Blood Pressure Monitoring最新文献

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Validation of the ANDON KD-595 automated upper-arm blood pressure monitor according to the universal standard. 根据通用标准对 ANDON KD-595 自动上臂式血压计进行验证。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2024-04-01 Epub Date: 2023-12-14 DOI: 10.1097/MBP.0000000000000686
Kui Liu, Dan Wu, Sen Bing, Lin-Yi Li
{"title":"Validation of the ANDON KD-595 automated upper-arm blood pressure monitor according to the universal standard.","authors":"Kui Liu, Dan Wu, Sen Bing, Lin-Yi Li","doi":"10.1097/MBP.0000000000000686","DOIUrl":"10.1097/MBP.0000000000000686","url":null,"abstract":"<p><strong>Objective: </strong>To validate the ANDON KD-595 automated upper-arm blood pressure monitor for clinical use and self-measurement blood pressure measurement according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ISO) Universal Standard.</p><p><strong>Methods: </strong>Same left-arm blood pressure was sequentially measured in 90 qualified adult participants and compared with a standard mercury sphygmomanometer. A total of 270 comparison pairs were obtained and analyzed according to the universal standard.</p><p><strong>Results: </strong>For the validation Criterion 1 of the universal standard, the mean ± SD of the differences between the test device and reference blood pressure readings was 0.96 ± 5.35 and 0.82 ± 5.08 mmHg for SBP and DBP, respectively. For Criterion 2, the SDs of the averaged blood pressure differences between the test device and reference blood pressure per subject were 4.84 and 4.64 mmHg (with maximum allowed SDs of 6.87 and 6.89 mmHg) for SBP and DBP, respectively.</p><p><strong>Conclusion: </strong>The ANDON KD-595 automated upper-arm blood pressure monitor passed all the validation requirements according to the AAMI/ESH/ISO Universal Standard and can be recommended for clinical use and self-measurement blood pressure measurement in the general population.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"103-106"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139401673","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
Blood pressure responsiveness to resistance training in the hypertensive older adult: a randomized controlled study. 高血压老年人对阻力训练的血压反应:随机对照研究。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2024-04-01 Epub Date: 2024-01-15 DOI: 10.1097/MBP.0000000000000690
Odilon Abrahin, Rejane Pequeno Abrahin, Mayko Guimarães, Vitor Bruno Teixeira de Holanda, Fernanda Andreza De Pinho Lott Figueiredo, Bruno Viana Rosa, Ivo Vieira de Sousa Neto, Nicholas Rolnick, Gislane Ferreira de Melo, Emanuelle Fernandes Prestes, Dahan da Cunha Nascimento
{"title":"Blood pressure responsiveness to resistance training in the hypertensive older adult: a randomized controlled study.","authors":"Odilon Abrahin, Rejane Pequeno Abrahin, Mayko Guimarães, Vitor Bruno Teixeira de Holanda, Fernanda Andreza De Pinho Lott Figueiredo, Bruno Viana Rosa, Ivo Vieira de Sousa Neto, Nicholas Rolnick, Gislane Ferreira de Melo, Emanuelle Fernandes Prestes, Dahan da Cunha Nascimento","doi":"10.1097/MBP.0000000000000690","DOIUrl":"10.1097/MBP.0000000000000690","url":null,"abstract":"<p><p>Different lifestyle changes have been employed to improve clinical hypertension. However, there is scarce evidence on the blood pressure responsiveness to resistance training (RT) in hypertensive older adults. Consequently, little is known about some participants clinically reducing blood pressure and others not. Thus, we investigate the effects and responsiveness of RT on blood pressure in hypertensive older adults. We secondarily evaluated the biochemical risk factors for cardiovascular disease and functional performance. Older participants with hypertension were randomly assigned into RT (n = 27) and control group (n = 25). Blood pressure, functional performance (timed up and go, handgrip strength, biceps curl and sit-to-stand), fasting glucose, and lipid profiles were evaluated preintervention and postintervention. The statistic was performed in a single-blind manner, the statistician did not know who was the control and RT. RT was effective in reducing systolic blood pressure (SBP) (pre 135.7 ± 14.7; post 124.7 ± 11.0; P  < 0.001) and the responses to RT stimuli varied noticeably between hypertensive older adults after 12 weeks. For example, 13 and 1 responders displayed a minimal clinical important difference for SBP attenuation (10.9 mmHg) in the RT and control groups, respectively. RT improved the functional performance of older people with hypertension, while no differences were found in biochemical parameters (triglycerides, HDL, LDL, fasting glucose) after 12 weeks. In conclusion, responses to RT stimuli varied noticeably between hypertensive individuals and RT was effective in reducing SBP.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"71-81"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139650279","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
