Cargando…
Validation study to determine the accuracy of central blood pressure measurement using the SphygmoCor XCEL cuff device in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement
Central aortic blood pressure could be helpful in the evaluation of patients with aortic stenosis (AS). The SphygmoCor XCEL device estimates central blood pressure (BP) measurement with its easy‐to‐use, operator‐independent procedure. However, this device has not been properly validated against inva...
Autores principales: | , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8262233/ https://www.ncbi.nlm.nih.gov/pubmed/33942487 http://dx.doi.org/10.1111/jch.14245 |
_version_ | 1783719151565537280 |
---|---|
author | De la Torre Hernández, Jose M. Veiga Fernandez, Gabriela Brown, Jonathan Sainz Laso, Fermin Lee, Dae‐Hyun Fradejas, Victor Garcia Camarero, Tamara Elmariah, Sammy Inglessis, Ignacio Zueco, Javier Vazquez de Prada, Jose A. Ben‐Assa, Eyal Edelman, Elazer R. |
author_facet | De la Torre Hernández, Jose M. Veiga Fernandez, Gabriela Brown, Jonathan Sainz Laso, Fermin Lee, Dae‐Hyun Fradejas, Victor Garcia Camarero, Tamara Elmariah, Sammy Inglessis, Ignacio Zueco, Javier Vazquez de Prada, Jose A. Ben‐Assa, Eyal Edelman, Elazer R. |
author_sort | De la Torre Hernández, Jose M. |
collection | PubMed |
description | Central aortic blood pressure could be helpful in the evaluation of patients with aortic stenosis (AS). The SphygmoCor XCEL device estimates central blood pressure (BP) measurement with its easy‐to‐use, operator‐independent procedure. However, this device has not been properly validated against invasive measurement in patients with severe AS. We evaluated the relationship between cuff‐brachial BP, transfer function‐estimated and invasively measured central aortic pressure in patients with severe AS before and after transcatheter aortic valve replacement (TAVR). Agreement between techniques was analyzed and, according to the ARTERY Society recommendations, the minimum acceptable error was a mean difference ± SD ≤5 ± ≤8 mm Hg. A total of 94 patients with AS undergoing TAVR had simultaneous non‐invasive and invasive measurements of central BP before and after the procedure. Before TAVR central systolic BP was in average slightly underestimated, though with wide variability, when using the default calibration of brachial‐cuff SBP (mean difference ± SD, −3 ± 15 mm Hg), and after TAVR the degree of underestimation increased (mean difference ± SD, −9 ± 13 mm Hg). The agreement tended to improve for those patients with low aortic gradient stenosis compared to those with high gradient at baseline (mean difference ± SD, −2 ± 11 mm Hg vs. −4 ± 17, respectively, p = .3). The cuff‐brachial systolic BP yielded numerically lower degree of agreement and weaker correlation with invasive measurements than SphygmoCor XCEL. In patients with severe AS the SphygmoCor XCEL cuff device, despite showing strong correlation, does not meet the ARTERY Society accuracy criteria for non‐invasive measurement of central SBP. |
format | Online Article Text |
id | pubmed-8262233 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-82622332021-07-07 Validation study to determine the accuracy of central blood pressure measurement using the SphygmoCor XCEL cuff device in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement De la Torre Hernández, Jose M. Veiga Fernandez, Gabriela Brown, Jonathan Sainz Laso, Fermin Lee, Dae‐Hyun Fradejas, Victor Garcia Camarero, Tamara Elmariah, Sammy Inglessis, Ignacio Zueco, Javier Vazquez de Prada, Jose A. Ben‐Assa, Eyal Edelman, Elazer R. J Clin Hypertens (Greenwich) Central Blood Pressure Central aortic blood pressure could be helpful in the evaluation of patients with aortic stenosis (AS). The SphygmoCor XCEL device estimates central blood pressure (BP) measurement with its easy‐to‐use, operator‐independent procedure. However, this device has not been properly validated against invasive measurement in patients with severe AS. We evaluated the relationship between cuff‐brachial BP, transfer function‐estimated and invasively measured central aortic pressure in patients with severe AS before and after transcatheter aortic valve replacement (TAVR). Agreement between techniques was analyzed and, according to the ARTERY Society recommendations, the minimum acceptable error was a mean difference ± SD ≤5 ± ≤8 mm Hg. A total of 94 patients with AS undergoing TAVR had simultaneous non‐invasive and invasive measurements of central BP before and after the procedure. Before TAVR central systolic BP was in average slightly underestimated, though with wide variability, when using the default calibration of brachial‐cuff SBP (mean difference ± SD, −3 ± 15 mm Hg), and after TAVR the degree of underestimation increased (mean difference ± SD, −9 ± 13 mm Hg). The agreement tended to improve for those patients with low aortic gradient stenosis compared to those with high gradient at baseline (mean difference ± SD, −2 ± 11 mm Hg vs. −4 ± 17, respectively, p = .3). The cuff‐brachial systolic BP yielded numerically lower degree of agreement and weaker correlation with invasive measurements than SphygmoCor XCEL. In patients with severe AS the SphygmoCor XCEL cuff device, despite showing strong correlation, does not meet the ARTERY Society accuracy criteria for non‐invasive measurement of central SBP. John Wiley and Sons Inc. 2021-05-04 /pmc/articles/PMC8262233/ /pubmed/33942487 http://dx.doi.org/10.1111/jch.14245 Text en © © 2021 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Central Blood Pressure De la Torre Hernández, Jose M. Veiga Fernandez, Gabriela Brown, Jonathan Sainz Laso, Fermin Lee, Dae‐Hyun Fradejas, Victor Garcia Camarero, Tamara Elmariah, Sammy Inglessis, Ignacio Zueco, Javier Vazquez de Prada, Jose A. Ben‐Assa, Eyal Edelman, Elazer R. Validation study to determine the accuracy of central blood pressure measurement using the SphygmoCor XCEL cuff device in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement |
title | Validation study to determine the accuracy of central blood pressure measurement using the SphygmoCor XCEL cuff device in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement |
title_full | Validation study to determine the accuracy of central blood pressure measurement using the SphygmoCor XCEL cuff device in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement |
title_fullStr | Validation study to determine the accuracy of central blood pressure measurement using the SphygmoCor XCEL cuff device in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement |
title_full_unstemmed | Validation study to determine the accuracy of central blood pressure measurement using the SphygmoCor XCEL cuff device in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement |
title_short | Validation study to determine the accuracy of central blood pressure measurement using the SphygmoCor XCEL cuff device in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement |
title_sort | validation study to determine the accuracy of central blood pressure measurement using the sphygmocor xcel cuff device in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement |
topic | Central Blood Pressure |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8262233/ https://www.ncbi.nlm.nih.gov/pubmed/33942487 http://dx.doi.org/10.1111/jch.14245 |
work_keys_str_mv | AT delatorrehernandezjosem validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement AT veigafernandezgabriela validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement AT brownjonathan validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement AT sainzlasofermin validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement AT leedaehyun validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement AT fradejasvictor validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement AT garciacamarerotamara validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement AT elmariahsammy validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement AT inglessisignacio validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement AT zuecojavier validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement AT vazquezdepradajosea validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement AT benassaeyal validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement AT edelmanelazerr validationstudytodeterminetheaccuracyofcentralbloodpressuremeasurementusingthesphygmocorxcelcuffdeviceinpatientswithsevereaorticstenosisundergoingtranscatheteraorticvalvereplacement |