Blood Pressure Monitoring最新文献_第8页

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":"Objective: 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.Methods: 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.Results: 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).Conclusion: 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.","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":"Introduction: 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.Methods: 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.Results: 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).Conclusion: 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.","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":"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.","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}

引用次数: 0

Comparison of blood pressure measurements on the bare and sleeved arms - what does it uncover? 裸臂和袖臂血压测量结果的比较--能发现什么？

IF 1.3 4区医学

Blood Pressure Monitoring Pub Date : 2024-02-01 Epub Date: 2023-06-19 DOI: 10.1097/MBP.0000000000000660

Rotem Tal-Ben Ishay, Adi Leiba, Vladimir Rappoprt, Avital Angel-Korman, Zeev Katzir

{"title":"Comparison of blood pressure measurements on the bare and sleeved arms - what does it uncover?","authors":"Rotem Tal-Ben Ishay, Adi Leiba, Vladimir Rappoprt, Avital Angel-Korman, Zeev Katzir","doi":"10.1097/MBP.0000000000000660","DOIUrl":"10.1097/MBP.0000000000000660","url":null,"abstract":"Accurate office blood pressure (BP) measurement remains crucial in diagnosing and managing hypertension. In this study, we aimed to compare BP measurements done over a bare arm versus a sleeved arm, while controlling all other possible sources of variance. We collected BP measurements of 100 hypertensive patients visiting a nephrology and hypertension clinic between January 2019 and December 2023. Measurements were taken by a single operator and according to the updated guidelines. BP measurements were performed first with one arm bare, and the other arm sleeved, with measurements taken simultaneously. Then, measurements were again taken simultaneously after exposing the arm which was first sleeved, and dressing the arm which was bare at first. A nonparametric Wilcoxon test was performed to compare each patient's measurements on each arm. No statistically significant differences were found between the sleeved and the bare arm measurements, with one exception of SBP measured on the left arm (slightly lower SBP on the bare arm). While looking at the absolute value of differences, the median difference was impressive with a 7-8 mmHg systolic difference and 5.5 mmHg diastolic difference. Our study revealed a robust and unpredicted effect of clothing on BP; in some patients, BP was increased while in others decreased. Therefore, we believe there is importance in measuring BP on bare skin, regardless of clothing or sleeve type.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"31-34"},"PeriodicalIF":1.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10766092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10031003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Race differences in ambulatory blood pressure monitoring parameters. 动态血压监测参数的种族差异。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2024-02-01 Epub Date: 2023-09-21 DOI: 10.1097/MBP.0000000000000680

Swati Sakhuja, Byron C Jaeger, Yuichiro Yano, Daichi Shimbo, Cora E Lewis, Donald Clark Iii, Gabriel S Tajeu, Shakia T Hardy, Norrina B Allen, James M Shikany, Joseph E Schwartz, Anthony J Viera, Paul Muntner

{"title":"Race differences in ambulatory blood pressure monitoring parameters.","authors":"Swati Sakhuja, Byron C Jaeger, Yuichiro Yano, Daichi Shimbo, Cora E Lewis, Donald Clark Iii, Gabriel S Tajeu, Shakia T Hardy, Norrina B Allen, James M Shikany, Joseph E Schwartz, Anthony J Viera, Paul Muntner","doi":"10.1097/MBP.0000000000000680","DOIUrl":"10.1097/MBP.0000000000000680","url":null,"abstract":"Background: Mean systolic and diastolic blood pressure (SBP and DBP) on ambulatory blood pressure (BP) monitoring (ABPM) are higher among Black compared with White adults. With 48 to 72 BP measurements obtained over 24 h, ABPM can generate parameters other than mean BP that are associated with increased risk for cardiovascular events. There are few data on race differences in ABPM parameters other than mean BP.Methods: To estimate differences between White and Black participants in ABPM parameters, we used pooled data from five US-based studies in which participants completed ABPM (n = 2580). We calculated measures of SBP and DBP level, including mean, load, peak, and measures of SBP and DBP variability, including average real variability (ARV) and peak increase.Results: There were 1513 (58.6%) Black and 1067 (41.4%) White participants with mean ages of 56.1 and 49.0 years, respectively. After multivariable adjustment, asleep SBP and DBP load were 5.7% (95% CI: 3.5-7.9%) and 2.7% (95% CI: 1.1-4.3%) higher, respectively, among Black compared with White participants. Black compared with White participants also had higher awake DBP ARV (0.3 [95%CI: 0.0-0.6] mmHg) and peak increase in DBP (0.4 [95% CI: 0.0-0.8] mmHg). There was no evidence of Black:White differences in awake measures of SBP level, asleep peak SBP or DBP, awake and asleep measures of SBP variability or asleep measures of DBP variability after multivariable adjustment.Conclusion: Asleep SBP load, awake DBP ARV and peak increase in awake DBP were higher in Black compared to White participants, independent of mean BP on ABPM.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"23-30"},"PeriodicalIF":1.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11135280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61560724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Screening for hypertension in adults - the use of tonometric blood pressure monitoring. 成人高血压筛查--使用眼压计监测血压。