Analyzing key genetic and comorbid factors on the efficacy of digital therapeutics for treating high blood pressure. 分析数字疗法治疗高血压疗效的关键遗传和合并因素。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2024-04-01 Epub Date: 2024-02-28 DOI: 10.1097/MBP.0000000000000687
Jigar Patel, Hasan Zia, David F Lo
{"title":"Analyzing key genetic and comorbid factors on the efficacy of digital therapeutics for treating high blood pressure.","authors":"Jigar Patel, Hasan Zia, David F Lo","doi":"10.1097/MBP.0000000000000687","DOIUrl":"10.1097/MBP.0000000000000687","url":null,"abstract":"","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":"29 2","pages":"107-108"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989256","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 automated oscillometric upper-arm cuff home blood pressure monitor AVITA BPM82 in a general population according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ISO) Universal Standard. 根据医学仪器进步协会/欧洲高血压学会/国际标准化组织(AAMI/ESH/ISO)通用标准,在普通人群中验证自动示波上臂套家用血压监测仪AVITA BPM82。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2024-04-01 Epub Date: 2023-11-06 DOI: 10.1097/MBP.0000000000000682
Ariadni Menti, Vasileios Ntousopoulos, Aikaterini Theodosiadi, Panagiota Stathopoulou, Anastasios Kollias, George S Stergiou
{"title":"Validation of the automated oscillometric upper-arm cuff home blood pressure monitor AVITA BPM82 in a general population according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ISO) Universal Standard.","authors":"Ariadni Menti, Vasileios Ntousopoulos, Aikaterini Theodosiadi, Panagiota Stathopoulou, Anastasios Kollias, George S Stergiou","doi":"10.1097/MBP.0000000000000682","DOIUrl":"10.1097/MBP.0000000000000682","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated the accuracy of the automated oscillometric upper-arm cuff device AVITA BPM82 intended for home use in a general population according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ISO) Universal Standard (ISO 81060-2:2018) and its Amendment 1.2020-01.</p><p><strong>Methods: </strong>Participants were recruited to fulfill the age, sex, blood pressure (BP), and limb distribution criteria of the AAMI/ESH/ISO Universal Standard and its Amendment 1.2020-01 in a general population using the same arm sequential BP measurement method. Two cuffs of the test device were used for arm circumference 22-33 (medium) and 33-42 cm (large).</p><p><strong>Results: </strong>One-hundred-one individuals were recruited and 85 were analyzed [mean age 57.3 ± 15.1 (SD) years, 46 men, arm circumference 32 ± 5.1 cm, range 22.3-42 cm]. For validation Criterion 1, the mean difference ±SD between the test device and reference BP readings (N = 255) was 1.3 ± 6.5/3.6 ± 5.9 mmHg (systolic/diastolic; threshold ≤5 ± 8 mmHg). For Criterion 2, the SD of the averaged BP differences between the test device and reference BP per individual (N = 85) was 5.70/5.25 mmHg (systolic/diastolic; threshold ≤6.82/5.89 mmHg).</p><p><strong>Conclusions: </strong>The automated oscillometric home BP monitor AVITA BPM82 comfortably fulfilled all the requirements of the AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018) and its Amendment 1.2020-01 in a general population and can be recommended for clinical use.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"89-92"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71477600","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
Feasibility of Arteriograph 24 for evaluation of 24-hour pulse wave velocity and central blood pressure in patients with type 2 diabetes and non-diabetic controls. Arteriograph 24 用于评估 2 型糖尿病患者和非糖尿病对照组 24 小时脉搏波速度和中心血压的可行性。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2024-04-01 Epub Date: 2024-01-15 DOI: 10.1097/MBP.0000000000000689
Esben Laugesen, Amalie Nørkjær Svendsen, Liv Vernstrøm, Lene Halkjær, Anna Dons-Jensen, Kristian L Funck, Klavs Würgler Hansen, Per Løgstrup Poulsen
