Radial vs coccygeal artery Doppler blood pressure measurement in conscious cats
Objectives The aims of the study were to compare the results of systolic blood pressure (SBP) measurements at the radial and coccygeal artery by Doppler ultrasonography and to assess the impact of gender, age, body weight, body condition score (BCS) and stress score on disagreements. Methods Eighty...
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| Veröffentlicht in: | Journal of feline medicine and surgery 2018-10, Vol.20 (10), p.968-972 |
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| creator | Zeugswetter, Florian K Tichy, Alexander Weber, Katharina |
| description | Objectives
The aims of the study were to compare the results of systolic blood pressure (SBP) measurements at the radial and coccygeal artery by Doppler ultrasonography and to assess the impact of gender, age, body weight, body condition score (BCS) and stress score on disagreements.
Methods
Eighty cats were included in this prospective, block randomised crossover trial. Blood pressure measurements were performed at home, during hospitalisation or in a local animal shelter by a single trained observer according to the latest ISFM consensus guidelines. Statistical analysis included Spearman’s correlation and ANOVA.
Results
Measurement or site order had no effect on blood pressure measurements (P = 0.157, P = 0.965). Correlation of radial and coccygeal SBP was moderate (rsp = 0.519, P |
| doi_str_mv | 10.1177/1098612X17740795 |
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The aims of the study were to compare the results of systolic blood pressure (SBP) measurements at the radial and coccygeal artery by Doppler ultrasonography and to assess the impact of gender, age, body weight, body condition score (BCS) and stress score on disagreements.
Methods
Eighty cats were included in this prospective, block randomised crossover trial. Blood pressure measurements were performed at home, during hospitalisation or in a local animal shelter by a single trained observer according to the latest ISFM consensus guidelines. Statistical analysis included Spearman’s correlation and ANOVA.
Results
Measurement or site order had no effect on blood pressure measurements (P = 0.157, P = 0.965). Correlation of radial and coccygeal SBP was moderate (rsp = 0.519, P <0.001) and measurements at the tail were by mean 18.7 ± 37 mmHg higher. The differences between the measuring sites were neither correlated with age (rsp = 0.044, P = 0.710) nor with body weight (rsp = 0.122, P = 0.337). A significant effect of BCS (P = 0.016), but not gender (P = 0.246) or stress score (P = 0.424) was identified. Of the 25 cats with a coccygeal SBP ⩾170 mmHg, 14 (56%) were categorised as mildly hypertensive or normotensive when measurements were performed at the forelimb.
Conclusions and relevance
Choice of the measuring site, coccygeal vs radial artery, has a significant impact on Doppler ultrasonographic SBP results. In many cats, these discrepancies are huge and would certainly affect treatment decisions. Possible explanations include cone-shaped tails, especially in obese cats, leading to distal gapping or slippage of cylindrical cuffs and peripheral pulse pressure amplification. Further studies are urgently needed to clarify whether the discordances are artefacts or have a pathological background.</description><identifier>ISSN: 1098-612X</identifier><identifier>EISSN: 1532-2750</identifier><identifier>DOI: 10.1177/1098612X17740795</identifier><identifier>PMID: 29132245</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Animals ; Blood Pressure - physiology ; Blood Pressure Determination - veterinary ; Cat Diseases - physiopathology ; Cats - physiology ; Consciousness ; Female ; Hypertension - physiopathology ; Hypertension - veterinary ; Male ; Original ; Predictive Value of Tests ; Prospective Studies ; Radial Artery - diagnostic imaging ; Random Allocation ; Sacrococcygeal Region - diagnostic imaging ; Ultrasonography, Doppler - veterinary</subject><ispartof>Journal of feline medicine and surgery, 2018-10, Vol.20 (10), p.968-972</ispartof><rights>The Author(s) 2017</rights><rights>The Author(s) 2017 2017 International Society of Feline Medicine and American Association of Feline Practitioners</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-404a1f1f8c48c2dfd8caa6a9acfdab36450f51f41eabfa5071a33db02115c69c3</citedby><cites>FETCH-LOGICAL-c393t-404a1f1f8c48c2dfd8caa6a9acfdab36450f51f41eabfa5071a33db02115c69c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129233/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129233/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,21966,27853,27924,27925,44945,45333,53791,53793</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/1098612X17740795?utm_source=summon&utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29132245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zeugswetter, Florian K</creatorcontrib><creatorcontrib>Tichy, Alexander</creatorcontrib><creatorcontrib>Weber, Katharina</creatorcontrib><title>Radial vs coccygeal artery Doppler blood pressure measurement in conscious cats</title><title>Journal of feline medicine and surgery</title><addtitle>J Feline Med Surg</addtitle><description>Objectives
The aims of the study were to compare the results of systolic blood pressure (SBP) measurements at the radial and coccygeal artery by Doppler ultrasonography and to assess the impact of gender, age, body weight, body condition score (BCS) and stress score on disagreements.
