-arm blood pressure monitor in general population according to the AAMI/ESH/ISO universal standard (ISO 81060-2:2018+Amd1:2020+Amd2:2024).","authors":"Yage Wang, Jialiang Ma, Yang Zhang, Jieqiong Zhang","doi":"10.1097/MBP.0000000000000797","DOIUrl":"10.1097/MBP.0000000000000797","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the accuracy of the B.Well TH-75 oscillometric upper-arm blood pressure (BP) monitor in general population according to the AAMI/ESH/ISO universal standard (ISO 81060-2 : 2018+Amd1 : 2020+Amd2 : 2024), and the device is expected to be used for home BP monitoring, with its measurements serving as a clinical reference.</p><p><strong>Methods: </strong>Subjects were recruited among the adult population to fulfill the age, gender, BP, and cuff distributions of the AAMI/ESH/ISO universal standard (ISO 81060-2 : 2018+Amd1 : 2020+Amd2 : 2024), and the study was approved by the Ethics Committee of the hospital. A single cuff 22-42 cm was used on the B.Well TH-75, and the validation was performed using the same-arm sequential BP measurement method.</p><p><strong>Results: </strong>Data from 85 subjects were analyzed. According to Criterion 1, the mean difference of systolic blood pressure (SBP) and diastolic blood pressure (DBP) between the test and reference device was 2.36 ± 7.40 and 0.85 ± 6.47 mmHg, respectively, which met the requirements of less than 5 and 8 mmHg for mean difference and SD, respectively. According to Criterion 2, SD of SBP was 6.20 mmHg, which was less than 6.51 mmHg and met the requirements. The SD of DBP was 5.28 mmHg, which was less than 6.88 mmHg and met the requirements.</p><p><strong>Conclusion: </strong>The B.Well TH-75 upper-arm BP monitor fulfilled the requirements of the AAMI/ESH/ISO universal standard (ISO 81060-2 : 2018+Amd1 : 2020+Amd2 : 2024) and can be recommended for use in general population.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"168-172"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589830","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 Hanvon KSY3600 Korotkoff-sound electronic blood pressure monitor in the general population according to the ISO 81060-2:2018. 根据ISO 81060-2:2018,在普通人群中验证Hanvon KSY3600 korotkoff声音电子血压计。
IF 1 4区 医学
Blood Pressure Monitoring Pub Date : 2026-08-01 Epub Date: 2026-02-25 DOI: 10.1097/MBP.0000000000000800
Jian Wang, Yingjian Liu, Chongjie Chen
{"title":"Validation of the Hanvon KSY3600 Korotkoff-sound electronic blood pressure monitor in the general population according to the ISO 81060-2:2018.","authors":"Jian Wang, Yingjian Liu, Chongjie Chen","doi":"10.1097/MBP.0000000000000800","DOIUrl":"10.1097/MBP.0000000000000800","url":null,"abstract":"<p><p>This study aims to evaluate the accuracy of the Hanvon KSY3600 Korotkoff-sound electronic blood pressure (BP) monitor in the adult population, in accordance with the ISO 81060-2:2018. A total of 90 participants were recruited for this clinical study. After excluding 3 individuals due to excessive BP variability, the remaining 87 participants were enrolled for the evaluation. All enrolled participants met the inclusion criteria, which specified ranges for arm circumference, SBP, and DBP. According to ISO 81060-2:2018 + Amd 1:2020, the mean ± SD of the differences between the test device and the reference BP measurements were -0.3 ± 2.35/-0.3 ± 1.72 mmHg (SBP/DBP), thus meeting the requirements of Criterion 1 (≤5 mmHg mean difference and ≤8 mmHg SD). The mean difference in SBP was -0.3 ± 1.11 mmHg, while that in DBP was -0.3 ± 0.90 mmHg; this also fulfilled the requirements of Standard 2, with standard deviations within the limits of ≤6.95 mmHg for both SBP and DBP. Both ISO criteria were therefore satisfied, showing that the Hanvon KSY3600 Korotkoff-sound electronic BP monitor conforms to the ISO 81060-2:2018 + Amd 1:2020. It can thus be recommended for BP measurements in adults, both in clinical settings and for home use.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"193-197"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589987","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
Accuracy of atrial fibrillation detection using Hanvon Korotkoff sound blood pressure monitor. 韩文克罗特科夫声血压监测仪检测心房颤动的准确性。
IF 1 4区 医学
Blood Pressure Monitoring Pub Date : 2026-08-01 Epub Date: 2026-02-25 DOI: 10.1097/MBP.0000000000000799
Jian Wang, Yingjian Liu, Chongjie Chen
