Blood Pressure Monitoring最新文献

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Blood pressure surge with alarm is reduced after exercise and diet intervention in firefighters. 在对消防员进行运动和饮食干预后,报警时血压骤升的情况有所缓解。
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2023-06-01 Epub Date: 2023-04-12 DOI: 10.1097/MBP.0000000000000649
Deborah L Feairheller, Macie Smith, Megan Carty, Emily H Reeve
{"title":"Blood pressure surge with alarm is reduced after exercise and diet intervention in firefighters.","authors":"Deborah L Feairheller, Macie Smith, Megan Carty, Emily H Reeve","doi":"10.1097/MBP.0000000000000649","DOIUrl":"10.1097/MBP.0000000000000649","url":null,"abstract":"<p><strong>Background: </strong>Cardiac-related incidents are a public health concern for tactical occupations, and cardiovascular disease rates are higher in these populations compared with civilians. Research is needed to examine blood pressure (BP) responses in firefighters. The pager alert is one occupational hazard, and it is unknown if lifestyle change can reduce the systolic surge response.</p><p><strong>Purpose: </strong>To measure BP surge with alarm in firefighters to determine whether the magnitude is lower after a 6-week tactical exercise and Mediterranean-diet intervention.</p><p><strong>Methods: </strong>SBP and DBP and BP surge levels, circulating markers, vascular health, and fitness were analyzed. BP surge with alarm was captured during a 12-hour workshift. Exercise and diet were self-reported. Diet was tracked with diet scores based on number of servings.</p><p><strong>Results: </strong>Twenty five firefighters (43.4 ± 13.9 years) participated. We found changes in the magnitude of BP surge with alarm (SBP surge from16.7 ± 12.9 to 10.5 ± 11.7 mmHg, P < 0.05; DBP surge from 8.2 ± 10.8 to 4.9 ± 5.6 mmHg, P > 0.05) after intervention. We confirm that clinical (127.6 ± 9.1 to 120 ± 8.2 mmHg) and central (122.7 ± 11.3 to 118.2 ± 10.7 mmHg) SBP levels improve with exercise and diet. We report for the first time in firefighters that oxidative stress markers superoxide dismutase (9.1 ± 1.5 to 11.2 ± 2.2 U/ml) and nitric oxide (40.4 ± 7 to 48.9 ± 16.9 μmol/l) levels improve with an exercise and diet intervention.</p><p><strong>Conclusion: </strong>These findings have implications toward the benefit that short-term lifestyle changes make toward reducing the alarm stress response in first responders.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/8f/bpmj-28-134.PMC10132461.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9457003","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
Validation of the ABPMpro ambulatory blood pressure monitor in the general population according to AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018). 根据AAMI/ESH/ISO通用标准(ISO 81060-2:2018)在普通人群中验证ABPMpro动态血压监测仪。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-06-01 DOI: 10.1097/MBP.0000000000000640
Bernhard Roth, Tomas Lucca Bothe, Andreas Patzak, Niklas Pilz
{"title":"Validation of the ABPMpro ambulatory blood pressure monitor in the general population according to AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018).","authors":"Bernhard Roth,&nbsp;Tomas Lucca Bothe,&nbsp;Andreas Patzak,&nbsp;Niklas Pilz","doi":"10.1097/MBP.0000000000000640","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000640","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to evaluate the accuracy of the oscillometric upper-arm device ABPMpro (SOMNOmedics) for ambulatory blood pressure measurement in the 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) at rest and during dynamic exercise.</p><p><strong>Methods: </strong>Subjects were recruited to fulfill the age, sex, blood pressure (BP) and cuff distribution criteria of the AAMI/ESH/ISO standard using the same arm sequential BP measurement method. Three appropriate cuff sizes (18-24, 24-34 and 34-46 cm) of the tested device were used for the arm-varying circumferences. The inflation and deflation measurement modes of the ABPMpro were investigated.</p><p><strong>Results: </strong>For the general validation study, 100 subjects were recruited and 90 were analyzed. For validation criterion (1), the mean ± SD of the differences between ABPMpro and reference BP was 0.7 ± 7.3/-0.7 ± 5.8 mmHg (systolic/diastolic) for inflation and 1.4 ± 7.7/-0.6 ± 6.1 mmHg for deflation measurements. For criterion (2), the SD of the averaged BP differences per subject was 5.98/5.10 mmHg for inflation and 6.46/5.36 mmHg for deflation measurements, thereby passing the threshold. In the ambulatory validation study ( N  = 36), the mean difference was -1.2 ± 7.9/ 2.4 ± 6.6 mmHg for inflation and -0.7 ± 7.6/3.1 ± 7.0 mmHg for deflation measurements.</p><p><strong>Conclusion: </strong>The ABPMpro device fulfilled the ISO 81060-2:2018 requirements in the general population and in the ambulatory setting and can therefore be recommended for clinical use.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9456501","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
