Abstract:
OBJECTIVES:BpTRU (VSM MedTech Ltd, Vancouver, Canada) is an automated oscillometric device that provides serial blood pressure measurements in an office setting in the absence of a healthcare professional. We sought to determine whether the white-coat effect is reduced by a blood pressure measurement protocol using BpTRU compared with casual office measurements. Secondarily, we also sought to determine whether a blood pressure measurement protocol using BpTRU reduced white-coat hypertension compared with the casual office measurements, and reduced white-coat effect and white-coat hypertension compared with blood pressure obtained by a research nurse. METHODS:Blood pressure was measured in 107 adult hypertensive patients referred for ambulatory blood pressure monitoring using an ambulatory blood pressure monitor, a standardized protocol by a trained research nurse, and a protocol using BpTRU (five readings over 25 min, using the 5-min blood pressure measurement interval setting). Casual office blood pressure was also recorded in the family physicians' offices. Using the mean daytime ambulatory blood pressure as the reference standard, the proportion of patients with white-coat effect and white-coat hypertension were determined for measurements obtained by BpTRU, the research nurse, and the family physicians' offices. RESULTS:Casual office blood pressure measurements demonstrated a white-coat effect in 39 (36.4%) patients; seven (6.5%) patients demonstrated a white-coat effect using BpTRU (P<0.0001). White-coat hypertension was also less common using BpTRU than with the casual office readings (13 vs. 1 patient, P<0.0001). White-coat effect was also reduced with BpTRU compared with the research nurse measurements. Unfortunately, percentage agreement for the diagnosis of hypertension between the protocol using BpTRU and the reference standard was only 48%. This resulted in substantial misclassification of hypertension by the BpTRU measurement protocol. CONCLUSIONS:Although BpTRU reduces white-coat effect and white-coat hypertension, blood pressure is underestimated by the device, leading to misclassification of hypertension. BpTRU, when set at 5-min blood pressure measurement intervals, should not be used in clinical practice.
journal_name
Blood Press Monitjournal_title
Blood pressure monitoringauthors
Culleton BF,McKay DW,Campbell NRdoi
10.1097/01.mbp.0000189794.36230.a7subject
Has Abstractpub_date
2006-02-01 00:00:00pages
37-42issue
1eissn
1359-5237issn
1473-5725pii
00126097-200602000-00008journal_volume
11pub_type
杂志文章abstract:OBJECTIVES:The purpose of this study was to validate the ScottCare 320 ambulatory blood pressure monitor (ABPM) using both group-level and individual-level validation procedures. The group-level validation followed a modified protocol of the European Hypertension Society's validation protocol. The individual-level vali...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0b013e32835f4fc7
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Measuring blood pressure with mercury-independent alternatives is rapidly gaining attention. Mercury will be phased out of clinical use as a result of environmental, health and safety concerns and it is of vital importance that any alternative to mercury has to be of a recognized standard. We assessed the ac...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200304000-00005
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:The pathogenesis of dialysis-induced hypotension (DIH) is multifactorial and may include increased aortic stiffness. This study was undertaken to determine aortic elastic properties in patients undergoing hemodialysis with and without DIH, and to assess the effects of DIH on mortality. METHODS:Aortic stiffn...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,多中心研究
doi:10.1097/MBP.0b013e3282f13f75
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVES:To determine blood pressure (BP) reassessment rates and to describe the evaluation and outpatient referral rates of elderly emergency department (ED) patients with elevated BP. METHODS:This was a retrospective cohort of patients who were at least 60 years, presented with a systolic BP of at least 140 mmHg o...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,多中心研究
doi:10.1097/MBP.0b013e328332fd40
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Waist circumference (WC) and related anthropometric indices have been recognized as useful measures of abdominal obesity. However, little is known about the association of waist-to-sitting-height ratio (WSHtR) with obesity and elevated blood pressure (BP). PARTICIPANTS AND METHODS:Data for this study were o...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000154
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to evaluate the accuracy of the automated oscillometric wrist blood pressure monitor AVITA BPM17 for home blood pressure monitoring according to the International Protocol of the European Society of Hypertension revision 2010. PARTICIPANTS AND METHODS:Systolic and diastolic b...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000261
