3.5 CUFF BLOOD PRESSURE IS PROGRESSIVELY MORE BIASED WITH INCREASING AGE: INDIVIDUAL PARTICIPANT LEVEL ANALYSIS FROM THE INSPECT CONSORTIUM
Objectives: Accurate blood pressure (BP) measurement is critical for appropriate hypertension diagnosis and management. Aortic BP represents pressure loading on vital organs and this can be approximated using upper arm cuff BP. With advancing age, cuff systolic BP (SBP) increases and diastolic BP (D...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-12-01
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| Series: | Artery Research |
| Online Access: | https://www.atlantis-press.com/article/125929988/view |
| _version_ | 1828802277313347584 |
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| author | Dean Picone Martin Schultz Petr Otahal Ahmed Al-Jumaily J. Andrew Black Willem Bos Chen-Huan Chen Hao-Min Chen Antoine Cremer Nathan Dwyer Ricardo Fonseca Diaz Brian Gould Alun Hughes Hack-Lyoung Kim Peter Lacy Esben Laugesen Sandy Muecke Nobuyuki Ohte Stefano Omboni Christian Ott Xiaoqing Peng Telmo Pereira Giacomo Pucci Philip Roberts-Thomson Niklas Rossen Roland Schmieder Velandai Srikanth Ralph Stewart George Stouffer Daisuke Sueta Kenji Takazawa Ji-Guang Wang Thomas Weber Berend Westerhof Bryan Williams Hirotsugu Yamada Eiichiro Yamamoto James Sharman |
| author_facet | Dean Picone Martin Schultz Petr Otahal Ahmed Al-Jumaily J. Andrew Black Willem Bos Chen-Huan Chen Hao-Min Chen Antoine Cremer Nathan Dwyer Ricardo Fonseca Diaz Brian Gould Alun Hughes Hack-Lyoung Kim Peter Lacy Esben Laugesen Sandy Muecke Nobuyuki Ohte Stefano Omboni Christian Ott Xiaoqing Peng Telmo Pereira Giacomo Pucci Philip Roberts-Thomson Niklas Rossen Roland Schmieder Velandai Srikanth Ralph Stewart George Stouffer Daisuke Sueta Kenji Takazawa Ji-Guang Wang Thomas Weber Berend Westerhof Bryan Williams Hirotsugu Yamada Eiichiro Yamamoto James Sharman |
| author_sort | Dean Picone |
| collection | DOAJ |
| description | Objectives: Accurate blood pressure (BP) measurement is critical for appropriate hypertension diagnosis and management. Aortic BP represents pressure loading on vital organs and this can be approximated using upper arm cuff BP. With advancing age, cuff systolic BP (SBP) increases and diastolic BP (DBP) decreases (widening pulse pressure [PP]), but whether age may influence cuff BP compared with invasive BP is unknown and was the aim of this study.
Methods: Cuff BP was measured simultaneously, or near-simultaneously, with invasive aortic BP during catheterization in 1696 individuals within the INSPECT consortium (an international collaboration comprising data from 31 studies and 19 different cuff BP devices [17 oscillometric, 2 mercury sphygmomanometry]). Differences in cuff and invasive BP were assessed using mixed models.
Results: Subjects were aged 63.3 ± 10.6 years and 32% female. Cuff SBP overestimated invasive aortic SBP in those aged 40–49, but with increasing age there was a progressive increase in the underestimation of aortic SBP (Table). Conversely, cuff DBP systematically overestimated aortic DBP, increasingly with age. Thus, there was a progressively higher error (underestimation) in cuff PP with older age. Adjusting models for sex, mean arterial pressure, heart rate and catheter type did not alter the findings, and no interactions between these parameters and age were found.