Validation of the A&D UM-212BLE monitor according to ISO 81060-2, 2018: a device with clinically important programmability. 根据ISO 81060-22018验证A&D UM-212BLE监护仪:一种具有临床重要可编程性的设备。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-04-01 Epub Date: 2023-02-13 DOI: 10.1097/MBP.0000000000000636
Bruce S Alpert
{"title":"Validation of the A&D UM-212BLE monitor according to ISO 81060-2, 2018: a device with clinically important programmability.","authors":"Bruce S Alpert","doi":"10.1097/MBP.0000000000000636","DOIUrl":"10.1097/MBP.0000000000000636","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this report was to describe the validation of the A&D UM-212BLE automated oscillometric sphygmomanometer to the ISO 81060-2, 2018 protocol. The device is specifically designed for enhanced office and out-of-office programmability.</p><p><strong>Methods: </strong>A combined pediatric ( n  = 35) and adult ( n  = 50) population was studied at Clinmark LLC in Louisville, Colorado, USA. Same-arm sequential testing was performed following the ISO 81060-2, 2018 requirements. Five cuffs were tested with a total arm circumference range from 12 to 50 cm. Reference readings were done by two blinded observers performing simultaneous auscultation.</p><p><strong>Results: </strong>For validation of Criterion 1 the mean ± SD (mmHg) of the device minus the reference differences were 3.94 ± 6.89 for SBP and 2.09 ± 6.68 for DBP. Both passed the Standard limits for Criterion 2; the systolic(S)SD achieved was 5.56 (5.70 permitted) and the diastolic(D)SD was 6.01 (6.62 permitted). All other Standard requirements were met.</p><p><strong>Conclusions: </strong>The UM-212BLE passed all requirements. The features that make this device clinically superior include settings for automated office BP, variable pressure inflation, dual measurement modes (oscillometry, auscultation), the wide range of cuffs tested, automated irregular heartbeat detection, and full validation in a pediatric population. The inclusion of all of these features makes the UM-212BLE a highly attractive device for both office and out-of-office BP estimation.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/12/77/bpmj-28-113.PMC9981315.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9117219","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: 1
Role of basal autonomic functions in patients with increased morning blood pressure surge. 基础自主神经功能在早晨血压升高患者中的作用。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-04-01 Epub Date: 2022-12-23 DOI: 10.1097/MBP.0000000000000634
Ertan Akbay, Sinan Akinci
{"title":"Role of basal autonomic functions in patients with increased morning blood pressure surge.","authors":"Ertan Akbay,&nbsp;Sinan Akinci","doi":"10.1097/MBP.0000000000000634","DOIUrl":"10.1097/MBP.0000000000000634","url":null,"abstract":"<p><strong>Background: </strong>Morning blood pressure (BP) surge (MS) is associated with cardiovascular events. The autonomic nervous system plays an active role in the regulation of BP and its function can be evaluated by heart rate variability (HRV) analysis. This study aimed to evaluate autonomic nervous system functions in patients with increased MS.</p><p><strong>Methods: </strong>Patients who underwent ambulatory BP monitoring (ABPM) and 24-h rhythm Holter in our hospital during the same period between 2017 and 2022 were evaluated. HRV parameters were obtained from 24-h rhythm Holter recordings. MS values of the patients were calculated from ABPM records and patients were divided into four groups according to the MS quartiles. HRV parameters and other parameters were compared between the groups.</p><p><strong>Results: </strong>A total of 129 patients were included in the study. The mean age of the patients was 57.2 ± 18.2 years, and 63 (48.8%) were male. HF, the square root of the mean squared differences of successive normal-to-normal intervals (rMSSD), and the proportion of adjacent RR intervals differing by >50 ms in the 24-h recording (pNN50) were statistically significant between the groups ( P  = 0.039, P  = 0.013, P  = 0.011, respectively). In univariate regression analysis, low-frequency/high-frequency ratio was positively associated with MS and HF, SDNNi, rMSSD, and pNN50 were negatively associated ( β  = 0.207, P  = 0.019; β  = -0.272, P  = 0.002; β  = -0.201, P  = 0.022; β  = -0.265, P  = 0.002; β  = -0.278, P  = 0.001, respectively). Multiple linear regression analysis showed an independent association between HF, low-frequency/high-frequency ratio, rMSSD, pNN50, and MS ( β  = -0.247, P  = 0.005; β=0.206, P  = 0.017; β  = -0.209, P  = 0.005; β  = -0.227, P  = 0.008, respectively).