IF 1.3 4区医学

Blood Pressure Monitoring Pub Date : 2024-02-01 Epub Date: 2023-09-04 DOI: 10.1097/MBP.0000000000000679

Bodil G Hornstrup, Jeppe B Rosenbæk, Nikolai Hoffmann-Petersen, Jesper N Bech

{"title":"Screening for hypertension in adults - the use of tonometric blood pressure monitoring.","authors":"Bodil G Hornstrup, Jeppe B Rosenbæk, Nikolai Hoffmann-Petersen, Jesper N Bech","doi":"10.1097/MBP.0000000000000679","DOIUrl":"10.1097/MBP.0000000000000679","url":null,"abstract":"Objectives: Arterial hypertension increases the risk of developing cardiovascular disease. Reliable screening tools for diagnosing hypertension are important to ensure correct risk stratification of subjects. In this study, we aimed to analyse if a wrist-worn device using a tonometric technique for measuring of 24-hour blood pressure could be used to diagnose hypertension and non-dipping. A conventional device using oscillometric measurements was used as golden standard. Secondary aim was to compare the degree of discomfort related to monitoring with the two devices.Methods: In 89 subjects with a history of normal blood pressure and naive to ambulatory BP monitoring (ABPM), 24-hour ABPM was measured simultaneously with A&D TM2430 (oscillometric technique) and BPro (tonometric technique).Results: When comparing measurements from the two devices, we found that the tonometric device misclassified 46% of hypertensive subjects and 69% of non-dippers. The tonometric device measured significantly lower systolic 24-hour and daytime blood pressure. The subjects reported less discomfort related to the tonometric than the oscillometric device.Conclusion: Despite less discomfort related to usage of the tonometric device for 24-hour blood pressure monitoring compared to an oscillometric device, misclassification of hypertension and non-dipping makes the tonometric device inappropriate as a screening instrument.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"15-22"},"PeriodicalIF":1.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10766095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10220527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of the Omron HeartGuide to the Welch Allyn ProBP 3400 blood pressure monitor. 欧姆龙 HeartGuide 与 Welch Allyn ProBP 3400 血压计的比较。

IF 1.3 4区医学

Blood Pressure Monitoring Pub Date : 2024-02-01 Epub Date: 2023-09-14 DOI: 10.1097/MBP.0000000000000672

Brianna D Harfmann, Sylvia E Neph, Mason M Gardner, Audrey A Plouffe, Jennifer R Vranish, Alexander H K Montoye

