Are portable ankle brachial pressure index measurement devices suitable for hypertension screening?
In a large-scale population cardiovascular screening programme, peripheral artery disease (PAD) and hypertension would ideally be rapidly assessed using a single device. The ankle-brachial pressure index (ABPI) is calculated by comparing the ankle and brachial blood pressure (BP). However, it is cur...
Gespeichert in:
| Veröffentlicht in: | PloS one 2023-03, Vol.18 (3), p.e0283281 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 3 |
| container_start_page | e0283281 |
| container_title | PloS one |
| container_volume | 18 |
| creator | Janus, Justyna Nicholls, Jennifer K Pallett, Edward Bown, Matthew Chung, Emma M L |
| description | In a large-scale population cardiovascular screening programme, peripheral artery disease (PAD) and hypertension would ideally be rapidly assessed using a single device. The ankle-brachial pressure index (ABPI) is calculated by comparing the ankle and brachial blood pressure (BP). However, it is currently unclear whether brachial BP measurements provided by automated PAD screening systems are sufficiently accurate for simultaneous hypertension screening.
Two portable PAD screening devices, the MESI ABPI MD and Huntleigh's Dopplex ABIlity, were evaluated following the European Society of Hypertension International Protocol (ESH-IP) Revision 2010 using a mercury-free sphygmomanometer as a reference device.
On average, the MESI slightly underestimated brachial systolic blood pressure (BP) with a bias and standard deviation (SD) of -3.5 (SD: 3.3) mmHg and diastolic BP with a bias of -1.5 (SD: 2.3) mmHg. For systolic BP estimates, the Dopplex was more accurate than the MESI with a lower bias of -0.5 (SD: 4.2) mmHg but less precise. The MESI successfully fulfilled all the requirements of the ESH-IP for hypertension screening. The Dopplex device failed the ESH-IP due to the absence of DBP measurements.
The MESI device appears to be suitable for simultaneous PAD and hypertension screening as part of a preventative care programme. Huntleigh's Dopplex ABIlity failed to pass the ESH-IP validation test. Further clinical trials are underway to assess the use of the MESI for simultaneous screening for hypertension and PAD in a population screening setting. |
| doi_str_mv | 10.1371/journal.pone.0283281 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2789211453</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A742377163</galeid><doaj_id>oai_doaj_org_article_33ef753557b84b8e8317c69a9bdecaed</doaj_id><sourcerecordid>A742377163</sourcerecordid><originalsourceid>FETCH-LOGICAL-c642t-e0ce5d34e674951f217e96399b58b206ffbe8aa257b75393aa884849bc1e8083</originalsourceid><addsrcrecordid>eNqNk12L1DAUhoso7rr6D0QLgujFjPlo0-RqGRY_BhYWdPE2pOnpTMY0qUm77P57M053mcpeSCFtk-d9T3JyTpa9xmiJaYU_7fwYnLLL3jtYIsIp4fhJdooFJQtGEH169H2SvYhxh1BJOWPPsxPKREF5yU4zvQqQ9z4MqraQK_crjXVQemuUzfsAMY4JMK6B27wDtf_rwA15AzdGQ8zjaA7S1od8e9dDGMBF410edQBwxm3OX2bPWmUjvJreZ9n1l8_XF98Wl1df1xery4VmBRkWgDSUDS2AVYUocUtwBYJRIeqS1wSxtq2BK0XKqq5KKqhSnBe8ELXGwBGnZ9nbg21vfZRTeqIkFRcE46KkiVgfiMarneyD6VS4k14Z-XfCh41UYTDagqQU2hSlTMF4UXPgFFeaCSXqBrSCJnmdT9HGuoNGp6QEZWem8xVntnLjbyRGiCKEi-TwYXII_vcIcZCdiRqsVQ78OG2cMlKyhL77B338eBO1UekExrU-BdZ7U7mqCkKrCrM9tXyESk8DndGpmFqT5meCjzNBYga4HTZqjFGuf3z_f_bq55x9f8RuQdlhG70dh1Q9cQ4WB1AHH2OA9iHLGMl9L9xnQ-57QU69kGRvjm_oQXRf_PQP6bwFCA</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2789211453</pqid></control><display><type>article</type><title>Are portable ankle brachial pressure index measurement devices suitable for hypertension screening?</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Public Library of Science (PLoS) Journals Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Janus, Justyna ; Nicholls, Jennifer K ; Pallett, Edward ; Bown, Matthew ; Chung, Emma M L</creator><contributor>Sikkandar, Mohamed Yacin</contributor><creatorcontrib>Janus, Justyna ; Nicholls, Jennifer K ; Pallett, Edward ; Bown, Matthew ; Chung, Emma M L ; Sikkandar, Mohamed Yacin</creatorcontrib><description>In a large-scale population cardiovascular screening programme, peripheral artery disease (PAD) and hypertension would ideally be rapidly assessed using a single device. The ankle-brachial pressure index (ABPI) is calculated by comparing the ankle and brachial blood pressure (BP). However, it is currently unclear whether brachial BP measurements provided by automated PAD screening systems are sufficiently accurate for simultaneous hypertension screening.