Methods
Eighty cats were included in this prospective, block randomised crossover trial. Blood pressure measurements were performed at home, during hospitalisation or in a local animal shelter by a single trained observer according to the latest ISFM consensus guidelines. Statistical analysis included Spearman’s correlation and ANOVA.
Results
Measurement or site order had no effect on blood pressure measurements (P = 0.157, P = 0.965). Correlation of radial and coccygeal SBP was moderate (rsp = 0.519, P <0.001) and measurements at the tail were by mean 18.7 ± 37 mmHg higher. The differences between the measuring sites were neither correlated with age (rsp = 0.044, P = 0.710) nor with body weight (rsp = 0.122, P = 0.337). A significant effect of BCS (P = 0.016), but not gender (P = 0.246) or stress score (P = 0.424) was identified. Of the 25 cats with a coccygeal SBP ⩾170 mmHg, 14 (56%) were categorised as mildly hypertensive or normotensive when measurements were performed at the forelimb.
Conclusions and relevance
Choice of the measuring site, coccygeal vs radial artery, has a significant impact on Doppler ultrasonographic SBP results. In many cats, these discrepancies are huge and would certainly affect treatment decisions. Possible explanations include cone-shaped tails, especially in obese cats, leading to distal gapping or slippage of cylindrical cuffs and peripheral pulse pressure amplification. Further studies are urgently needed to clarify whether the discordances are artefacts or have a pathological background.</description><subject>Animals</subject><subject>Blood Pressure - physiology</subject><subject>Blood Pressure Determination - veterinary</subject><subject>Cat Diseases - physiopathology</subject><subject>Cats - physiology</subject><subject>Consciousness</subject><subject>Female</subject><subject>Hypertension - physiopathology</subject><subject>Hypertension - veterinary</subject><subject>Male</subject><subject>Original</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Radial Artery - diagnostic imaging</subject><subject>Random Allocation</subject><subject>Sacrococcygeal Region - diagnostic imaging</subject><subject>Ultrasonography, Doppler - veterinary</subject><issn>1098-612X</issn><issn>1532-2750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UUtLxDAQDqL4vnuSHr1UM0nTNicR3yAsiIK3ME2TtdI2NWmF_fdm2VVU8DQzfI95EXIE9BSgKM6AyjIH9hLzjBZSbJBdEJylrBB0M-YRTpf4DtkL4Y1SKrlk22SHSeCMZWKXzB6xbrBNPkKindaLuYkF-tH4RXLlhqE1Pqla5-pk8CaEyZukM7iMnenHpOmjrA-6cVM0wDEckC2LbTCH67hPnm-uny7v0ofZ7f3lxUOqueRjmtEMwYItdVZqVtu61Ig5StS2xornmaBWgM3AYGVR0AKQ87qiDEDoXGq-T85XvsNUdabWcRiPrRp806FfKIeN-o30zauauw8FAEwyzqPDydrBu_fJhFF1TdCmbbE3cRsFMs9YXuaijFS6omrvQvDGfvcBqpaPUH8fESXHP-f7FnxdPhLSFSHg3Kg3N_k-3ut_w08Yq5Ms</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Zeugswetter, Florian K</creator><creator>Tichy, Alexander</creator><creator>Weber, Katharina</creator><general>SAGE Publications</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>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181001</creationdate><title>Radial vs coccygeal artery Doppler blood pressure measurement in conscious cats</title><author>Zeugswetter, Florian K ; Tichy, Alexander ; Weber, Katharina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-404a1f1f8c48c2dfd8caa6a9acfdab36450f51f41eabfa5071a33db02115c69c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Animals</topic><topic>Blood Pressure - physiology</topic><topic>Blood Pressure Determination - veterinary</topic><topic>Cat Diseases - physiopathology</topic><topic>Cats - physiology</topic><topic>Consciousness</topic><topic>Female</topic><topic>Hypertension - physiopathology</topic><topic>Hypertension - veterinary</topic><topic>Male</topic><topic>Original</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Radial Artery - diagnostic imaging</topic><topic>Random Allocation</topic><topic>Sacrococcygeal Region - diagnostic imaging</topic><topic>Ultrasonography, Doppler - veterinary</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zeugswetter, Florian K</creatorcontrib><creatorcontrib>Tichy, Alexander</creatorcontrib><creatorcontrib>Weber, Katharina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of feline medicine and surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Zeugswetter, Florian K</au><au>Tichy, Alexander</au><au>Weber, Katharina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radial vs coccygeal artery Doppler blood pressure measurement in conscious cats</atitle><jtitle>Journal of feline medicine and surgery</jtitle><addtitle>J Feline Med Surg</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>20</volume><issue>10</issue><spage>968</spage><epage>972</epage><pages>968-972</pages><issn>1098-612X</issn><eissn>1532-2750</eissn><abstract>Objectives
The aims of the study were to compare the results of systolic blood pressure (SBP) measurements at the radial and coccygeal artery by Doppler ultrasonography and to assess the impact of gender, age, body weight, body condition score (BCS) and stress score on disagreements.
Methods
Eighty cats were included in this prospective, block randomised crossover trial. Blood pressure measurements were performed at home, during hospitalisation or in a local animal shelter by a single trained observer according to the latest ISFM consensus guidelines. Statistical analysis included Spearman’s correlation and ANOVA.
Results
Measurement or site order had no effect on blood pressure measurements (P = 0.157, P = 0.965). Correlation of radial and coccygeal SBP was moderate (rsp = 0.519, P <0.001) and measurements at the tail were by mean 18.7 ± 37 mmHg higher. The differences between the measuring sites were neither correlated with age (rsp = 0.044, P = 0.710) nor with body weight (rsp = 0.122, P = 0.337). A significant effect of BCS (P = 0.016), but not gender (P = 0.246) or stress score (P = 0.424) was identified. Of the 25 cats with a coccygeal SBP ⩾170 mmHg, 14 (56%) were categorised as mildly hypertensive or normotensive when measurements were performed at the forelimb.
Conclusions and relevance
Choice of the measuring site, coccygeal vs radial artery, has a significant impact on Doppler ultrasonographic SBP results. In many cats, these discrepancies are huge and would certainly affect treatment decisions. Possible explanations include cone-shaped tails, especially in obese cats, leading to distal gapping or slippage of cylindrical cuffs and peripheral pulse pressure amplification. Further studies are urgently needed to clarify whether the discordances are artefacts or have a pathological background.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>29132245</pmid><doi>10.1177/1098612X17740795</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of feline medicine and surgery, 2018-10, Vol.20 (10), p.968-972 |
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| source | Sage Journals GOLD Open Access 2024 |
| subjects | Animals Blood Pressure - physiology Blood Pressure Determination - veterinary Cat Diseases - physiopathology Cats - physiology Consciousness Female Hypertension - physiopathology Hypertension - veterinary Male Original Predictive Value of Tests Prospective Studies Radial Artery - diagnostic imaging Random Allocation Sacrococcygeal Region - diagnostic imaging Ultrasonography, Doppler - veterinary |
| title | Radial vs coccygeal artery Doppler blood pressure measurement in conscious cats |
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