Early prognostic value of nocturnal blood pressure: a single-centre experience
Ambulatory blood pressure monitoring (ABPM) is now considered by current guidelines to be a reliable method of measurement for the diagnosis and assessment of hypertension. The aim of this study was to relate the short-term outcomes, comorbidity and ABPM findings determined from evaluating an everyday clinical cohort of hypertensive patients. A prospective study was carried out that included hypertensive patients who had undergone 24-h ABPM from January 2016 to November 2017. The following parameters were recorded in the database: age, sex, current antihypertensive treatment and documented history of comorbidities. New epi...
Source: Blood Pressure Monitoring - April 26, 2019 Category: Cardiology Tags: Clinical Studies Source Type: research
Assessment of vascular inflammation and subclinical nephropathy in exaggerated blood pressure response to exercise test
Objectives
Exaggerated blood pressure response (EBPR) to exercise tests is an additional cardiovascular risk factor and predictor of future development of hypertension. However, there are conflicting data on the diagnostic threshold of EBPR and its clinical importance in kidney disease. The aim of this study was to investigate vascular inflammation and subclinical nephropathy in otherwise healthy volunteers with EBPR.
Patients and methods
The study included 170 middle-aged, healthy volunteers (mean age: 43.3±6.9; range: 35–65 years: 100 men and 70 women). Participants performed a treadmill exercise test until they ...
Source: Blood Pressure Monitoring - April 26, 2019 Category: Cardiology Tags: Clinical Studies Source Type: research
Left ventricular hypertrophy in middle-aged endurance athletes: is it blood pressure related?
Both regular physical activity and hypertension may be related to increased myocardial thickness, but the interplay between these two factors in causing cardiac remodeling in athletes is still a matter of debate. The aim of this study was to analyze the relation between resting and peak exercise blood pressure (BP) and myocardial hypertrophy in healthy middle-aged amateur endurance athletes. The study included 30 male, long-term athletes (mean age 40.9±6.6 years) who underwent resting BP assessment, cardiopulmonary exercise testing with peak exercise BP measurement, and cardiac magnetic resonance. We found that interventr...
Source: Blood Pressure Monitoring - April 26, 2019 Category: Cardiology Tags: Clinical Studies Source Type: research
Twenty-four hour ambulatory blood pressure reference values in Africans
Conclusion
Pending authentication in prospective outcome-based studies, these values might be considered preliminary thresholds to diagnose hypertension in individuals of African descent. (Source: Blood Pressure Monitoring)
Source: Blood Pressure Monitoring - April 26, 2019 Category: Cardiology Tags: Clinical Studies Source Type: research
Validation of noninvasive oscillometric blood pressure 2020 up pressure upper arm blood pressure monitoring technology according to the European Society of Hypertension International Protocol revision 2010
To validate noninvasive oscillometric blood pressure (NIBP) 2020 up pressure (UP) upper arm blood pressure (BP) monitoring technology according to the European Society of Hypertension International Protocol revision 2010 (ESH-IP revision 2010). According to the protocol, 33 participants were included. NIBP2020 UP technology was integrated into the BP+ host device, and common upper arm cuffs were used. The study included patients from ambulatory Hypertension Units. The validation procedure was performed exactly as required by ESH-IP revision 2010. Overall, 57.6% of the study population was female. Mean age was 45.5±16.3 ye...
Source: Blood Pressure Monitoring - March 11, 2019 Category: Cardiology Tags: Devices and Technology Source Type: research
How to interpret 24-h arterial stiffness markers: comparison of 24-h ambulatory Mobil-O-Graph with SphygmoCor office values
The objective of this study was to compare 24-h mean values of arterial stiffness parameters obtained using 24-h ambulatory blood pressure monitoring device (Mobil-O-Graph) against a validated single-measure tonometric system (SphygmoCor).
Materials and methods
We measured brachial and central arterial pressure, augmentation index (AIx), and carotid-to-femoral pulse wave velocity (cfPWV) using SphygmoCor device in 82 high and very high cardiovascular risk patients. The Mobil-O-Graph device for the 24-h blood pressure and arterial stiffness parameter monitoring was used on the same day and started within 2 h after meas...
Source: Blood Pressure Monitoring - March 11, 2019 Category: Cardiology Tags: Devices and Technology Source Type: research
Validation of the Welch Allyn Home blood pressure monitor with professional SureBP algorithm with a special feature of accuracy during involuntary (tremor) patient movement
Conclusion
The Welch Allyn Home BP monitor is accurate in the presence of involuntary patient motion (tremor). Clinicians can have a high level of confidence in the use of a self-measurement device, which operates using the same algorithm as contained in the ‘professional grade’ family of devices. (Source: Blood Pressure Monitoring)
Source: Blood Pressure Monitoring - March 11, 2019 Category: Cardiology Tags: Devices and Technology Source Type: research
Comparability of oscillometric to simultaneous auscultatory blood pressure measurement in children
Objective
Uncertainty exists regarding the accuracy of automated blood pressure (BP) measurement in children. We recorded oscillometric waveforms in children, derived oscillometric BPs using two standard algorithms, and compared the results to simultaneous auscultation.