{"title":"Accuracy of atrial fibrillation detection using Hanvon Korotkoff sound blood pressure monitor.","authors":"Jian Wang, Yingjian Liu, Chongjie Chen","doi":"10.1097/MBP.0000000000000799","DOIUrl":"10.1097/MBP.0000000000000799","url":null,"abstract":"<p><strong>Background: </strong>Atrial fibrillation is one of the most common cardiac arrhythmias. It is a condition that significantly increases the risk of stroke and cardiac complications, making its early diagnosis and intervention a crucial part of improving long-term patient prognosis. This study evaluates the accuracy of an atrial fibrillation detection algorithm in a Korotkoff sound blood pressure (BP) monitor.</p><p><strong>Methods: </strong>A total of 312 inpatients and outpatients were recruited for this study, with a Korotkoff sound BP monitor used to measure the BP and screen for atrial fibrillation. The study cohort included 148 patients with atrial fibrillation (mean age 73.3 ± 9.0 years) and 164 controls with sinus rhythm (mean age 44.7 ± 14.6 years). During BP measurement, a hand-held single-lead ECG device was used to simultaneously record ECGs for evaluating the accuracy of the atrial fibrillation detection algorithm.</p><p><strong>Results: </strong>The device accurately identified all 148 confirmed atrial fibrillation patients, reliably triggering 'AFib' alerts in every instance. Throughout the evaluation of 164 non-atrial fibrillation subjects, the device maintained perfect specificity with zero false positive events. These results demonstrate 100% sensitivity and 100% specificity for atrial fibrillation detection.</p><p><strong>Conclusion: </strong>The Korotkoff sound BP monitor with atrial fibrillation detection algorithm exhibits excellent diagnostic accuracy. This device is of significant clinical value for early atrial fibrillation screening, serving as a convenient, efficient, and reliable tool for both home and primary medical institutions. Its capability for timely atrial fibrillation detection may contribute to reduced risks of stroke and other atrial fibrillation-related cardiovascular complications.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"163-167"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589813","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 Microlife WatchBP O3 (BP3SZ1-1) upper-arm, oscillometric blood pressure device in pregnancy according to ISO 81060-2:2018. Microlife WatchBP O3 (BP3SZ1-1)上臂振荡式妊娠血压仪根据ISO 81060-2:2018进行验证。
IF 1 4区 医学
Blood Pressure Monitoring Pub Date : 2026-07-24 DOI: 10.1097/MBP.0000000000000816
Annemarie de Greeff, Catherine A Cluver, Andrew H Shennan
{"title":"Validation of the Microlife WatchBP O3 (BP3SZ1-1) upper-arm, oscillometric blood pressure device in pregnancy according to ISO 81060-2:2018.","authors":"Annemarie de Greeff, Catherine A Cluver, Andrew H Shennan","doi":"10.1097/MBP.0000000000000816","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000816","url":null,"abstract":"<p><p>To assess the accuracy of the Microlife WatchBP O3 upper-arm, oscillometric blood pressure (BP) device, suitable for clinic, home, and ambulatory use, in a pregnant population. This device was assessed according to the ISO 81060-2:2018 protocol in 45 pregnant women, including women with gestational hypertension and pre-eclampsia. Two cuff sizes were available for arm circumferences of 22-32 and 32-42 cm. Nine sequential same-arm measurements were obtained from each participant, alternating between the test device and auscultation. Forty-nine women were included, and four were excluded. Data from 45 women, including 14 women with gestational hypertension and 15 women with pre-eclampsia, were analyzed according to the protocol. The mean difference with SDs were 0.6 ± 7.9 mmHg for SBP and 3.4 ± 6.0 mmHg for DBP. The Microlife WatchBP O3 upper-arm, oscillometric BP device passed the criteria of the ISO 81060-2:2018 standard in normotensive pregnant women, women with gestational hypertension, and women with pre-eclampsia.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148668402","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
Nocturnal blood pressure pattern on ambulatory blood pressure monitoring and recurrence after pulmonary vein isolation for atrial fibrillation. 房颤肺静脉隔离术后动态血压监测与复发的夜间血压模式。
IF 1 4区 医学
Blood Pressure Monitoring Pub Date : 2026-07-23 DOI: 10.1097/MBP.0000000000000814
Rie Aoyama, Takashi Uchiyama, Tomohiko Hayashi, Shinichi Okino, Shigeru Fukuzawa
