A new oscillometric method for assessment of arterial stiffness: comparison with tonometric and piezo-electronic methods

Baulmann, Johannes; Schillings, Ulrich; Rickert, Susanna; Uen, Sakir; Düsing, Rainer; Illyés, Miklós; Cziráki, Attila; Nickering, Georg; Mengden, Thomas

doi:10.1097/hjh.0b013e3282f314f7

Cited by 274 publications

(233 citation statements)

References 24 publications

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“…10 First studies showed a good agreement between parameters obtained oscillometrically (Arteriograph) and those obtained by standard techniques, including SphygmoCor and Complior. 5,6 In the present study, we found that the wave reflection parameter AI shows a good agreement between all methods, which has been previously shown for SphygmoCor and Arteriograph, 5 and is a novel finding for the Vascular Explorer.…”

Section: Discussionsupporting

confidence: 87%

“…1 New devices, including the Arteriograph and the Vascular Explorer, have been developed to determine PWV, AI and central blood pressure from oscillometrically recorded brachial pressure waves using an upper arm cuff. 5,6 Because arterial stiffness parameters are determined from that single pressure pulse recording at the brachial artery, these new devices eliminate the intrusive procedure of obtaining a femoral pulse recording, and hence, offer the possibility of taking measurements in the sitting position. Measurements in the sitting position (ideally together with blood pressure measurements) could facilitate the use of arterial stiffness parameters in clinical routine.…”

Section: Introductionmentioning

confidence: 99%

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Can arterial stiffness parameters be measured in the sitting position?

Nürnberger

Michalski²,

Türk³

et al. 2010

Hypertens Res

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Despite the introduction of arterial stiffness measurements in the European recommendation, pulse wave velocity (PWV) and augmentation index (AI) are still not used routinely in clinical practice. It would be of advantage if such measurements were done in the sitting position as is done for blood pressure. The aim of this study was to evaluate whether there is a difference in stiffness parameters in sitting vs. supine position. Arterial stiffness was measured in 24 healthy volunteers and 20 patients with cardiovascular disease using three different devices: SphygmoCor (Atcor Medical, Sydney, Australia), Arteriograph (TensioMed, Budapest, Hungary) and Vascular Explorer (Enverdis, Jena, Germany). Three measurements were performed in supine position followed by three measurements in sitting position. Methods were compared using correlation and Bland-Altman analysis. There was a significant correlation between PWV in supine and sitting position (Arteriograph: Po0.0001, r¼0.93; Vascular Explorer; Po0.0001, r¼0.87). There were significant correlations between AI sitting and AI supine using Arteriograph (Po0.0001, r¼0.97), Vascular Explorer (Po0.0001, r¼0.98) and SphygmoCor (Po0.0001, r¼0.96). When analyzed by Bland-Altman, PWV and AI measurements in supine vs. sitting showed good agreement. There was no significant difference in PWV obtained with the three different devices (Arteriograph 7.5 ± 1.6 m s À1 , Vascular Explorer 7.3 ± 0.9 m s À1 , SphygmoCor 7.0 ± 1.8 m s À1 ). AI was significantly higher using the Arteriograph (17.6±15.0%) than Vascular Explorer and SphygmoCor (10.2±15.1% and 10.3 ± 18.1%, respectively). The close agreement between sitting and supine measurements suggests that both PWV and AI can be reliably measured in the sitting position.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Can arterial stiffness parameters be measured in the sitting position?

Nürnberger

Michalski²,

Türk³

et al. 2010

Hypertens Res

View full text Add to dashboard Cite

show abstract

“…[6][7][8][9] In a previous work, including more than 1000 children and teenagers, we provided reference values for pulse wave velocity (PWV), thereby constituting a suitable tool for longitudinal clinical studies assessing subgroups of children who are at long-term risk of cardiovascular disease. 10 A multitude of various methods and techniques have been used to assess PWV in adults such as applanation tonometry, 11,12 ultrasound, 13,14 methods using mechanotransducers 15 and computerized oscillometry; 16 furthermore, a number of comparative studies with diverging results have been published concerning the comparability of the different methods. [17][18][19][20][21] Instruments based on the principle of applanation tonometry (PulsePen (PP) (DiaTecne, Milan, Italy) and Sphygmocor (SC) (AtCor, Sydney, Australia) have been extensively used.…”

Section: Introductionmentioning

confidence: 99%

Measurement of pulse wave velocity in children and young adults: a comparative study using three different devices

et al. 2011

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To estimate the value of pulse wave velocity (PWV) in pediatric cardiovascular disease, prospective studies are needed. Various instruments based on different measurement principles are proposed for use in children, hence the need to test the comparability of these devices in this younger population. The objective of this study was to compare PWV measured by oscillometry (Vicorder (VIC)) with the gold standard of applanation tonometry (PulsePen (PP), Sphygmocor (SC)). PWV was measured in 98 children and young adults (age: 16.7(6.3-26.6) years (median(range)) with the above three devices at the same visit under standardized conditions. Mean PWV measured by VIC was significantly lower than that measured by SC and PP. There was no difference following path length correction of the VIC measurement (using the distance between the jugular notch and the center of the femoral cuff), (PP: 6.12(1.00), SC: 5.94(0.91), VIC: 6.14(0.75) m s À1 ). Velocities measured by the three devices showed highly significant correlations. Bland-Altman analysis revealed excellent concordance between all three devices, however, there was a small but significant proportional error in the VIC measurements showing a trend toward lower PWV measured by VIC at higher PWV values. Our study provides data on the three most frequently used instruments in pediatrics. Following path length correction of the VIC, all three devices provided comparable results. Thus, our work allows extrapolating data between previously established normal PWV values for children and forthcoming studies using these instruments to assess children at long-term risk of cardiovascular disease. The small proportional error of VIC needs additional technical development to improve the accuracy of the measurements.

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“…Augmentation index was normalized to a heart rate of 75 bpm (AIx@75) for comparison for different heart rates. 3,18 Statistical analysis Statistical analyses were carried out using the Statistical Package for Social Sciences for Windows, version 17 (SPSS Inc., Chicago, IL, USA). Kolmogorov-Smirnov test was used to determine the normality of the variables' distribu- 11.4%, respectively.…”

Section: Arterial Stiffness Measurementmentioning

confidence: 99%

Arterial stiffness and 25-hydroxyvitamin D levels in chronic kidney disease patients

Akdam

Alp

2017

Rev. Assoc. Med. Bras.

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A new oscillometric method for assessment of arterial stiffness: comparison with tonometric and piezo-electronic methods

Abstract: The Arteriograph is a new, easy-to-use and time-effective method for assessing arterial stiffness and wave reflection.

Cited by 274 publications

References 24 publications

Can arterial stiffness parameters be measured in the sitting position?

Can arterial stiffness parameters be measured in the sitting position?

Measurement of pulse wave velocity in children and young adults: a comparative study using three different devices

Arterial stiffness and 25-hydroxyvitamin D levels in chronic kidney disease patients

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