Two portable PAD screening devices, the MESI ABPI MD and Huntleigh's Dopplex ABIlity, were evaluated following the European Society of Hypertension International Protocol (ESH-IP) Revision 2010 using a mercury-free sphygmomanometer as a reference device.
On average, the MESI slightly underestimated brachial systolic blood pressure (BP) with a bias and standard deviation (SD) of -3.5 (SD: 3.3) mmHg and diastolic BP with a bias of -1.5 (SD: 2.3) mmHg. For systolic BP estimates, the Dopplex was more accurate than the MESI with a lower bias of -0.5 (SD: 4.2) mmHg but less precise. The MESI successfully fulfilled all the requirements of the ESH-IP for hypertension screening. The Dopplex device failed the ESH-IP due to the absence of DBP measurements.
The MESI device appears to be suitable for simultaneous PAD and hypertension screening as part of a preventative care programme. Huntleigh's Dopplex ABIlity failed to pass the ESH-IP validation test. Further clinical trials are underway to assess the use of the MESI for simultaneous screening for hypertension and PAD in a population screening setting.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0283281</identifier><identifier>PMID: 36943856</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accuracy ; Ankle ; Ankle Brachial Index ; Aortic aneurysms ; Automation ; Bias ; Biology and Life Sciences ; Blood Pressure ; Blood Pressure Determination ; Blood Pressure Monitors ; Brachial plexus ; Care and treatment ; Clinical trials ; Complications and side effects ; Engineering and Technology ; Humans ; Hypertension ; Hypertension - diagnosis ; Measuring instruments ; Medical examination ; Medical research ; Medicine and Health Sciences ; Medicine, Experimental ; Medicine, Preventive ; Mercury ; Methods ; Peripheral Arterial Disease - diagnosis ; Peripheral vascular diseases ; Portable equipment ; Prevention ; Preventive health services ; Research and Analysis Methods ; Risk factors ; Screening ; Security systems ; User training ; Vascular diseases ; Veins & arteries</subject><ispartof>PloS one, 2023-03, Vol.18 (3), p.e0283281</ispartof><rights>Copyright: © 2023 Janus et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Janus et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Janus et al 2023 Janus et al</rights><rights>2023 Janus et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c642t-e0ce5d34e674951f217e96399b58b206ffbe8aa257b75393aa884849bc1e8083</cites><orcidid>0000-0002-2741-3652 ; 0000-0003-1951-3861</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030014/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030014/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36943856$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Sikkandar, Mohamed Yacin</contributor><creatorcontrib>Janus, Justyna</creatorcontrib><creatorcontrib>Nicholls, Jennifer K</creatorcontrib><creatorcontrib>Pallett, Edward</creatorcontrib><creatorcontrib>Bown, Matthew</creatorcontrib><creatorcontrib>Chung, Emma M L</creatorcontrib><title>Are portable ankle brachial pressure index measurement devices suitable for hypertension screening?</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>In a large-scale population cardiovascular screening programme, peripheral artery disease (PAD) and hypertension would ideally be rapidly assessed using a single device. The ankle-brachial pressure index (ABPI) is calculated by comparing the ankle and brachial blood pressure (BP). However, it is currently unclear whether brachial BP measurements provided by automated PAD screening systems are sufficiently accurate for simultaneous hypertension screening.
Two portable PAD screening devices, the MESI ABPI MD and Huntleigh's Dopplex ABIlity, were evaluated following the European Society of Hypertension International Protocol (ESH-IP) Revision 2010 using a mercury-free sphygmomanometer as a reference device.
On average, the MESI slightly underestimated brachial systolic blood pressure (BP) with a bias and standard deviation (SD) of -3.5 (SD: 3.3) mmHg and diastolic BP with a bias of -1.5 (SD: 2.3) mmHg. For systolic BP estimates, the Dopplex was more accurate than the MESI with a lower bias of -0.5 (SD: 4.2) mmHg but less precise. The MESI successfully fulfilled all the requirements of the ESH-IP for hypertension screening. The Dopplex device failed the ESH-IP due to the absence of DBP measurements.
