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Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type?

BACKGROUND: Ambulatory blood pressure monitoring (ABPM) is important in evaluating average 24-hour blood pressure (BP) levels, circadian rhythm, sleeping BP and BP variability but many patients are reluctant to use standard ABPM devices. METHODS: We compared two validated ABPM devices, the BPro tono...

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Detalles Bibliográficos
Autores principales: Zeng, Wei-wei, Chan, Sze Wa, Tomlinson, Brian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8352047/
https://www.ncbi.nlm.nih.gov/pubmed/34370782
http://dx.doi.org/10.1371/journal.pone.0255871
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author Zeng, Wei-wei
Chan, Sze Wa
Tomlinson, Brian
author_facet Zeng, Wei-wei
Chan, Sze Wa
Tomlinson, Brian
author_sort Zeng, Wei-wei
collection PubMed
description BACKGROUND: Ambulatory blood pressure monitoring (ABPM) is important in evaluating average 24-hour blood pressure (BP) levels, circadian rhythm, sleeping BP and BP variability but many patients are reluctant to use standard ABPM devices. METHODS: We compared two validated ABPM devices, the BPro tonometric wrist monitor and the A&D TM-2430 oscillometric upper arm monitor, for agreement of recordings and acceptability in 37 hypertensive patients (aged 55±9 years). RESULTS: Successful BP measurements were less frequent with the wrist-type than the arm-type device during the sleeping (66.3% vs. 92.9%, P <0.01) and awake periods (56.2% vs. 86.5%, P <0.01). Comparable paired readings showed no significant difference in systolic BP but diastolic BP (DBP) values were higher with the wrist compared to the arm monitor (24-hour 89±13 vs. 85±14 mmHg, P <0.01) with similar differences awake and sleeping. Bland-Altman analysis showed some large discrepancies between individual arm and wrist monitor measurements. More patients found the wrist monitor more comfortable to use than the arm monitor. CONCLUSIONS: Despite the difference in individual BP measurements and the systematic overestimation of DBP values with the BPro device, wrist monitors with good patient acceptability may be useful to facilitate ABPM in some patients to provide additional information about cardiovascular risk and response to antihypertensive therapies.
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spelling pubmed-83520472021-08-10 Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type? Zeng, Wei-wei Chan, Sze Wa Tomlinson, Brian PLoS One Research Article BACKGROUND: Ambulatory blood pressure monitoring (ABPM) is important in evaluating average 24-hour blood pressure (BP) levels, circadian rhythm, sleeping BP and BP variability but many patients are reluctant to use standard ABPM devices. METHODS: We compared two validated ABPM devices, the BPro tonometric wrist monitor and the A&D TM-2430 oscillometric upper arm monitor, for agreement of recordings and acceptability in 37 hypertensive patients (aged 55±9 years). RESULTS: Successful BP measurements were less frequent with the wrist-type than the arm-type device during the sleeping (66.3% vs. 92.9%, P <0.01) and awake periods (56.2% vs. 86.5%, P <0.01). Comparable paired readings showed no significant difference in systolic BP but diastolic BP (DBP) values were higher with the wrist compared to the arm monitor (24-hour 89±13 vs. 85±14 mmHg, P <0.01) with similar differences awake and sleeping. Bland-Altman analysis showed some large discrepancies between individual arm and wrist monitor measurements. More patients found the wrist monitor more comfortable to use than the arm monitor. CONCLUSIONS: Despite the difference in individual BP measurements and the systematic overestimation of DBP values with the BPro device, wrist monitors with good patient acceptability may be useful to facilitate ABPM in some patients to provide additional information about cardiovascular risk and response to antihypertensive therapies. Public Library of Science 2021-08-09 /pmc/articles/PMC8352047/ /pubmed/34370782 http://dx.doi.org/10.1371/journal.pone.0255871 Text en © 2021 Zeng et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Zeng, Wei-wei
Chan, Sze Wa
Tomlinson, Brian
Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type?
title Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type?
title_full Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type?
title_fullStr Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type?
title_full_unstemmed Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type?
title_short Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type?
title_sort patient preferences for ambulatory blood pressure monitoring devices: wrist-type or arm-type?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8352047/
https://www.ncbi.nlm.nih.gov/pubmed/34370782
http://dx.doi.org/10.1371/journal.pone.0255871
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