{"title":"Nocturnal blood pressure pattern on ambulatory blood pressure monitoring and recurrence after pulmonary vein isolation for atrial fibrillation.","authors":"Rie Aoyama, Takashi Uchiyama, Tomohiko Hayashi, Shinichi Okino, Shigeru Fukuzawa","doi":"10.1097/MBP.0000000000000814","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000814","url":null,"abstract":"<p><strong>Background: </strong>Nocturnal blood pressure patterns reflect autonomic and volume-related stress and may affect outcomes after pulmonary vein isolation (PVI). We examined their association with atrial fibrillation recurrence after PVI using ambulatory blood pressure monitoring (ABPM).</p><p><strong>Methods and results: </strong>We retrospectively studied 74 consecutive patients with preprocedural ABPM. Patients were classified as dipper (≥10% nocturnal systolic blood pressure decline), nondipper (0 to <10%), or riser (nighttime > daytime blood pressure). Recurrence was defined as any documented atrial tachyarrhythmia lasting greater than or equal to 30 s after the 90-day blanking period; episodes beginning during blanking and persisting beyond day 90 were assigned to day 90. Recurrence occurred in 27 patients (36.5%). Pattern distribution differed significantly by recurrence status (P = 0.002), with recurrence rates of 26.1% in dippers, 31.0% in nondippers, and 88.9% in risers. Kaplan-Meier analysis showed significantly lower freedom from recurrence in risers (log-rank P < 0.001). In univariable Cox analysis using dippers as the reference, risers were associated with recurrence (hazard ratio: 9.50, 95% confidence interval: 3.22-27.97; P < 0.001), whereas nondippers were not. In an exploratory multivariable model including nocturnal blood pressure pattern, persistent atrial fibrillation, and age, the riser pattern remained associated with recurrence (hazard ratio: 9.53, 95% confidence interval: 3.00-30.29; P < 0.001).</p><p><strong>Conclusion: </strong>The riser pattern on ABPM was associated with early postblanking recurrence after PVI and may provide complementary information for risk stratification.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148668397","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
Vascular stiffness relates to the blood pressure response to stair climbing in young adults. 血管僵硬与年轻人爬楼梯时的血压反应有关。
IF 1 4区 医学
Blood Pressure Monitoring Pub Date : 2026-06-01 DOI: 10.1097/MBP.0000000000000791
Saryn J Mandak, Xandra Martinez, Mark Rusnak, Matthew M Schubert, Devan R Romero, Deborah L Feairheller
{"title":"Vascular stiffness relates to the blood pressure response to stair climbing in young adults.","authors":"Saryn J Mandak, Xandra Martinez, Mark Rusnak, Matthew M Schubert, Devan R Romero, Deborah L Feairheller","doi":"10.1097/MBP.0000000000000791","DOIUrl":"10.1097/MBP.0000000000000791","url":null,"abstract":"<p><strong>Objective: </strong>Cardiovascular disease (CVD) is the leading global cause of death, with elevated blood pressure (BP) in young adults being linked to CVD in adulthood. Pulse wave velocity (PWV) is a noninvasive measure of arterial stiffness, a predictor of CVD, and can be influenced by exercise. Exercise, like stair climbing, improves vascular health and reduces BP. The primary aims of this study were to examine whether the change in BP after a single stair climb is associated with PWV and whether it is associated with 24-h BP averages.</p><p><strong>Methods: </strong>Fifty-four young adults (23.8 ± 3.56 years) underwent back-to-back sessions of vascular health assessment, a 24-h ambulatory BP (ABP) monitoring, and a single stair climb exercise consisting of 42 steps. Pre- to post-climb BP response was calculated.</p><p><strong>Results: </strong>Our population was normotensive (119.4/73.7 mmHg) and had an increase in SBP (126.4-138.5 mmHg, P  < 0.05) and heart rate (HR) (85.6-94.2 bpm, P  < 0.05) with climb. We found an inverse relationship between PWV (5.4 ± 0.85 m/s) and change in SBP with climb ( r  = -0.340, P  = 0.012). We found no relationship between 24-h BP averages and post-stair climb response.</p><p><strong>Conclusion: </strong>The first to report an inverse relationship between SBP response to exercise and PWV in young adults emphasizes subtle differences in vascular compliance. While the stair climb elicited a significant vascular response, there was no association with 24-h ABP averages. The potential of stair climbing as a practical exercise for assessing vascular health underscores the need for future research.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"105-112"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916670","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}
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