The value of a BP determination method using a novel non-invasive BP device against the invasive catheter measurement

The aim of this study was to evaluate the accuracy of a new blood pressure (BP) measurement method (Pulse method). This study enrolled 45 patients for selective percutaneous coronary intervention (PCI) via right radial artery. A BP device using either oscillometric (Microlife 3AC1-1) or Pulse method...

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Veröffentlicht in:PloS one 2014-06, Vol.9 (6), p.e100287-e100287
Hauptverfasser: Xu, Jinsong, Wu, Yanqing, Su, Hai, Hu, Weitong, Li, Juxiang, Wang, Wenying, Liu, Xin, Cheng, Xiaoshu
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container_issue 6
container_start_page e100287
container_title PloS one
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creator Xu, Jinsong
Wu, Yanqing
Su, Hai
Hu, Weitong
Li, Juxiang
Wang, Wenying
Liu, Xin
Cheng, Xiaoshu
description The aim of this study was to evaluate the accuracy of a new blood pressure (BP) measurement method (Pulse method). This study enrolled 45 patients for selective percutaneous coronary intervention (PCI) via right radial artery. A BP device using either oscillometric (Microlife 3AC1-1) or Pulse method(RG-BP11)was used. At the beginning of each PCI, intra-radial BP was measured before Microlife BP or Pulse BP measurement as its own reference, respectively. At the end of PCI, BP was measured again with the measurement order of Microlife BP and Pulse BP reversed. The differences between intra-radial and Microlife (BPi-M) or Pulse BP (BPi-P) on SBP, DBP and mean artery pressure (MAP) were calculated. Meanwhile, in 48 patients the intra-brachial BP and intra-radial artery BP were measured to calculate the brachial -radial BP difference (BPr-b). The intra-radial SBP references used prior to both the Microlife and Pulse SBP that were similar (145.1±27.7 vs 145.8±24.2 mmHg), but the Microlife SBP was significantly lower than the Pulse SBP (127.7±20.5 vs 130.3±22.7 mmHg, P
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This study enrolled 45 patients for selective percutaneous coronary intervention (PCI) via right radial artery. A BP device using either oscillometric (Microlife 3AC1-1) or Pulse method(RG-BP11)was used. At the beginning of each PCI, intra-radial BP was measured before Microlife BP or Pulse BP measurement as its own reference, respectively. At the end of PCI, BP was measured again with the measurement order of Microlife BP and Pulse BP reversed. The differences between intra-radial and Microlife (BPi-M) or Pulse BP (BPi-P) on SBP, DBP and mean artery pressure (MAP) were calculated. Meanwhile, in 48 patients the intra-brachial BP and intra-radial artery BP were measured to calculate the brachial -radial BP difference (BPr-b). The intra-radial SBP references used prior to both the Microlife and Pulse SBP that were similar (145.1±27.7 vs 145.8±24.2 mmHg), but the Microlife SBP was significantly lower than the Pulse SBP (127.7±20.5 vs 130.3±22.7 mmHg, P&lt;0.05), thus the SBPi-M was higher than SBPi-P (18.1±11.8 vs 14.8±12.8 mmHg, P&lt;0.05). As the mean SBPr-b was 12.4 mmHg, the Pulse SBP was closer to expected intra-brachial SBP by about 3.3 mmHg than was Microlife SBP to expected intra-brachial SBP. Meanwhile, Bland-Altman plots showed that the 95% limits of agreement for intra-radial SBP by Pulse SBP were narrower than those by Microlife SBP (12.0∼17.5 vs 15.5∼20.6 mmHg). However, the 95% limits of agreement for Pulse DBP and MAP were similar to those for Microlife DBP and MAP. Against the invasive BP measurement, the pulse method may provide more accurate SBP and comparable DBP and MAP as compared with the oscillometric method.