10.1 OPTIMAL AUTOMATED UNOBSERVED OFFICE BLOOD PRESSURE PROTOCOL: ONLY 6-MINUTES AND TWO READINGS MAY BE NEEDED

DOI

10.1016/j.artres.2016.10.079How to use a DOI?

Abstract

Background: Automated office blood pressure (AutoBP) involving repeated, unobserved blood pressure (BP) readings during one clinic visit provides a practical alternative to daytime ambulatory blood pressure (ABP). However, the number of reading taken and measurement duration have varied across previously used AutoBP protocols. Therefore, the optimal AutoBP protocol taken in the least amount of time with the fewest BP readings is yet to be determined and was the aim of this study.

Methods: 117 patients (mean age 61.5±12.5 years) referred to a specialist BP clinic underwent AutoBP in a quiet room alone. Eight BP measurements were taken at 2-minute intervals immediately after sitting. The optimal AutoBP protocol with the highest concordance to daytime ABP was defined by smallest mean difference and highest intra-class correlation coefficient (ICC). The same BP device (Mobil-o-graph, IEM) was used for both AutoBP and daytime ABP.

Results: Average 15-minute AutoBP and daytime ABP were 138.4±18.1/84.8±12.2 mmHg and 140.9±15.2/86.2±10.6 mmHg, respectively. The AutoBP protocol with the highest concordance to daytime ABP was the average of two measures taken between two and six minutes of seated rest (systolic BP: mean difference = 0.3 (95%CI -3.0,2.4) mmHg, p=0.84; ICC=0.80; diastolic BP: mean difference = −0.42 (95%CI -2.0,1.1) mmHg, p=0.60; ICC=0.85). Daytime ABP tended to be overestimated by individual and the average of more than one AutoBP recorded before six minutes, however daytime ABP was underestimated after this time.

Conclusion: Only six minutes and two AutoBP readings may be needed to be comparable with daytime ABP.

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TY  - JOUR
AU  - Myles Moore
AU  - Nathan Dwyer
AU  - Ella Hoban
AU  - Mark Nelson
AU  - Dean Picone
AU  - Martin Schultz
AU  - James Sharman
PY  - 2016
DA  - 2016/11/24
TI  - 10.1 OPTIMAL AUTOMATED UNOBSERVED OFFICE BLOOD PRESSURE PROTOCOL: ONLY 6-MINUTES AND TWO READINGS MAY BE NEEDED
JO  - Artery Research
SP  - 71
EP  - 71
VL  - 16
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2016.10.079
DO  - 10.1016/j.artres.2016.10.079
ID  - Moore2016
ER  -