更新日期:2017-08-01 00:00:00
abstract::The session devoted to the usefulness of non-invasive ambulatory blood pressure monitoring (ABPM) in the evaluation of antihypertensive therapy allowed us to discuss a number of important issues. ABPM emerged as a widely accepted technique to measure blood pressure in clinical trials. Actually, it was generally consid...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1996-06-01 00:00:00
abstract::Ambulatory blood pressure monitoring (ABPM) has become more widely used in the assessment of elevated blood pressure in children. The accurate diagnosis of white coat hypertension (WCH) is particularly important in children because detection of elevated blood pressure often results in expensive and invasive diagnostic...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:10.1097/00126097-200008000-00001
更新日期:2000-08-01 00:00:00
abstract::OBJECTIVE: To test a semi-automatic oscillometric blood pressure measurement device with a wrist cuff. METHODS: Two different test methods, partly based on European and American standards for clinical investigation of non-invasive sphygmomanometers, were worked out and compared. Mostly German guidelines were considere...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1996-08-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to determine the accuracy of the Microlife WatchBP O3 monitor for ambulatory blood pressure (BP) measurement according to the new ISO81060-2 2018 protocol. METHODS:The WatchBP O3 was first tested in 97 subjects from the general population (mean age, 71.3 years; 48 men) using four cuf...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000459
更新日期:2020-10-01 00:00:00
abstract::The acute effect of smoking is a rise in blood pressure and heart rate. Nevertheless, in several epidemiologic studies, smokers tend to have a slightly lower office blood pressure than non-smokers. We studied the 24 h ambulatory blood pressure consecutively in hypertensive smokers (> or = 10 cigarettes per day, n = 26...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200010000-00004
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to validate the blood pressure (BP) measurement device Erkameter 125 PRO according to the International Protocol revision 2010 of the European Society of Hypertension (ESH-IP2). PATIENTS AND METHODS:In 33 patients aged 32-79 years, BP measurements were performed alternately u...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0000000000000216
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Two devices for self-measurement of blood pressure at the brachial artery-the Omron M5-I and the Omron 705IT-were evaluated according to the international protocol of the European Society of Hypertension. DESIGN:The international validation protocol is divided into two phases: the first phase is performed o...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200306000-00006
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVE:Measurement of office blood pressure using a fully automated sphygmomanometer that takes multiple readings with the patient resting quietly alone has been called automated office blood pressure (AOBP). Almost all AOBP research has involved the patient resting alone in an examining room, which is often impract...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0000000000000133
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:The German Hypertension League (Deutsche Hochdruckliga) established a program to assess the accuracy and reliability of blood pressure (BP)-measuring devices in 1999 (Quality Seal Protocol). Here, we report on the results of a testing series of 105 devices designed for BP self-measurement. METHODS:The test p...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000186
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:A blunted decline in waking to sleep blood pressure (BP) is more common in African-American (AA) than European-American (EA) women. The causes of reduced BP 'dipping' in AA women are not known, although several factors including ethnic differences in catecholamine sensitivity have been suggested. The purpose...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e3283078f45
更新日期:2008-10-01 00:00:00
abstract::METHODS: Autonomic nervous function was evaluated by means of power spectral analysis of heart rate and blood pressure variability in dipper (n = 10) and non-dipper (n = 9) essential hypertensive subjects during sleep. The non-dipper subjects were defined as those in whom the nocturnal decrease in blood pressure was <...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract::The inherent variability of activity and the awake-sleep cycle creates changes in hemodynamics that may influence the outcome of a variety of cardiovascular disorders. Recently, data suggest that increased variability of blood pressure may promote excessive hypertensive target organ disease. Several epidemiologic stud...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to perform a blood pressure (BP) safety evaluation in patients with an overactive bladder receiving solifenacin (an antimuscarinic agent), mirabegron (a β3-adrenoceptor agonist), or both compared with placebo in the SYNERGY trial. PATIENTS AND METHODS:Patients were randomized to rec...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/MBP.0000000000000320