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0100287</identifier><identifier>PMID: 24955577</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accuracy ; Aged ; Aged, 80 and over ; Analysis ; Balloon angioplasty ; Biology and Life Sciences ; Blood pressure ; Blood Pressure Determination - instrumentation ; Blood Pressure Determination - methods ; Bus interconnections ; Cardiac arrhythmia ; Cardiac patients ; Cardiology ; Female ; Hospitals ; Humans ; Inventors ; Male ; Mathematical analysis ; Mathematical models ; Medical instruments ; Medicine and Health Sciences ; Methods ; Middle Aged ; Patients ; Percutaneous Coronary Intervention ; Sensitivity and Specificity ; Systematic review ; Veins &amp; arteries</subject><ispartof>PloS one, 2014-06, Vol.9 (6), p.e100287-e100287</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Xu et al. 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The intra-radial SBP references used prior to both the Microlife and Pulse SBP that were similar (145.1±27.7 vs 145.8±24.2 mmHg), but the Microlife SBP was significantly lower than the Pulse SBP (127.7±20.5 vs 130.3±22.7 mmHg, P&lt;0.05), thus the SBPi-M was higher than SBPi-P (18.1±11.8 vs 14.8±12.8 mmHg, P&lt;0.05). As the mean SBPr-b was 12.4 mmHg, the Pulse SBP was closer to expected intra-brachial SBP by about 3.3 mmHg than was Microlife SBP to expected intra-brachial SBP. Meanwhile, Bland-Altman plots showed that the 95% limits of agreement for intra-radial SBP by Pulse SBP were narrower than those by Microlife SBP (12.0∼17.5 vs 15.5∼20.6 mmHg). However, the 95% limits of agreement for Pulse DBP and MAP were similar to those for Microlife DBP and MAP. 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This study enrolled 45 patients for selective percutaneous coronary intervention (PCI) via right radial artery. A BP device using either oscillometric (Microlife 3AC1-1) or Pulse method(RG-BP11)was used. At the beginning of each PCI, intra-radial BP was measured before Microlife BP or Pulse BP measurement as its own reference, respectively. At the end of PCI, BP was measured again with the measurement order of Microlife BP and Pulse BP reversed. The differences between intra-radial and Microlife (BPi-M) or Pulse BP (BPi-P) on SBP, DBP and mean artery pressure (MAP) were calculated. Meanwhile, in 48 patients the intra-brachial BP and intra-radial artery BP were measured to calculate the brachial -radial BP difference (BPr-b). The intra-radial SBP references used prior to both the Microlife and Pulse SBP that were similar (145.1±27.7 vs 145.8±24.2 mmHg), but the Microlife SBP was significantly lower than the Pulse SBP (127.7±20.5 vs 130.3±22.7 mmHg, P&lt;0.05), thus the SBPi-M was higher than SBPi-P (18.1±11.8 vs 14.8±12.8 mmHg, P&lt;0.05). As the mean SBPr-b was 12.4 mmHg, the Pulse SBP was closer to expected intra-brachial SBP by about 3.3 mmHg than was Microlife SBP to expected intra-brachial SBP. Meanwhile, Bland-Altman plots showed that the 95% limits of agreement for intra-radial SBP by Pulse SBP were narrower than those by Microlife SBP (12.0∼17.5 vs 15.5∼20.6 mmHg). However, the 95% limits of agreement for Pulse DBP and MAP were similar to those for Microlife DBP and MAP. Against the invasive BP measurement, the pulse method may provide more accurate SBP and comparable DBP and MAP as compared with the oscillometric method.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24955577</pmid><doi>10.1371/journal.pone.0100287</doi><oa>free_for_read</oa></addata></record>
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subjects Accuracy
Aged
Aged, 80 and over
Analysis
Balloon angioplasty
Biology and Life Sciences
Blood pressure
Blood Pressure Determination - instrumentation
Blood Pressure Determination - methods
Bus interconnections
Cardiac arrhythmia
Cardiac patients
Cardiology
Female
Hospitals
Humans
Inventors
Male
Mathematical analysis
Mathematical models
Medical instruments
Medicine and Health Sciences
Methods
Middle Aged
Patients
Percutaneous Coronary Intervention
Sensitivity and Specificity
Systematic review
Veins & arteries
title The value of a BP determination method using a novel non-invasive BP device against the invasive catheter measurement
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