Conclusion: Cuff BP is progressively more biased with increasing age, exposing older people to greater chance for misdiagnosis of risk related to BP. The findings highlight the need to improve cuff BP methods to ensure all people receive appropriate diagnosis and management of hypertension. |
| first_indexed | 2024-12-12T07:01:15Z |
| format | Article |
| id | doaj.art-e337fb0c6646439cb388f6d661ef6f9d |
| institution | Directory Open Access Journal |
| issn | 1876-4401 |
| language | English |
| last_indexed | 2024-12-12T07:01:15Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Artery Research |
| spelling | doaj.art-e337fb0c6646439cb388f6d661ef6f9d2022-12-22T00:33:50ZengBMCArtery Research1876-44012018-12-012410.1016/j.artres.2018.10.0363.5 CUFF BLOOD PRESSURE IS PROGRESSIVELY MORE BIASED WITH INCREASING AGE: INDIVIDUAL PARTICIPANT LEVEL ANALYSIS FROM THE INSPECT CONSORTIUMDean PiconeMartin SchultzPetr OtahalAhmed Al-JumailyJ. Andrew BlackWillem BosChen-Huan ChenHao-Min ChenAntoine CremerNathan DwyerRicardo Fonseca DiazBrian GouldAlun HughesHack-Lyoung KimPeter LacyEsben LaugesenSandy MueckeNobuyuki OhteStefano OmboniChristian OttXiaoqing PengTelmo PereiraGiacomo PucciPhilip Roberts-ThomsonNiklas RossenRoland SchmiederVelandai SrikanthRalph StewartGeorge StoufferDaisuke SuetaKenji TakazawaJi-Guang WangThomas WeberBerend WesterhofBryan WilliamsHirotsugu YamadaEiichiro YamamotoJames SharmanObjectives: Accurate blood pressure (BP) measurement is critical for appropriate hypertension diagnosis and management. Aortic BP represents pressure loading on vital organs and this can be approximated using upper arm cuff BP. With advancing age, cuff systolic BP (SBP) increases and diastolic BP (DBP) decreases (widening pulse pressure [PP]), but whether age may influence cuff BP compared with invasive BP is unknown and was the aim of this study. Methods: Cuff BP was measured simultaneously, or near-simultaneously, with invasive aortic BP during catheterization in 1696 individuals within the INSPECT consortium (an international collaboration comprising data from 31 studies and 19 different cuff BP devices [17 oscillometric, 2 mercury sphygmomanometry]). Differences in cuff and invasive BP were assessed using mixed models. Results: Subjects were aged 63.3 ± 10.6 years and 32% female. Cuff SBP overestimated invasive aortic SBP in those aged 40–49, but with increasing age there was a progressive increase in the underestimation of aortic SBP (Table). Conversely, cuff DBP systematically overestimated aortic DBP, increasingly with age. Thus, there was a progressively higher error (underestimation) in cuff PP with older age. Adjusting models for sex, mean arterial pressure, heart rate and catheter type did not alter the findings, and no interactions between these parameters and age were found. Conclusion: Cuff BP is progressively more biased with increasing age, exposing older people to greater chance for misdiagnosis of risk related to BP. The findings highlight the need to improve cuff BP methods to ensure all people receive appropriate diagnosis and management of hypertension.https://www.atlantis-press.com/article/125929988/view |
| spellingShingle | Dean Picone Martin Schultz Petr Otahal Ahmed Al-Jumaily J. Andrew Black Willem Bos Chen-Huan Chen Hao-Min Chen Antoine Cremer Nathan Dwyer Ricardo Fonseca Diaz Brian Gould Alun Hughes Hack-Lyoung Kim Peter Lacy Esben Laugesen Sandy Muecke Nobuyuki Ohte Stefano Omboni Christian Ott Xiaoqing Peng Telmo Pereira Giacomo Pucci Philip Roberts-Thomson Niklas Rossen Roland Schmieder Velandai Srikanth Ralph Stewart George Stouffer Daisuke Sueta Kenji Takazawa Ji-Guang Wang Thomas Weber Berend Westerhof Bryan Williams Hirotsugu Yamada Eiichiro Yamamoto James Sharman 3.5 CUFF BLOOD PRESSURE IS PROGRESSIVELY MORE BIASED WITH INCREASING AGE: INDIVIDUAL PARTICIPANT LEVEL ANALYSIS FROM THE INSPECT CONSORTIUM Artery Research |
| title | 3.5 CUFF BLOOD PRESSURE IS PROGRESSIVELY MORE BIASED WITH INCREASING AGE: INDIVIDUAL PARTICIPANT LEVEL ANALYSIS FROM THE INSPECT CONSORTIUM |
| title_full | 3.5 CUFF BLOOD PRESSURE IS PROGRESSIVELY MORE BIASED WITH INCREASING AGE: INDIVIDUAL PARTICIPANT LEVEL ANALYSIS FROM THE INSPECT CONSORTIUM |
| title_fullStr | 3.5 CUFF BLOOD PRESSURE IS PROGRESSIVELY MORE BIASED WITH INCREASING AGE: INDIVIDUAL PARTICIPANT LEVEL ANALYSIS FROM THE INSPECT CONSORTIUM |
| title_full_unstemmed | 3.5 CUFF BLOOD PRESSURE IS PROGRESSIVELY MORE BIASED WITH INCREASING AGE: INDIVIDUAL PARTICIPANT LEVEL ANALYSIS FROM THE INSPECT CONSORTIUM |
| title_short | 3.5 CUFF BLOOD PRESSURE IS PROGRESSIVELY MORE BIASED WITH INCREASING AGE: INDIVIDUAL PARTICIPANT LEVEL ANALYSIS FROM THE INSPECT CONSORTIUM |
| title_sort | 3 5 cuff blood pressure is progressively more biased with increasing age individual participant level analysis from the inspect consortium |
| url | https://www.atlantis-press.com/article/125929988/view |
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