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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...

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Autores principales: 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.
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
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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.
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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
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