{"title":"Comparison of the Omron HeartGuide to the Welch Allyn ProBP 3400 blood pressure monitor.","authors":"Brianna D Harfmann, Sylvia E Neph, Mason M Gardner, Audrey A Plouffe, Jennifer R Vranish, Alexander H K Montoye","doi":"10.1097/MBP.0000000000000672","DOIUrl":"10.1097/MBP.0000000000000672","url":null,"abstract":"Hypertension affects approximately 100 million U.S. adults and is the leading single contributing risk factor to all-cause mortality. Accurate blood pressure (BP) measurement is essential in the treatment of BP, and a number of devices exist for monitoring. Recently, a new watch-type design was released, the Omron HeartGuide (BP8000), with claims to provide clinically accurate BP measurement while also tracking activity and sleep similar to smart watches. The aim of this research was done in two studies: (1) evaluation of the HeartGuide device for measurement of resting BP and heart rate (HR); and (2) assessment of the HeartGuide for BP, HR, step-counting and sleep monitoring during activities of daily living. Study 1 compared the Omron HeartGuide to the previously validated Welch Allyn ProBP 3400 following a modified version of the Universal Standard for validation of BP measuring devices set by the AAMI/ESH/ISO. While resting HR measured by the HeartGuide was similar to Welch Allyn measures, both systolic and diastolic BP were significantly lower ( P ≤0.001), with differences of 10.4 (11.1) and 3.2 (10.0) mmHg, respectively. Study 2 compared HeartGuide measures to Welch Allyn measures for BP, HR, steps and sleep during various body positions (supine, seated, standing), physiological stressors (cold pressor test, lower body submersion, exercise), and free-living. The HeartGuide significantly underestimated BP though provided accurate HR during most conditions. It also significantly underestimated steps, but reported sleep measures similar to those subjectively reported. Based on the significant differences between the HeartGuide and Welch Allyn, our data indicate the HeartGuide is not a suitable replacement for existing BP monitors.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"45-54"},"PeriodicalIF":1.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10222349","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

Positive blood pressure response may predict the recovery of renal function after transcatheter aortic valve implantation. 积极的血压反应可预测经导管主动脉瓣植入术后肾功能的恢复。

IF 1.3 4区医学

Blood Pressure Monitoring Pub Date : 2024-02-01 Epub Date: 2023-09-14 DOI: 10.1097/MBP.0000000000000676

Orhan Ince, Kamil Gulsen, Sevgi Ozcan, Sevil Tugrul, Fahrettin Katkat, Serkan Karahan, Esra Donmez, Alper Kepez, Irfan Sahin, Ertugrul Okuyan

{"title":"Positive blood pressure response may predict the recovery of renal function after transcatheter aortic valve implantation.","authors":"Orhan Ince, Kamil Gulsen, Sevgi Ozcan, Sevil Tugrul, Fahrettin Katkat, Serkan Karahan, Esra Donmez, Alper Kepez, Irfan Sahin, Ertugrul Okuyan","doi":"10.1097/MBP.0000000000000676","DOIUrl":"10.1097/MBP.0000000000000676","url":null,"abstract":"Objective: Transcatheter aortic valve implantation (TAVI) may ameliorate renal function and increase blood pressure (BP). We aimed to investigate the association between increased BP and improved renal function (IRF) after TAVI.Methods: A total of 176 patients who had undergone TAVI were evaluated retrospectively. BP records that were taken 24 h before and 72 h after TAVI were reviewed. Pre-procedural, post-procedural 48 h, and the first month estimated glomerular filtration rate (eGFR) levels were noted. IRF was accepted as a ≥ 10% increase in eGFR. The predictors of acute kidney injury (AKI) development at 48 h and IRF at 1 month were investigated. The association between mortality and BP response was assessed.Results: A total of 157 patients were included in this study after exclusion as defined in the methodology. Mean age was 78.1 ± 7,1 and 51.6% were female. AKI occurred in 25.5% of patients and baseline eGFR and male gender were found as independent predictors for AKI development. IRF was observed in 16% at 48 h and 31.8% of patients at 1-month follow-up. Positive BP response was seen in 42% of patients. Pre-procedural chronic kidney disease, positive BP response, and an early increase in eGFR emerged as independent predictors of IRF at the first month. The patients with positive BP response were found to have decreased mortality at 710 days follow-up.Conclusion: Positive BP response after TAVI is related to improved survival and renal functions. The beneficial effect of TAVI on renal function may be precisely evaluated at 1st month rather than 48 h.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"1-8"},"PeriodicalIF":1.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10222352","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 iHealth Track upper-arm blood pressure monitor KN-550BT in general population according to the AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018+AMD1:2020). 根据 AAMI/ESH/ISO 通用标准（ISO 81060-2:2018+AMD1:2020），验证 iHealth Track 上臂式血压计 KN-550BT 在普通人群中的应用。

