Inaccuracy of brachial blood pressure and its potential impact on treatment and aortic blood pressure estimation
| Autor: | Paul Terriault, Erick Schampaert, Katie Yang, Rémi Goupil, Remi Kouz, Cedric Kowalski, Donald A. Palisaitis, Raja Hatem, Michel Doucet, Thierry Charron, Pierre Tessier, Mohsen Agharazii |
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| Rok vydání: | 2021 |
| Předmět: |
Potential impact
medicine.medical_specialty Physiology business.industry Hypertension management Multiple linear regression model Blood pressure medicine.anatomical_structure Bp monitors Internal medicine Cuff Internal Medicine Cardiology medicine Active smoking Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Journal of Hypertension. 39:2370-2378 |
| ISSN: | 1473-5598 0263-6352 |
| DOI: | 10.1097/hjh.0000000000002943 |
| Popis: | OBJECTIVE Although brachial cuff SBP is universally used to guide hypertension management, it can differ significantly from intraarterial SBP. We examine the potential impacts of cuff-to-intraarterial brachial SBP (bSBP) mismatch on hypertension treatment and accuracy towards central SBP. METHODS In 303 individuals, cuff bSBP (CUFF-bSBP) and central SBP were measured using a Mobil-o-Graph simultaneously to intraarterial bSBP (IA-bSBP) and aortic SBP. According to the difference between CUFF-bSBP and IA-bSBP, we identified three phenotypes: Underestimation (CUFF-bSBP 10 mmHg); No Mismatch (CUFF-bSBP within 10 mmHg of IA-bSBP); Overestimation (CUFF-bSBP > IA-bSBP by >10 mmHg) phenotypes. Risk of overtreatment and undertreatment, and accuracy (ARTERY society criteria: mean difference ≤5 ± 8 mmHg) were determined. A multiple linear regression model was used to assess variables associated with the bSBP difference. RESULTS Underestimation (n = 142), No Mismatch (n = 136) and Overestimation (n = 25) phenotypes had relatively similar characteristics and CUFF-bSBP (124 ± 17, 122 ± 14, 127 ± 19 mmHg, P = 0.19) but different aortic SBP (133 ± 21, 120 ± 16, 112 ± 18 mmHg, P |
| Databáze: | OpenAIRE |
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