{"title":"Feasibility of Arteriograph 24 for evaluation of 24-hour pulse wave velocity and central blood pressure in patients with type 2 diabetes and non-diabetic controls.","authors":"Esben Laugesen, Amalie Nørkjær Svendsen, Liv Vernstrøm, Lene Halkjær, Anna Dons-Jensen, Kristian L Funck, Klavs Würgler Hansen, Per Løgstrup Poulsen","doi":"10.1097/MBP.0000000000000689","DOIUrl":"10.1097/MBP.0000000000000689","url":null,"abstract":"<p><p>The objective of this study was to assess the feasibility of the Arteriograph 24 device to measure 24-hour PWV and central systolic blood pressure (cSBP) in patients with type 2 diabetes (T2DM) and non-diabetic controls and compare daytime and nighttime characteristics in the two groups. Twenty-four-hour PWV and cSBP was measured in 58 patients with T2DM (mean age: 66 ± 9 years, 50% women, mean duration of T2DM: 7.8 ± 1.5 years) and 62 age- and sex-matched controls. Seventy percent of participants (71% T2DM patients and 69% controls) had sufficient readings to generate an acceptable 24-hour report (≥14 day and ≥7 night readings). Lower nocturnal than daytime PWV and cSBP were observed in both groups. Nocturnal PWV and cSBP dipping were attenuated in T2DM patients compared to controls (PWV: -0.3 ± 0.9 vs. -0.7 ± 0.9 m/s, P  = 0.04, cSBP: -8 ± 14 vs. -18 ± 18 mmHg, P  < 0.01). No group differences in PWV or cSBP were observed during daytime (T2D vs. controls, PWV: 9.2 ± 1.1 vs. 9.2 ± 1.3 m/s, P  = 0.99, cSBP: 133 ± 19 vs. 137 ± 25 mmHg, P  = 0.42) or nighttime (PWV: 8.9 ± 1.3 vs. 8.4 ± 1.3 m/s, P  = 0.14, cSBP 124 ± 20 vs. 118 ± 27 mmHg, P  = 0.26). The study findings indicate that the nocturnal dipping of PWV and cSBP is attenuated in T2DM patients. The significant number of missing measurements raises concerns regarding the clinical utility of the Arteriograph 24 device.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"82-88"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139650280","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 Wellvii VitalDetect blood pressure monitor in general population according to the International Standardization Organization 81060-2:2018. 根据国际标准化组织81060-2:2018,在普通人群中验证Wellvii VitalDetect血压监测仪。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2024-04-01 Epub Date: 2023-11-15 DOI: 10.1097/MBP.0000000000000683
Lin-Yi Li, Jin-Feng Chen, Sen Bing, Kui Liu, Rui Cheng, Yi Wan
{"title":"Validation of the Wellvii VitalDetect blood pressure monitor in general population according to the International Standardization Organization 81060-2:2018.","authors":"Lin-Yi Li, Jin-Feng Chen, Sen Bing, Kui Liu, Rui Cheng, Yi Wan","doi":"10.1097/MBP.0000000000000683","DOIUrl":"10.1097/MBP.0000000000000683","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the accuracy of the Wellvii VitalDetect automated oscillometric finger blood pressure monitor (single cuff size) for self/home blood pressure measurement according to the AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018).</p><p><strong>Methods: </strong>According to the universal standard, a total of 92 participants were recruited and finally blood pressure of 85 eligible participants was sequentially measured and compared with a standard mercury sphygmomanometer.</p><p><strong>Results: </strong>A total of 255 comparison pairs were obtained and analyzed based on the universal standard. For the validation criterion 1 of the ISO 81060-2:2018 universal standard, the mean ± SD of the differences between the test device and reference blood pressure readings was 1.66 ± 7.67 and 1.04 ± 6.45 mmHg for systolic and diastolic blood pressure, respectively. For criterion 2, the SD of the averaged blood pressure differences between the test device and reference blood pressure per subject was ± 6.49 mmHg (pass ≤ 6.73 mmHg) and ± 5.67 mmHg (pass ≤ 6.86 mmHg) for systolic and diastolic blood pressure, respectively.</p><p><strong>Conclusion: </strong>The Wellvii VitalDetect automated finger blood pressure monitor passed all the requirements for validation by the ISO 81060-2:2018 universal standard and can be recommended for self/home blood pressure measurement in general population.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"93-98"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138298255","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
Osteoprotegerin is associated with subclinical left ventricular systolic dysfunction in non-dipper hypertensive patients: a 2D speckle tracking echocardiographic study. 骨保护素与非铲斗型高血压患者的亚临床左心室收缩功能障碍相关:一项2D斑点跟踪超声心动图研究。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2024-04-01 Epub Date: 2023-11-06 DOI: 10.1097/MBP.0000000000000681
Elnur Alizade, Muzaffer Kahyaoglu, Ismail Balaban, Servet Izci, Ahmet Guler