Patients and methods
Twenty children aged 2–12 years were recruited from a tertiary-care Pediatric Nephrology Clinic. Sex, height, weight, arm circumference, history of hypertension, and clinic BP were recorded. Two, simultaneously measured, oscillometric and auscultatory BP readings were obtained 30–60 s apart. The first reading was discarded an...
Source: Blood Pressure Monitoring - March 11, 2019 Category: Cardiology Tags: Analytical and Statistical Methods Source Type: research
A lower blood pressure threshold to define hypertension: the effect on prevalence, control rate, and constituent ratio of systolic and/or diastolic hypertension
This study included 1185 adult participants, who received blood pressure (BP) measurements for 3 days over a 7-day period. At each visit, the BP was measured three times and the average was used as the final value. The criteria of hypertension were if the participant had received treatment with antihypertensive drugs for at least 2 weeks, or SBP/DBP of at least 140/90 mmHg (old criteria) or at least 130/80 mmHg (new criteria) for the untreated participants. The diagnosis of hypertension was made on the basis of first-day BP values (epidemiological method) or the average of the 3-day BP values (clinical method), respect...
Source: Blood Pressure Monitoring - March 11, 2019 Category: Cardiology Tags: Analytical and Statistical Methods Source Type: research
Does norepinephrine infusion dose influence the femoral-to-radial mean arterial blood pressure gradient in patients with sepsis and septic shock?
The aim of our study is to determine whether there is a clinically important difference between the femoral and the radial site of blood pressure measurements, and to identify whether the vasoactive infusion dose influences the femoral-to-radial mean arterial blood pressure (MAP) gradient. We included 71 patients with sepsis and septic shock, with no comorbidities that may influence the hemodynamic parameters. Simultaneous measurements were registered at the femoral and radial arteries. The agreement between the two sites of recording was tested in the no-norepinephrine, low-norepinephrine, and high-norepinephrine groups, ...
Source: Blood Pressure Monitoring - March 11, 2019 Category: Cardiology Tags: Brief Report Source Type: research
Increased blood pressure variability following acute stroke is associated with poor long-term outcomes: a systematic review
Conclusion
Methodological heterogeneity is frequently observed in studies, primarily because of incomplete study reporting. However, increased BPV is associated with adverse long-term outcomes. There is a need for prospective studies investigating BPV post-AIS to report full methodologies according to standardized criteria. (Source: Blood Pressure Monitoring)
Source: Blood Pressure Monitoring - March 11, 2019 Category: Cardiology Tags: Clinical Study Source Type: research
Long-term cardiovascular risk of white-coat hypertension with normal night-time blood pressure values
Conclusion
In patients with WCHT defined by normal daytime and NBP values, the risk of CV events was significantly lower than that of SHT and similar to that of NT patients, suggesting that NBP should be included in the WCHT definition and in its prognostic stratification. (Source: Blood Pressure Monitoring)
Source: Blood Pressure Monitoring - March 11, 2019 Category: Cardiology Tags: Clinical Study Source Type: research
C-reactive protein and blood pressure variability in type 2 hypertensive diabetic patients
Conclusion
In patients with diabetes and hypertension, higher CRP levels are linked to cardiometabolic derangements, although they are not associated with increased BP variability. (Source: Blood Pressure Monitoring)
Source: Blood Pressure Monitoring - March 11, 2019 Category: Cardiology Tags: Clinical Study Source Type: research
Toe systolic pressures and toe-brachial indices: uses, abuses, and shades of gray
This article commences with arguments that toe systolic pressure (TSP) should be used as a means of diagnosing low blood pressure in relation to the prospect of wound nonhealing and amputation risk, that the toe-brachial index (TBI) should be used as a means of screening for peripheral artery disease, and that those specific uses for TSPs and TBIs should not be confused with each other. Problems associated with measurement of TSPs and TBIs are described, an attempt is made to establish abnormal threshold values for each, and tables are presented as aids to decision making while also indicating the need to take uncertaintie...
Source: Blood Pressure Monitoring - March 11, 2019 Category: Cardiology Tags: Review Article Source Type: research
Accurate blood pressure during patient arm movement: the Welch Allyn Connex Spot Monitor’s SureBP algorithm
Conclusion
This study represents a proposal for an automated BP device assessment in the presence of patient-induced motion. The CSM device, which uses an inflation-based algorithm, routinely produced BP values that closely matched auscultatory values bracketed immediately before and after the motion-associated cycle. The CSM should be of significant clinical value in populations in whom resting ‘still’ readings are not usually feasible, such as pediatric and geriatric patients, and patients in pain from injury or illness. (Source: Blood Pressure Monitoring)
Source: Blood Pressure Monitoring - January 3, 2019 Category: Cardiology Tags: Devices and Technology Source Type: research
