Accuracy of commercial devices and methods for noninvasive estimation of aortic systolic blood pressure a systematic review and meta-analysis of invasive validation studies

Papaioannou, Theodore G.; Karageorgopoulou, Theofani D.; Sergentanis, Theodoros N.; Protogerou, Athanase D.; Ψαλτοπούλου, Θεοδώρα; Sharman, James E.; Weber, Thomas; Blacher, Jacques; Daskalopoulou, Stella S.; Wassertheurer, Siegfried; Khir, Ashraf W.; Vlachopoulos, Charalambos; Stergiopulos, Nikolaos; Stefanadis, Christodoulos; Nichols, Wilmer W.; Tousoulis, Dimitrios

doi:10.1097/hjh.0000000000000921

Cited by 119 publications

(122 citation statements)

References 47 publications

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“…It is suggested that the accuracy of central BP should be examined against the invasive measurements counterparts . Accuracy of current central BP methods and devices has been investigated in several systematic review . It seems that the accuracy is device specific, and the major limitation is the accuracy of cuff BP used for waveform calibration …”

Section: Methods and Devices Used For Noninvasive Estimation Of Centrmentioning

confidence: 99%

Central blood pressure for the management of hypertension: Is it a practical clinical tool in current practice?

Cheng

Chuang

Wang

et al. 2019

J of Clinical Hypertension

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Since noninvasive central blood pressure (BP) measuring devices are readily available, central BP has gained growing attention regarding its clinical application in the management of hypertension. The disagreement between central and peripheral BP has long been recognized. Some previous studies showed that noninvasive central BP may be better than the conventional brachial BP in association with target organ damages and long-term cardiovascular outcomes. Recent studies further suggest that the central BP strategy for confirming a diagnosis of hypertension may be more cost-effective than the conventional strategy, and guidance of hypertension management with central BP may result in less use of medications to achieve BP control.Despite the use of central BP being promising, more randomized controlled studies comparing central BP-guided therapeutic strategies with conventional care for cardiovascular events reduction are required because noninvasive central and brachial BP measures are conveniently available. In this brief review, the rationale supporting the utility of central BP in clinical practice and relating challenges are summarized.

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Section: Methods and Devices Used For Noninvasive Estimation Of Centrmentioning

confidence: 99%

Central blood pressure for the management of hypertension: Is it a practical clinical tool in current practice?

Cheng

Chuang

Wang

et al. 2019

J of Clinical Hypertension

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“…The results of this study show that dietary salt restriction reduces cBP parameters, at least in part independently from the concomitant changes in peripheral BP. In consideration of the importance of cBP as a predictor of cardiovascular morbidity and mortality and that the non‐invasive assessment underestimates the actual cBP values, 60 this effect of salt restriction significantly adds to its recognized value in cardiovascular disease prevention. In addition, these findings indicate cBP as a possible additional parameter to clinically evaluate the response to salt reduction.…”

Section: Discussionmentioning

confidence: 99%

Effect of dietary salt restriction on central blood pressure: A systematic review and meta‐analysis of the intervention studies

D’Elia¹,

Fata

Giaquinto³

et al. 2020

J of Clinical Hypertension

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Central blood pressure (cBP) is highly associated with cardiovascular risk. Although reduction of salt intake leads to lower peripheral blood pressure (BP), the studies on cBP provided inconsistent results. Therefore, we performed a systematic review and a meta‐analysis of the available intervention trials of salt reduction on cBP values to reach definitive conclusions. A systematic search of the online databases available (up to December 2018) was conducted including the intervention trials that reported non‐invasively assessed cBP changes after two different salt intake regimens. For each study, the mean difference and 95% confidence intervals were pooled using a random‐effect model. Sensitivity, heterogeneity, publication bias, subgroup, and meta‐regression analyses were performed. Fourteen studies met the pre‐defined inclusion criteria and provided 17 cohorts with 457 participants with 1‐13 weeks of intervention time. In the pooled analysis, salt restriction was associated with a significant reduction in augmentation index (9.3%) as well as central systolic BP and central pulse pressure. There was a significant heterogeneity among studies (I2 = 70%), but no evidence of publication bias. Peripheral BP changes seemed to partially interfere on the relationship between salt restriction and cBP. The results of this meta‐analysis indicate that dietary salt restriction reduces cBP. This effect seems to be, at least in part, independent of the changes in peripheral BP.

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“…Technological advances have allowed the development of new devices capable of measuring central BP in a noninvasive way [13, 14]. Their development is based on the premise that central or aortic BP reflects the true load on the target organ.…”

Section: Discussionmentioning

confidence: 99%

Cuff-Based Oscillometric Central and Brachial Blood Pressures Obtained Through ABPM are Similarly Associated with Renal Organ Damage in Arterial Hypertension

Fernández-Llama

Pareja

Yun

et al. 2017

Kidney Blood Press Res

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Background/Aims: Central blood pressure (BP) has been suggested to be a better estimator of hypertension-associated risks. We aimed to evaluate the association of 24-hour central BP, in comparison with 24-hour peripheral BP, with the presence of renal organ damage in hypertensive patients. Methods: Brachial and central (calculated by an oscillometric system through brachial pulse wave analysis) office BP and ambulatory BP monitoring (ABPM) data and aortic pulse wave velocity (PWV) were measured in 208 hypertensive patients. Renal organ damage was evaluated by means of the albumin to creatinine ratio and the estimated glomerular filtration rate. Results: Fifty-four patients (25.9%) were affected by renal organ damage, displaying either microalbuminuria (urinary albumin excretion ≥30 mg/g creatinine) or an estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m². Compared to those without renal abnormalities, hypertensive patients with kidney damage had higher values of office brachial systolic BP (SBP) and pulse pressure (PP), and 24-h, daytime, and nighttime central and brachial SBP and PP. They also had a blunted nocturnal decrease in both central and brachial BP, and higher values of aortic PWV. After adjustment for age, gender, and antihypertensive treatment, only ABPM-derived BP estimates (both central and brachial) showed significant associations with the presence of renal damage. Odds ratios for central BP estimates were not significantly higher than those obtained for brachial BP. Conclusion: Compared with peripheral ABPM, cuff-based oscillometric central ABPM does not show a closer association with presence of renal organ damage in hypertensive patients. More studies, however, need to be done to better identify the role of central BP in clinical practice.

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Accuracy of commercial devices and methods for noninvasive estimation of aortic systolic blood pressure a systematic review and meta-analysis of invasive validation studies

Cited by 119 publications

References 47 publications

Central blood pressure for the management of hypertension: Is it a practical clinical tool in current practice?

Central blood pressure for the management of hypertension: Is it a practical clinical tool in current practice?

Effect of dietary salt restriction on central blood pressure: A systematic review and meta‐analysis of the intervention studies

Cuff-Based Oscillometric Central and Brachial Blood Pressures Obtained Through ABPM are Similarly Associated with Renal Organ Damage in Arterial Hypertension

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