Intrarater Reliability and Agreement of Blood Pressure, Arterial Stiffness, and Heart Rate Variability Assessments in Patients With Parkinson's Disease.

Autor: Lima VFS; Universidade Nove de Julho, São Paulo, SP - Brasil., Fecchio RY; Universidade Nove de Julho, São Paulo, SP - Brasil., Piemonte MEP; Universidade de São Paulo, São Paulo, SP - Brasil., Correia MA; Universidade Nove de Julho, São Paulo, SP - Brasil., Kanegusuku H; Hospital Israelita Albert Einstein, São Paulo, SP - Brasil., Ritti-Dias RM; Universidade Nove de Julho, São Paulo, SP - Brasil.
Jazyk: Portuguese; English
Zdroj: Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2024 Oct; Vol. 121 (10), pp. e20240132.
DOI: 10.36660/abc.20240132
Abstrakt: To assess the intrarater reliability and agreement of blood pressure (BP), arterial stiffness, and heart rate variability (HRV) assessments in patients with Parkinson`s disease (PD). Twenty patients with PD visited the laboratory three times, during which brachial and central BP (auscultatory and applanation tonometry, respectively), arterial stiffness (carotid-femoral pulse wave velocity and augmentation index), and HRV assessments were performed at rest. Brachial and central systolic BP presented greater values on visit 1 when compared to visits 2 and 3 (122±13 vs. 116±16 vs. 120±15, p=0.029). There were no significant differences (p>0.05) among the experimental visits for other parameters. Brachial and central BP showed an intraclass correlation coefficient (ICC) above 0.842 and a standard error of measurement (SEM) lower than 5.0%. Bland-Altman plots indicated low agreement between visits 1 and 2 and good agreement between visits 2 and 3. Arterial stiffness indices exhibited ICC values between 0.781 and 0.886, and SEM ranged from 7.3% to 25.2%. Bland-Altman plots indicated moderate to good agreement among visits for arterial stiffness parameters. HRV indices presented ICC values ranging from 0.558 to 0.854 and SEM values ranging from 5.1% to 76.0%. Bland-Altman plots indicated moderate agreement among visits for HRV parameters. In PD patients, brachial and central BP present low intrarater reliability and agreement between visits 1 and 2 and good intrarater reliability and agreement between visits 2 and 3. In general, arterial stiffness and HRV assessments present acceptable intrarater reliability and agreement among visits, except for cardiac sympathovagal balance.
Databáze: MEDLINE