</p><p><strong>Conclusion: </strong>We found an independent association between HRV parameters associated with vagal tone and MS. The findings of our study suggest that the increased sympathetic activity detected in patients with high MS in previous studies may be due to a decrease in basal vagal tone.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9108549","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: 1
Short-term effects of transcatheter aortic valve replacement on blood pressure and cardiac function in elderly patients with severe aortic stenosis. 经导管主动脉瓣置换术对老年重度主动脉瓣狭窄患者血压和心功能的短期影响。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-04-01 Epub Date: 2022-12-27 DOI: 10.1097/MBP.0000000000000631
Rie Aoyama, Kazuhiro Takeda, Joji Ishikawa, Kazumasa Harada
{"title":"Short-term effects of transcatheter aortic valve replacement on blood pressure and cardiac function in elderly patients with severe aortic stenosis.","authors":"Rie Aoyama,&nbsp;Kazuhiro Takeda,&nbsp;Joji Ishikawa,&nbsp;Kazumasa Harada","doi":"10.1097/MBP.0000000000000631","DOIUrl":"10.1097/MBP.0000000000000631","url":null,"abstract":"<p><strong>Background: </strong>Transcatheter aortic valve replacement (TAVR) is a standard treatment for elderly and high-risk patients with aortic valve stenosis (AS); however, its short-term effects on blood pressure (BP) and cardiac function are not clear. Therefore, we aimed to determine the short-term effects of TAVR in elderly patients (>75 years), who reflect the clinical situation in Japan.</p><p><strong>Method and results: </strong>Twenty-eight consecutive elderly patients with severe AS and hypertension who underwent TAVR under general anesthesia were retrospectively investigated. All patients had hypertension that was well controlled with antihypertensive drugs. Serum brain natriuretic peptide level and peak velocity in the aortic valve were significantly reduced. TAVR induces an increase in BP that requires additional antihypertensive agents. There was no correlation between the change rate of SBP and stroke volume index (SVI), but there was a positive correlation between the rate of change in pulse pressure (PP) and SVI. This tendency was particularly observed in patients with low brachial-ankle pulse wave velocity (baPWV).</p><p><strong>Conclusion: </strong>We observed post-TAVR hypertension and required additional antihypertensive drugs. The increases in SVI and PP after TAVR resulted in post-TAVR hypertension. Moreover, post-TAVR hypertension is less likely to occur in elderly patients with a high baPWV, which indicates advanced arteriosclerosis.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9109627","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
A new risk factor for predicting stroke in patients with atrial fibrillation: morning blood pressure surge. 预测心房颤动患者中风的一个新的危险因素:早晨血压飙升。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-04-01 Epub Date: 2022-12-23 DOI: 10.1097/MBP.0000000000000632
Ayberk Gorcan, Onur Argan, Eyup Avci, Tuncay Kiris, Ozgen Safak, Seda Tarik Yildirim, Elcim Yildirim, Halil Lutfi Kisacik, Hasan Kadi
{"title":"A new risk factor for predicting stroke in patients with atrial fibrillation: morning blood pressure surge.","authors":"Ayberk Gorcan,&nbsp;Onur Argan,&nbsp;Eyup Avci,&nbsp;Tuncay Kiris,&nbsp;Ozgen Safak,&nbsp;Seda Tarik Yildirim,&nbsp;Elcim Yildirim,&nbsp;Halil Lutfi Kisacik,&nbsp;Hasan Kadi","doi":"10.1097/MBP.0000000000000632","DOIUrl":"10.1097/MBP.0000000000000632","url":null,"abstract":"<p><strong>Background: </strong>Stroke, the most feared complication in patients with atrial fibrillation (AF), is still an important cause of mortality and morbidity. In our study, we aimed to investigate the frequency of stroke and related parameters in patients with atrial fibrillation, for whom 24-h ambulatory blood pressure monitoring (ABPM) was performed.</p><p><strong>Method: </strong>A total of 282 patients with permanent AF were included in this study. 