A comparison of measurements of blood pressure, heart-rate and oxygenation during inter-hospital transport of the critically ill

Runcie, C. J.; Reeve, William; Reidy, J.; Dougall, J.

doi:10.1007/bf01706357

Cited by 21 publications

(4 citation statements)

References 21 publications

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“…However, the test was extended to 30 seconds and if necessary a stethoscope was placed over heart when pulse was difficult to count. In HUNT 3, RHR was assessed by echocardiography recordings, and one can expect lower heart rates using this procedure; however, previous studies [33], [34] have shown that RHR assessment by palpation or by auscultation have strong correlation with electrocardiographic measurements, and could be an adequate surrogate measure in the absence of electrocardiography. The temporal decrease in RHR in present study is consistent with other longitudinal studies [11], [35] that have shown a considerable decline in RHR over the years, independent of age and presence of other cardiovascular risk factors.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Population Study of Resting Heart Rate and Peak Oxygen Uptake (the HUNT Study, Norway)

et al. 2012

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ObjectivesWe assessed the prospective association of resting heart rate (RHR) at baseline with peak oxygen uptake (VO2peak) 23 years later, and evaluated whether physical activity (PA) could modify this association.BackgroundBoth RHR and VO2peak are strong and independent predictors of cardiovascular morbidity and mortality. However, the association of RHR with VO2peak and modifying effect of PA have not been prospectively assessed in population studies.MethodsIn 807 men and 810 women free from cardiovascular disease both at baseline (1984–86) and follow-up 23 years later, RHR was recorded at both occasions, and VO2peak was measured by ergospirometry at follow-up. We used Generalized Linear Models to assess the association of baseline RHR with VO2peak, and to study combined effects of RHR and self-reported PA on later VO2peak.ResultsThere was an inverse association of RHR at baseline with VO2peak (p<0.01). Men and women with baseline RHR greater than 80 bpm had 4.6 mL·kg−1·min−1 (95% confidence interval [CI], 2.8 to 6.3) and 1.4 mL·kg−1·min−1 (95% CI, −0.4 to 3.1) lower VO2peak at follow-up compared with men and women with RHR below 60 bpm at baseline. We found a linear association of change in RHR with VO2peak (p = 0.03), suggesting that a decrease in RHR over time is likely to be beneficial for cardiovascular fitness. Participants with low RHR and high PA at baseline had higher VO2peak than inactive people with relatively high RHR. However, among participants with relatively high RHR and high PA at baseline, VO2peak was similar to inactive people with relatively low RHR.ConclusionRHR is an important predictor of VO2peak, and serial assessments of RHR may provide useful and inexpensive information on cardiovascular fitness. The results suggest that high levels of PA may compensate for the lower VO2peak associated with a high RHR.

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Section: Discussionmentioning

confidence: 99%

A Prospective Population Study of Resting Heart Rate and Peak Oxygen Uptake (the HUNT Study, Norway)

et al. 2012

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“…Previous studies have indicated that pulse measurements by palpation or by auscultation are both strongly correlated with electrocardiographic findings, and may be adequate surrogate measures for RHR in the absence of electrocardiography. 21,22 Although measurement error is a common weakness, it is not likely to be systematically related to the risk of subsequent IHD, and therefore, a potential measurement error is expected to lead to an underestimation of the true association and not to create a spurious overestimate.…”

Section: Commentmentioning

confidence: 99%

Temporal Changes in Resting Heart Rate and Deaths From Ischemic Heart Disease

Nauman¹,

Janszky²,

Vatten³

et al. 2011

JAMA

159

112

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“…Blood pressure by palpation provides only an estimate of systolic pressure. 5 Without an auscultated diastolic pressure, the pulse pressure (difference between systolic and diastolic pressure) cannot be calculated. Because a decrease in the pulse pressure may provide an early clue to the presence of hypovolemic shock, the fi eld provider measuring only palpated systolic blood pressure may miss this important clue.…”

Section: Discussionmentioning

confidence: 99%