The MESI device appears to be suitable for simultaneous PAD and hypertension screening as part of a preventative care programme. Huntleigh's Dopplex ABIlity failed to pass the ESH-IP validation test. Further clinical trials are underway to assess the use of the MESI for simultaneous screening for hypertension and PAD in a population screening setting.</description><subject>Accuracy</subject><subject>Ankle</subject><subject>Ankle Brachial Index</subject><subject>Aortic aneurysms</subject><subject>Automation</subject><subject>Bias</subject><subject>Biology and Life Sciences</subject><subject>Blood Pressure</subject><subject>Blood Pressure Determination</subject><subject>Blood Pressure Monitors</subject><subject>Brachial plexus</subject><subject>Care and treatment</subject><subject>Clinical trials</subject><subject>Complications and side effects</subject><subject>Engineering and Technology</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - diagnosis</subject><subject>Measuring instruments</subject><subject>Medical examination</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Medicine, Experimental</subject><subject>Medicine, Preventive</subject><subject>Mercury</subject><subject>Methods</subject><subject>Peripheral Arterial Disease - diagnosis</subject><subject>Peripheral vascular diseases</subject><subject>Portable equipment</subject><subject>Prevention</subject><subject>Preventive health services</subject><subject>Research and Analysis Methods</subject><subject>Risk factors</subject><subject>Screening</subject><subject>Security systems</subject><subject>User training</subject><subject>Vascular diseases</subject><subject>Veins & arteries</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhoso7rr6D0QLgujFjPlo0-RqGRY_BhYWdPE2pOnpTMY0qUm77P57M053mcpeSCFtk-d9T3JyTpa9xmiJaYU_7fwYnLLL3jtYIsIp4fhJdooFJQtGEH169H2SvYhxh1BJOWPPsxPKREF5yU4zvQqQ9z4MqraQK_crjXVQemuUzfsAMY4JMK6B27wDtf_rwA15AzdGQ8zjaA7S1od8e9dDGMBF410edQBwxm3OX2bPWmUjvJreZ9n1l8_XF98Wl1df1xery4VmBRkWgDSUDS2AVYUocUtwBYJRIeqS1wSxtq2BK0XKqq5KKqhSnBe8ELXGwBGnZ9nbg21vfZRTeqIkFRcE46KkiVgfiMarneyD6VS4k14Z-XfCh41UYTDagqQU2hSlTMF4UXPgFFeaCSXqBrSCJnmdT9HGuoNGp6QEZWem8xVntnLjbyRGiCKEi-TwYXII_vcIcZCdiRqsVQ78OG2cMlKyhL77B338eBO1UekExrU-BdZ7U7mqCkKrCrM9tXyESk8DndGpmFqT5meCjzNBYga4HTZqjFGuf3z_f_bq55x9f8RuQdlhG70dh1Q9cQ4WB1AHH2OA9iHLGMl9L9xnQ-57QU69kGRvjm_oQXRf_PQP6bwFCA</recordid><startdate>20230321</startdate><enddate>20230321</enddate><creator>Janus, Justyna</creator><creator>Nicholls, Jennifer K</creator><creator>Pallett, Edward</creator><creator>Bown, Matthew</creator><creator>Chung, Emma M L</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-2741-3652</orcidid><orcidid>https://orcid.org/0000-0003-1951-3861</orcidid></search><sort><creationdate>20230321</creationdate><title>Are portable ankle brachial pressure index measurement devices suitable for hypertension screening?</title><author>Janus, Justyna ; Nicholls, Jennifer K ; Pallett, Edward ; Bown, Matthew ; Chung, Emma M L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c642t-e0ce5d34e674951f217e96399b58b206ffbe8aa257b75393aa884849bc1e8083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Accuracy</topic><topic>Ankle</topic><topic>Ankle Brachial Index</topic><topic>Aortic aneurysms</topic><topic>Automation</topic><topic>Bias</topic><topic>Biology and Life Sciences</topic><topic>Blood Pressure</topic><topic>Blood Pressure Determination</topic><topic>Blood Pressure Monitors</topic><topic>Brachial plexus</topic><topic>Care and treatment</topic><topic>Clinical trials</topic><topic>Complications and side effects</topic><topic>Engineering and Technology</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - diagnosis</topic><topic>Measuring instruments</topic><topic>Medical examination</topic><topic>Medical research</topic><topic>Medicine and Health Sciences</topic><topic>Medicine, Experimental</topic><topic>Medicine, Preventive</topic><topic>Mercury</topic><topic>Methods</topic><topic>Peripheral Arterial Disease - diagnosis</topic><topic>Peripheral vascular diseases</topic><topic>Portable equipment</topic><topic>Prevention</topic><topic>Preventive health services</topic><topic>Research and Analysis Methods</topic><topic>Risk factors</topic><topic>Screening</topic><topic>Security systems</topic><topic>User training</topic><topic>Vascular diseases</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Janus, Justyna</creatorcontrib><creatorcontrib>Nicholls, Jennifer K</creatorcontrib><creatorcontrib>Pallett, Edward</creatorcontrib><creatorcontrib>Bown, Matthew</creatorcontrib><creatorcontrib>Chung, Emma M L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Janus, Justyna</au><au>Nicholls, Jennifer K</au><au>Pallett, Edward</au><au>Bown, Matthew</au><au>Chung, Emma M L</au><au>Sikkandar, Mohamed Yacin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Are portable ankle brachial pressure index measurement devices suitable for hypertension screening?