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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
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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. |
format | Online Article Text |
id | pubmed-8352047 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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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