更新日期:2018-06-01 00:00:00
abstract::OBJECTIVE: To investigate whether blood pressure monitoring is reproducible. DESIGN: Reproducibility of ambulatory blood pressure monitoring data was assessed by means of traditional and relatively new statistical methods, namely correlation coefficients, regression analysis and agreement analysis. METHODS: Ninety-one...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:Humour is used commonly to relax subjects when their blood pressure is being measured. However the short-term effect of laughter on blood pressure is not described. METHODS:Sixteen normotensive volunteers had blood pressure measured using a validated automated oscillometric sphygmomanometric device (Omron 7...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200504000-00010
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Patients and doctors often use home blood pressure monitoring (HBPM) to assess the control of hypertension. Despite its popularity there has always been some uncertainty with regard to its accuracy, reliability, reproducibility, and comparability. Although there are pre-market HBPM standards of accuracy, the...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-199904010-00007
更新日期:1999-02-01 00:00:00
abstract::Thomas G. Pickering spent most of his scientific career in carrying out research on clinical hypertension and blood pressure (BP) measurement. In our review of Pickering's seminal work, we first focused on white-coat hypertension and masked hypertension, two terms that he had introduced. Next, we highlighted the early...
journal_title:Blood pressure monitoring
pub_type: 传,历史文章,杂志文章
doi:10.1097/MBP.0b013e3283380e1e
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:The Welch Allyn Pro BP 2000, an automated sphygmomanometer, was subjected to ANSI/AAMI/ISO testing. PATIENTS AND METHODS:The protocol used was the same-arm sequential procedure described in the ANSI/AAMI/ISO 2013 Standard. Eight-eight (53 adults and 35 children aged 3-12 years old) patients completed testing...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0000000000000350
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:Background Ambulatory blood pressure monitoring (ABPM) has been shown to be more representative of blood pressure levels in adult patients than are casual measurements of blood pressure. OBJECTIVE:To evaluate, by means of ABPM, the behavior of blood pressure in children with chronic renal failure submitted ...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract::OBJECTIVE: To determine whether the evening intake of 5 mg melatonin affects 24 h arterial blood pressure and heart-rate profiles. METHODS: Twenty-one young normotensive subjects were administered placebo or melatonin for 4 weeks, according to a cross-over double-blind design, and were subjected to ambulatory blood pr...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVES:Wide-range 'one-size-fits-all' blood pressure (BP) cuffs are commonly sold with home BP monitors. Assessment of the accuracy of these cuffs is important because they do not adhere to the basic principles of proper cuffing. The aim of this systematic review was to review the published validation data evaluati...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000344
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVES:Monitoring of brachial blood pressure during exercise-electrocardiogram (ECG) testing is mandatory and changes in blood pressure (BP) can provide critical management evidence. Patient movement, mechanical vibration, artifactual sounds and observer variability make standard manual techniques problematic. This...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200410000-00007
更新日期:2004-10-01 00:00:00
abstract::In 2004-2005, the antihypertensive effects of telmisartan 80 mg versus valsartan 160 mg combined with hydrochlorothiazide 25 mg were assessed in a large placebo-controlled trial in patients with stages 1 and 2 hypertension and demonstrated that both agents were highly effective in lowering blood pressure (BP) compared...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,随机对照试验
doi:10.1097/MBP.0b013e3282f3859d
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:The influence of the Ramadan fasting on blood pressure (BP) in patients taking diuretics therapy has not been addressed specifically yet. The aim of this study was to examine the effect of long Ramadan fasting on BP with ambulatory BP monitoring in hypertensive patients using diuretics. METHODS:This prospect...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000451
更新日期:2020-08-01 00:00:00