24-h ABPM was performed in all patients. Morning blood pressure surge (MBPS) was defined as the difference between the mean SBP in the first 2 h after awakening and the lowest blood pressure (BP) at night. We evaluated parameters associated with stroke in patients with atrial fibrillation using univariate and multivariate Cox regression analysis.</p><p><strong>Result: </strong>Patients were followed for 19 ± 9.3 months and 22 ischemic strokes were detected during the follow-up period. Also, strokes were significantly lower in atrial fibrillation patients with a dipper BP pattern, whereas strokes were significantly higher in atrial fibrillation patients with a reverse-dipper BP pattern. In multivariate analysis, a history of hypertension ( P  = 0.020), BP pattern ( P  < 0.001) and MBPS ( P  < 0.001) were found to be significantly related to stroke. MBPS levels >32.5 mmHg predicted stroke with a sensitivity of 77% and a specificity of 60% (AUC, 0.741; 95% CI, 0.647-0.834; P  < 0.001).</p><p><strong>Conclusion: </strong>MBPS, BP pattern and presence of hypertension as an independent risk factor in predicting stroke in patients with atrial fibrillation. The reduction of the MBPS may be a new therapeutic target for preventing stroke.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9478973","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
Real-world long-term effects on blood pressure and other cardiovascular risk factors for patients in digital therapeutics. 数字治疗对患者血压和其他心血管风险因素的真实世界长期影响。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-04-01 Epub Date: 2022-12-07 DOI: 10.1097/MBP.0000000000000633
Michael Willis, Ghassan Darwiche, Martin Carlsson, Andreas Nilsson, Jonas Wohlin, Peter Lindgren
{"title":"Real-world long-term effects on blood pressure and other cardiovascular risk factors for patients in digital therapeutics.","authors":"Michael Willis,&nbsp;Ghassan Darwiche,&nbsp;Martin Carlsson,&nbsp;Andreas Nilsson,&nbsp;Jonas Wohlin,&nbsp;Peter Lindgren","doi":"10.1097/MBP.0000000000000633","DOIUrl":"10.1097/MBP.0000000000000633","url":null,"abstract":"<p><strong>Purpose: </strong>Hypertension is a leading causeof premature death worldwide and a major public health problem. This study investigated the long-term effects (>1 year) of digital hypertension monitoring by home blood pressure (HBP) measurements in combination with individualized remote treatment via a Swedish Digital Therapeutics platform in a large patient population.</p><p><strong>Methods: </strong>The primary endpoint, HBP, and exploratory endpoints, BMI, alcohol consumption, stress level, physical activity, and smoking, were assessed every 3 months for 540 and 360 days, respectively, in 7752 Swedish primary hypertension patients. Patients received individualized medical treatments and lifestyle advice via asynchronous text-based communication in an app. Changes from baseline in endpoints were calculated for the whole population and for subgroups defined by baseline SBP ≥135 (high SBP), 125-135 (suboptimal SBP), 115-125 (optimal SBP), and <115 mmHg (low SBP).</p><p><strong>Results: </strong>After 360 days of treatment, the whole population showed a significant increase of 57% (from 37 to 58%) in the proportion of patients with controlled SBP (i.e. SBP of 115-135 mmHg). The largest reduction in SBP of 13.8 mmHg was observed for the high SBP subgroup, whereas for the low SBP subgroup, SBP increased by 13.4 mmHg. BP improved most in the first three months, and for both the high and low BP subgroups, the improvement continued during the 540-day study period. Significant beneficial changes were also observed for some exploratory endpoints including BMI and smoking.</p><p><strong>Conclusions: </strong>In conclusion, the digital therapeutics platform was associated with significant improvement in BP control and associated risk factors, which were maintained over a longer period.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c1/24/bpmj-28-086.PMC9981322.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9478975","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
Device-guided slow breathing with direct biofeedback of pulse wave velocity - acute effects on pulse arrival time and self-measured blood pressure: Erratum. 设备引导的缓慢呼吸与脉搏波速度的直接生物反馈-对脉搏到达时间和自测血压的急性影响:勘误表。
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2023-04-01 Epub Date: 2023-03-01 DOI: 10.1097/MBP.0000000000000635
{"title":"Device-guided slow breathing with direct biofeedback of pulse wave velocity - acute effects on pulse arrival time and self-measured blood pressure: Erratum.","authors":"","doi":"10.1097/MBP.0000000000000635","DOIUrl":"10.1097/MBP.0000000000000635","url":null,"abstract":"","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473024/pdf/bpmj-28-121.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10529270","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