{"title":"Osteoprotegerin is associated with subclinical left ventricular systolic dysfunction in non-dipper hypertensive patients: a 2D speckle tracking echocardiographic study.","authors":"Elnur Alizade, Muzaffer Kahyaoglu, Ismail Balaban, Servet Izci, Ahmet Guler","doi":"10.1097/MBP.0000000000000681","DOIUrl":"10.1097/MBP.0000000000000681","url":null,"abstract":"<p><strong>Background: </strong>Past studies have shown that non-dipper hypertensive patients have more frequent subclinical left ventricular (LV) systolic dysfunction compared to dippers. Many different parameters have been examined to predict subclinical LV dysfunction. The role of osteoprotegerin (OPG) in the pathogenesis of heart failure and LV systolic dysfunction through different mechanisms had well described. In the present study, we hypothesized that increased OPG levels could predict subclinical LV systolic dysfunction in non-dipper hypertensive patients.</p><p><strong>Patients and methods: </strong>Hypertensive patients were divided into two groups according to the results of ambulatory blood pressure (BP) monitoring. Non-dipper patients were subsequently divided into two further groups (normal LV function and impaired LV function) according to LV global longitudinal strain (GLS).</p><p><strong>Results: </strong>A total of 103 hypertensive patients (51 dippers, 52 non-dippers) were included in the study. In the non-dipper group, LV GLS was normal in 21 patients and impaired in 31 patients. Based on the results of the multivariate logistic regression test, it was determined that OPG levels (OR: 2.413, 95% CI: 1.284-4.535, P  = 0.006) and LVMI (OR: 1.086, 95% CI: 1.013-1.165, P  = 0.021) were independently associated with impaired GLS.</p><p><strong>Conclusion: </strong>Higher OPG values were associated with subclinical LV systolic dysfunction in non-dipper hypertensive patients. It could be used for the early diagnosis of subclinical LV systolic dysfunction, which would allow for strategies to be designed to reduce the cardiovascular event rate in this patient population.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"55-62"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71477599","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 oscillometric home blood pressure monitor Braun BUA4000 with wide-range cuff in a general population according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ISO) Universal Standard. 根据医疗器械进步协会/欧洲高血压学会/国际标准化组织(AAMI/ESH/ISO)通用标准,在普通人群中验证带有宽范围袖带的家庭血压计Braun BUA4000。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2024-04-01 Epub Date: 2023-11-15 DOI: 10.1097/MBP.0000000000000684
Vasileios Ntousopoulos, Angeliki Ntineri, Aikaterini Theodosiadi, Panagiota Stathopoulou, Ariadni Menti, Konstantinos G Kyriakoulis, Anastasios Kollias, George S Stergiou
{"title":"Validation of the oscillometric home blood pressure monitor Braun BUA4000 with wide-range cuff in a general population according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ISO) Universal Standard.","authors":"Vasileios Ntousopoulos, Angeliki Ntineri, Aikaterini Theodosiadi, Panagiota Stathopoulou, Ariadni Menti, Konstantinos G Kyriakoulis, Anastasios Kollias, George S Stergiou","doi":"10.1097/MBP.0000000000000684","DOIUrl":"10.1097/MBP.0000000000000684","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the blood pressure (BP) measurement accuracy of the Braun BUA4000 automated oscillometric upper-arm cuff device for self-home use in a general population according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ISO) Universal Standard (ISO 81060-2:2018) and its Amendment 1.2020-01.</p><p><strong>Methods: </strong>Participants were recruited to fulfill the age, sex, BP and limb circumference distribution criteria of the AAMI/ESH/ISO Universal Standard in a general population using the same arm sequential BP measurement method. A single wide-range cuff of the test device was used for arm circumference range 22-42 cm.</p><p><strong>Results: </strong>A total of 98 individuals were recruited and 85 were analyzed [mean age 60.3 ± 16.1 (SD) years, 44 men, arm circumference 31.5 ± 5.1 cm, range 22-41.5 cm]. For validation criterion 1, the mean difference ± SD between the test device and reference BP readings ( N  = 255) was 0.9 ± 6.4/-0.3 ± 6.4 mmHg (systolic/diastolic; threshold ≤5 ± 8 mmHg). For criterion 2, the SD of the averaged BP differences between the test device and reference BP per individual ( N  = 85) was 5.15/5.81 mmHg (systolic/diastolic; threshold ≤6.88/6.95 mmHg).</p><p><strong>Conclusion: </strong>The Braun BUA4000 automated oscillometric BP monitor fulfilled all the requirements of the AAMI/ESH/ISO Universal Standard in a general population and can be recommended for self-monitoring of BP by patients at home.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"99-102"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138298254","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
