Impact of equipment and handling on systolic blood pressure measurements in conscious dogs in an animal hospital environment
Abstract Background Situational hypertension and differences between devices complicate interpretations of systolic blood pressure (SBP) measurements in dogs. Hypothesis/Objectives To evaluate if time point of in‐clinic SBP measurement, type of oscillometric device, and operator affect SBP measureme...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-03-01
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| Series: | Journal of Veterinary Internal Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jvim.16062 |
| _version_ | 1811182126682341376 |
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| author | Maria Lyberg Ingrid Ljungvall Jens Häggström Ellinor Ahlund Lena Pelander |
| author_facet | Maria Lyberg Ingrid Ljungvall Jens Häggström Ellinor Ahlund Lena Pelander |
| author_sort | Maria Lyberg |
| collection | DOAJ |
| description | Abstract Background Situational hypertension and differences between devices complicate interpretations of systolic blood pressure (SBP) measurements in dogs. Hypothesis/Objectives To evaluate if time point of in‐clinic SBP measurement, type of oscillometric device, and operator affect SBP measurements in conscious dogs. Animals Sixty‐seven privately owned dogs with or without chronic kidney disease, divided into 2 study samples (A and B). Methods Cross‐sectional diagnostic study. In part A, SBP measurements in dogs were performed using 2 different devices (HDO and petMap) after acclimatization at 3 standardized time points during a clinical visit. In part B, SBP measurements (HDO) were performed in dogs by a trained final year veterinary student and by the owner alone, at the same occasion. Results For all dogs, there was no difference in mean SBP (mSBP) among the 3 time points for HDO (P = .12) or petMAP (P = .67). However, intraindividual mSBP differences of up to 60 mm Hg between time points were documented. Mean SBP obtained with petMAP was on average 14 (95% CI: 8‐20) mm Hg higher than mSBP obtained with HDO, and this difference increased with increasing SBP. Mean SBP measurements obtained by the trained student were 7 (95% CI: 2‐11) mm Hg higher than mSBP measurements obtained by the owner. Conclusions and Clinical Importance According to the results of this study, time point of in‐clinic SBP measurement in dogs is of minor importance, and instructing owners to perform measurements might reduce suspected situational hypertension. Differences in mSBP measured with HDO and petMAP underscore the need for validation of BP devices used clinically. |
| first_indexed | 2024-04-11T09:27:56Z |
| format | Article |
| id | doaj.art-6b95bf104a874f6a829b94330bc5b7e8 |
| institution | Directory Open Access Journal |
| issn | 0891-6640 1939-1676 |
| language | English |
| last_indexed | 2024-04-11T09:27:56Z |
| publishDate | 2021-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Veterinary Internal Medicine |
| spelling | doaj.art-6b95bf104a874f6a829b94330bc5b7e82022-12-22T04:31:59ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762021-03-0135273974610.1111/jvim.16062Impact of equipment and handling on systolic blood pressure measurements in conscious dogs in an animal hospital environmentMaria Lyberg0Ingrid Ljungvall1Jens Häggström2Ellinor Ahlund3Lena Pelander4University Animal Hospital, Swedish University of Agricultural Sciences Uppsala SwedenDepartment of Clinical Sciences Swedish University of Agricultural Sciences Uppsala SwedenDepartment of Clinical Sciences Swedish University of Agricultural Sciences Uppsala SwedenFirst Vet Stockholm SwedenDepartment of Clinical Sciences Swedish University of Agricultural Sciences Uppsala SwedenAbstract Background Situational hypertension and differences between devices complicate interpretations of systolic blood pressure (SBP) measurements in dogs. Hypothesis/Objectives To evaluate if time point of in‐clinic SBP measurement, type of oscillometric device, and operator affect SBP measurements in conscious dogs. Animals Sixty‐seven privately owned dogs with or without chronic kidney disease, divided into 2 study samples (A and B). Methods Cross‐sectional diagnostic study. In part A, SBP measurements in dogs were performed using 2 different devices (HDO and petMap) after acclimatization at 3 standardized time points during a clinical visit. In part B, SBP measurements (HDO) were performed in dogs by a trained final year veterinary student and by the owner alone, at the same occasion. Results For all dogs, there was no difference in mean SBP (mSBP) among the 3 time points for HDO (P = .12) or petMAP (P = .67). However, intraindividual mSBP differences of up to 60 mm Hg between time points were documented. Mean SBP obtained with petMAP was on average 14 (95% CI: 8‐20) mm Hg higher than mSBP obtained with HDO, and this difference increased with increasing SBP. Mean SBP measurements obtained by the trained student were 7 (95% CI: 2‐11) mm Hg higher than mSBP measurements obtained by the owner. Conclusions and Clinical Importance According to the results of this study, time point of in‐clinic SBP measurement in dogs is of minor importance, and instructing owners to perform measurements might reduce suspected situational hypertension. Differences in mSBP measured with HDO and petMAP underscore the need for validation of BP devices used clinically.https://doi.org/10.1111/jvim.16062canineoscillometrysituational hypertensionstress |
| spellingShingle | Maria Lyberg Ingrid Ljungvall Jens Häggström Ellinor Ahlund Lena Pelander Impact of equipment and handling on systolic blood pressure measurements in conscious dogs in an animal hospital environment Journal of Veterinary Internal Medicine canine oscillometry situational hypertension stress |
| title | Impact of equipment and handling on systolic blood pressure measurements in conscious dogs in an animal hospital environment |
| title_full | Impact of equipment and handling on systolic blood pressure measurements in conscious dogs in an animal hospital environment |
| title_fullStr | Impact of equipment and handling on systolic blood pressure measurements in conscious dogs in an animal hospital environment |
| title_full_unstemmed | Impact of equipment and handling on systolic blood pressure measurements in conscious dogs in an animal hospital environment |
| title_short | Impact of equipment and handling on systolic blood pressure measurements in conscious dogs in an animal hospital environment |
| title_sort | impact of equipment and handling on systolic blood pressure measurements in conscious dogs in an animal hospital environment |
| topic | canine oscillometry situational hypertension stress |
| url | https://doi.org/10.1111/jvim.16062 |
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