</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-03-21</date><risdate>2023</risdate><volume>18</volume><issue>3</issue><spage>e0283281</spage><pages>e0283281-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>In a large-scale population cardiovascular screening programme, peripheral artery disease (PAD) and hypertension would ideally be rapidly assessed using a single device. The ankle-brachial pressure index (ABPI) is calculated by comparing the ankle and brachial blood pressure (BP). However, it is currently unclear whether brachial BP measurements provided by automated PAD screening systems are sufficiently accurate for simultaneous hypertension screening.
Two portable PAD screening devices, the MESI ABPI MD and Huntleigh's Dopplex ABIlity, were evaluated following the European Society of Hypertension International Protocol (ESH-IP) Revision 2010 using a mercury-free sphygmomanometer as a reference device.
On average, the MESI slightly underestimated brachial systolic blood pressure (BP) with a bias and standard deviation (SD) of -3.5 (SD: 3.3) mmHg and diastolic BP with a bias of -1.5 (SD: 2.3) mmHg. For systolic BP estimates, the Dopplex was more accurate than the MESI with a lower bias of -0.5 (SD: 4.2) mmHg but less precise. The MESI successfully fulfilled all the requirements of the ESH-IP for hypertension screening. The Dopplex device failed the ESH-IP due to the absence of DBP measurements.
The MESI device appears to be suitable for simultaneous PAD and hypertension screening as part of a preventative care programme. Huntleigh's Dopplex ABIlity failed to pass the ESH-IP validation test. Further clinical trials are underway to assess the use of the MESI for simultaneous screening for hypertension and PAD in a population screening setting.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36943856</pmid><doi>10.1371/journal.pone.0283281</doi><tpages>e0283281</tpages><orcidid>https://orcid.org/0000-0002-2741-3652</orcidid><orcidid>https://orcid.org/0000-0003-1951-3861</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2023-03, Vol.18 (3), p.e0283281 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2789211453 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Accuracy Ankle Ankle Brachial Index Aortic aneurysms Automation Bias Biology and Life Sciences Blood Pressure Blood Pressure Determination Blood Pressure Monitors Brachial plexus Care and treatment Clinical trials Complications and side effects Engineering and Technology Humans Hypertension Hypertension - diagnosis Measuring instruments Medical examination Medical research Medicine and Health Sciences Medicine, Experimental Medicine, Preventive Mercury Methods Peripheral Arterial Disease - diagnosis Peripheral vascular diseases Portable equipment Prevention Preventive health services Research and Analysis Methods Risk factors Screening Security systems User training Vascular diseases Veins & arteries |
| title | Are portable ankle brachial pressure index measurement devices suitable for hypertension screening? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T18%3A55%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Are%20portable%20ankle%20brachial%20pressure%20index%20measurement%20devices%20suitable%20for%20hypertension%20screening?&rft.jtitle=PloS%20one&rft.au=Janus,%20Justyna&rft.date=2023-03-21&rft.volume=18&rft.issue=3&rft.spage=e0283281&rft.pages=e0283281-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0283281&rft_dat=%3Cgale_plos_%3EA742377163%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2789211453&rft_id=info:pmid/36943856&rft_galeid=A742377163&rft_doaj_id=oai_doaj_org_article_33ef753557b84b8e8317c69a9bdecaed&rfr_iscdi=true |