IF 1.3 4区医学

Blood Pressure Monitoring Pub Date : 2024-02-01 Epub Date: 2023-09-14 DOI: 10.1097/MBP.0000000000000678

Lei Shi, Xin-Yi Zhang, Jia-Yi Sun, Jin-Feng Chen, Yi-Fei Ma, Kai-Yuan Zhou

{"title":"Validation of the iHealth Track upper-arm blood pressure monitor KN-550BT in general population according to the AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018+AMD1:2020).","authors":"Lei Shi, Xin-Yi Zhang, Jia-Yi Sun, Jin-Feng Chen, Yi-Fei Ma, Kai-Yuan Zhou","doi":"10.1097/MBP.0000000000000678","DOIUrl":"10.1097/MBP.0000000000000678","url":null,"abstract":"Objective: To validate the iHealth Track KN-550BT oscillometric upper-arm blood pressure monitor in general population according to the AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018+AMD1:2020).Methods: Participants were recruited and the same left-arm sequential method was used for blood pressure measurement according to the ISO 81060-2:2018+AMD1:2020. 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 89 qualified 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 -1.22 ± 5.76 mmHg and -0.08 ± 4.40 mmHg for systolic and diastolic blood pressure, respectively. For Criterion 2, the mean ± SD of the differences between the test device and reference readings per participant was -1.22 ± 5.06 mmHg and -0.08 ± 3.84 mmHg for systolic and diastolic blood pressure, respectively.Conclusion: The iHealth Track KN-550BT upper-arm blood pressure monitor passed all the requirements of the AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018+AMD1:2020) and can be recommended for clinical use and self-measurement in general population.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"41-44"},"PeriodicalIF":1.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10215378","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

Evaluation of stroke volume estimation during orthostatic stress: the utility of Modelflow. 直立应力状态下卒中量估计的评估：Modelflow的实用性。

IF 1.3 4区医学

Blood Pressure Monitoring Pub Date : 2023-12-01 Epub Date: 2023-08-24 DOI: 10.1097/MBP.0000000000000671

Vera-Ellen M Lucci, Iain T Parsons, Brooke C D Hockin, Victoria E Claydon

{"title":"Evaluation of stroke volume estimation during orthostatic stress: the utility of Modelflow.","authors":"Vera-Ellen M Lucci, Iain T Parsons, Brooke C D Hockin, Victoria E Claydon","doi":"10.1097/MBP.0000000000000671","DOIUrl":"10.1097/MBP.0000000000000671","url":null,"abstract":"Advanced blood pressure monitoring devices contain algorithms that permit estimation of stroke volume (SV). Modelflow (Finapres Medical Systems) is one common method to non-invasively estimate beat-to-beat SV. However, Modelflow accuracy during profound reductions in SV is unclear. We aimed to compare SV estimation by Modelflow and echocardiography, at rest and during orthostatic challenge. We tested 13 individuals (age 24 ± 2 years; 7 female) using combined head-up tilt and graded lower body negative pressure, continued until presyncope. SV was derived by both Modelflow and echocardiography on multiple occasions while supine, during orthostatic stress, and at presyncope. SV index (SVI) was determined by normalising SV for body surface area. Bias and limits of agreement were determined using Bland-Altman analyses. Two one-sided tests (TOST) examined equivalency. Across all timepoints, Modelflow estimates of SV (73.2 ± 1.6 ml) were strongly correlated with echocardiography estimates (66.1 ± 1.3 ml) (r = 0.56, P < 0.001) with a bias of +7.1 ± 21.1 ml. Bias across all timepoints was further improved when SV was indexed (+3.6 ± 12.0 ml.m -2 ). Likewise, when assessing responses relative to baseline, Modelflow estimates of SV (-23.4 ± 1.4%) were strongly correlated with echocardiography estimates (-19.2 ± 1.3%) (r = 0.76, P < 0.001), with minimal bias (-4.2 ± 13.1%). TOST testing revealed equivalency to within 15% of the clinical standard for SV and SVI, both expressed as absolute values and relative to baseline. Modelflow can be used to track changes in SV during profound orthostatic stress, with accuracy enhanced with correction relative to baseline values or body size. These data support the use of Modelflow estimates of SV for autonomic function testing.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"330-337"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10146034","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