Validation of the Hingmed DBP-01P clinical automatic blood pressure monitor provided with wide-range cuff, evaluated in a general population according to the ISO 81060-2:2018 protocol. 根据ISO 81060-2:2018协议,在普通人群中对配有宽量程袖带的Hingmed DBP-01P临床自动血压计进行了评估。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-04-01 Epub Date: 2023-02-17 DOI: 10.1097/MBP.0000000000000638
Claudio Fania, Antonella Giletto, Valentina Zanello, Paolo Palatini
{"title":"Validation of the Hingmed DBP-01P clinical automatic blood pressure monitor provided with wide-range cuff, evaluated in a general population according to the ISO 81060-2:2018 protocol.","authors":"Claudio Fania,&nbsp;Antonella Giletto,&nbsp;Valentina Zanello,&nbsp;Paolo Palatini","doi":"10.1097/MBP.0000000000000638","DOIUrl":"10.1097/MBP.0000000000000638","url":null,"abstract":"<p><p>To determine the accuracy of the Hingmed DBP-01P monitor for clinical automatic blood pressure (BP) measurement according to the International Organization for Standardization (ISO) 81060-2 2018 protocol. The DBP-01P was tested in 85 subjects from the general population (mean age, 69.9 years; 43 men) using a wide-range cuff for arm circumferences from 17 to 42 cm. The mean device-observer difference was 1.32 ± 3.18 mmHg for SBP and 0.78 ± 3.15 mmHg for DBP. These data were in agreement with criterion 1 of the protocol standard requirements (≤5 ± 8 mmHg). Also, criterion 2 was satisfied with the SDs of the 85 participants being well below the maximum values required by the protocol (6.80 and 6.89 mmHg for SBP and DBP pressure, respectively). These data show that the Hingmed BP monitor DBP-01P satisfied the ISO 81060-2:2018 standard requirements for a general population across a wide range of arm sizes using a single wide-range cuff.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9111601","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
The association between frontal QRS-T angle and reverse dipper status in newly diagnosed hypertensive patients. 新诊断高血压患者额部QRS-T角与倒倾角的关系
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-04-01 DOI: 10.1097/MBP.0000000000000637
Muammer Karakayali, Inanç Artac, Timor Omar, İbrahim Rencuzogullari, Yavuz Karabag, Tufan Cinar, Mehmet Altunova, Serif Hamideyin
{"title":"The association between frontal QRS-T angle and reverse dipper status in newly diagnosed hypertensive patients.","authors":"Muammer Karakayali,&nbsp;Inanç Artac,&nbsp;Timor Omar,&nbsp;İbrahim Rencuzogullari,&nbsp;Yavuz Karabag,&nbsp;Tufan Cinar,&nbsp;Mehmet Altunova,&nbsp;Serif Hamideyin","doi":"10.1097/MBP.0000000000000637","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000637","url":null,"abstract":"<p><p>The frontal QRS-T angle (fQRS-T angle) in ECG is a new measure of myocardial repolarization, in which a higher fQRS-T angle is linked with worse cardiac outcomes. Reverse dipper hypertension is also linked to poor cardiac outcomes. The purpose of this study was to investigate the association between the fQRS-T angle and reverse dipper status in individuals newly diagnosed with hypertension who did not have left ventricular hypertrophy (LVH). The investigation recruited 171 hypertensive individuals without LVH who underwent 24-h ambulatory blood pressure monitoring (ABPM). On the basis of the findings of 24-h ABPM, the study population was categorized into the following three groups: patients with dipper hypertension, non-dipper hypertension, and reverse dipper hypertension. LVH was defined by echocardiography. The fQRS-T angle was measured using the 12-lead ECG. The fQRS-T angle in individuals with reverse dipper hypertension was substantially greater than in patients with and without dipper hypertension (51° ± 28° vs. 28° ± 22° vs. 39° ± 25°, respectively, P < 0.001). The fQRS-T angle (odds ratio: 1.040, 95% confidence interval: 1.016-1.066; P = 0.001) was independently associated with reverse dipper hypertension according to multivariate analysis. In receiver operating characteristic curve analysis, the fQRS-T angle to predict reverse dipper hypertension was 33.5° with 76% sensitivity and 71% specificity. This study showed that an increased fQRS-T angle was associated with reverse dipper hypertension in newly diagnosed hypertensive patients without LVH.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9111606","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: 2
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