Ambulatory blood pressure monitoring in pediatric patients with sickle cell anemia. 镰状细胞贫血儿科患者的动态血压监测。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2024-02-01 Epub Date: 2023-09-14 DOI: 10.1097/MBP.0000000000000677
Gustavo Adolfo Guerrero Tinoco, Zilac Espitaleta Vergara, Maria José Daniels García, Alex Domínguez-Vargas
{"title":"Ambulatory blood pressure monitoring in pediatric patients with sickle cell anemia.","authors":"Gustavo Adolfo Guerrero Tinoco, Zilac Espitaleta Vergara, Maria José Daniels García, Alex Domínguez-Vargas","doi":"10.1097/MBP.0000000000000677","DOIUrl":"10.1097/MBP.0000000000000677","url":null,"abstract":"<p><strong>Introduction: </strong>Sickle cell anemia (SCA) is a hemoglobinopathy presenting severe endothelial damage associated with increased prevalence of hypertension (HTN). Few studies have used ambulatory blood pressure monitoring (ABPM) in pediatric patients with SCA. The aim of this study was to characterize the ABPM profile in children with SCA.</p><p><strong>Methods: </strong>A retrospective cross-sectional study was conducted on all subjects <18 years of age with SCA who presented at a medical reference center in the city of Cartagena, Colombia. Anthropometric, clinical laboratory, treatment, and ABPM parameters, including ambulatory arterial stiffness index (AASI) were registered.</p><p><strong>Results: </strong>The study included 79 patients, of these, 23 (29%) children had normal BP, 49 (62%) had abnormal BP and 7 (9%) had HTN. Mean age was 10.5 ± 3.6 years and 44 (56%) cases were male. Forty-eight (60%) patients had pre-HTN. Masked HTN was present in 6 (8%) patients. One (1%) had ambulatory HTN, and another one (1%) had white coat HTN. The HTA group exhibited significantly higher systolic BP and diastolic BP compared to the other groups in 24-hour BP readings, daytime BP, and night-time BP ABPM parameters ( P  < 0.05), except for daytime DBP ( P  = 0.08). Mean AASI was 0.4 ± 0.2. The HTN group had the highest AASI value compared to the other groups ( P = 0.006).</p><p><strong>Conclusion: </strong>Significant alterations in ABPM parameters are frequently observed in pediatric patients with SCA. The incorporation of ABPM, along with the assessment of AASI, is recommended for a comprehensive evaluation of cardiovascular and renal risk in SCA patients.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"9-14"},"PeriodicalIF":1.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10215914","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
Impact of home blood pressure monitors on self-monitoring and control of blood pressure in vulnerable adults. 家用血压计对弱势成人自我监测和控制血压的影响。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2024-02-01 Epub Date: 2023-08-14 DOI: 10.1097/MBP.0000000000000670
Yufei Shi, Carrie McAdam-Marx, Jessica M Downes
{"title":"Impact of home blood pressure monitors on self-monitoring and control of blood pressure in vulnerable adults.","authors":"Yufei Shi, Carrie McAdam-Marx, Jessica M Downes","doi":"10.1097/MBP.0000000000000670","DOIUrl":"10.1097/MBP.0000000000000670","url":null,"abstract":"<p><p>To evaluate associations between home blood pressure monitoring (HBPM) and blood pressure (BP) in vulnerable adults during the COVID-19 pandemic, when access to in-person care was restricted. A retrospective cohort study was conducted in adults with hypertension or elevated BP given a home BP monitor vs. usual care. Change in BP from baseline to follow-up was compared between groups, controlling for potential confounders. Subgroup analyses of BP outcomes were also assessed in patients age >50 years. There was no difference in SBP reduction between n = 82 HBPM patients (-11.7/-2.9 mmHg) and n = 280 usual care patients (-12.5/-5.8 mmHg; P > 0.05). Results were similar in multivariable analysis controlling for potential confounders [coefficient 0.44, 95% confidence interval (CI) -3.98 to 4.87]. However, in the subgroup of patients aged>50 years, there was a significant association between SBP reduction and HBPM in the multivariable analyses (coefficient -7.2, 95% CI -13.8 to -0.62, P = 0.032). HBPM use was not associated with BP reduction in vulnerable adults overall during high telehealth use. An association between SBP reduction and HBPM was observed in those aged>50 years. Targeting limited HBPM resources to those aged >50 years old may have the most impact on BP.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"35-40"},"PeriodicalIF":1.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519384","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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