Comparison of Auscultatory and Oscillometric Blood Pressures

Park, Myung K.; Menard, Shirley W.; Yuan, Cheng

doi:10.1001/archpedi.155.1.50

Cited by 184 publications

(84 citation statements)

References 14 publications

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“…18 Another factor that might have affected the levels of measured BP in this study is the use of an automated electronic manometre for office BP measurement instead of a conventional mercury sphygmomanometre and the auscultatory technique as recommended by the 2004 Task Force. 14 This device has been validated in adults, 11 yet differences in measured BP compared 12 Although, there are reports that some of the oscillometric devices might overestimate BP in children, 19,20 the validation study by Wong et al 12 suggests that the Welch Allyn Vital Sign Monitor device tends to underestimate BP (by 4.4 mm Hg for systolic and 4.1 mm Hg for diastolic BP). These results are in favour of excluding an overestimating factor in our study, attributable to the device used.…”

Section: Discussionmentioning

confidence: 99%

Trends in high blood pressure prevalence in Greek adolescents

et al. 2009

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A school-based screening with anthropometric and blood pressure (BP) measurements was performed in adolescents aged 12-17 years in the island of Samos, . In multivariate analysis, BMI, male gender and age, but also modifiable factors (lack of physical activity, breakfast skipping, smoking and low milk consumption) were associated with increased BP levels in the study population. These data indicate that further to BMI, other factors such as adverse lifestyle and dietary habits appear to be associated with elevated BP levels in adolescents. Moreover, rising trends seem to characterize the prevalence of high BP.

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Section: Discussionmentioning

confidence: 99%

Trends in high blood pressure prevalence in Greek adolescents

et al. 2009

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“…Indications for BP measurement and investigations for hypertension concern preterm neonates born with concomitant congenital malformations and diseases associated with hypertension and newborns requiring hospitalization. It is recommended to perform BP measurements in appropriate www.ah.viamedica.pl [126] conditions and using the technique described in Table XVIII [129][130][131][132][133][134][135]. In neonates, infants and young children, auscultatory measurement is not recommended due to technical difficulties and a high prevalence of the white coat effect compared to automatic measurement.…”

Section: Neonatal Hypertensionmentioning

confidence: 99%

Zalecenia Sekcji Pediatrycznej Polskiego Towarzystwa Nadciśnienia Tętniczego dotyczące postępowania diagnostycznego i terapeutycznego w nadciśnieniu tętniczym u dzieci i młodzieży

Litwin

Niemirska

Obrycki

et al. 2018

Arterial Hypertension

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Presented recommendations are an extended and actualized version of paediatric recommendations of Polish Society of Hypertension published in 2015. Since then, new studies have appeared on this subject, introducing a new classification of hypertension, newly described principles of management in risk groups and methods of assessing hypertensive target organ damage. The presented updated recommendations included changes introduced in the 2016 European Society of Hypertension recommendations and Recommendations of Children's Memorial Health Institute in Warsaw. Recently published guidelines of American Academy of Pediatrics have been discussed. In the presented issue of guidelines, epidemiological information on the occurrence and incidence of hypertension in developmental age was added and classification of blood pressure values was updated. Subchapters on diagnosis and organ damage assessment, principles of diagnosis and treatment of hypertension in children with diabetes, chronic kidney disease and a subsection discussing diagnostic and therapeutic difficulties with setting blood pressure targets were revised. In addition, the principles of early diagnosis of arterial hypertension in post-hospital care in children born before 33 weeks of gestation published in 2018 as recommendations of the Polish Neonatal Society have been also taken into account.

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“…Blood pressure and HR were measured by a single determination obtained through an automated oscillometric device. Although automated blood pressure devices reduce observer bias, they tend to report blood pressure values 4-12 mmHg higher than blood pressure obtained by the auscultatory method (Park et al 2001;Park et al 2005).…”

Section: Study Limitationsmentioning

confidence: 99%

An Open Study of Adjunct OROS-Methylphenidate in Children Who Are Atomoxetine Partial Responders: II. Tolerability and Pharmacokinetics

Hammerness

Georgiopoulos

Doyle

et al. 2009

Journal of Child and Adolescent Psychopharmacology

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Objective: The aim of this study was to evaluate the tolerability of adding OROS methylphenidate (MPH) to children who are partial responders to atomoxetine (ATMX) in the treatment of attention-deficit=hyperactivity disorder (ADHD). Methods: This was a two-phase, 7-week, open study in children aged 6-17 years. Phase 1 initiated ATMX for a minimum of 4 weeks. Phase 2 entered partial responders to ATMX and added OROS MPH to their regimen. Safety was assessed using blood pressure and heart rate measurements, electrocardiogram readings, AEs, laboratories, and ATMX levels. Results: Fifty subjects who were partial responders to ATMX received the combination therapy, with 41 subjects completing the entire protocol. As reported elsewhere , OROS MPH added to partial responders of ATMX was accompanied by a 40% reduction in the ADHD rating scale score and improvements in executive functioning. However, the combination of ATMX plus OROS MPH was associated with greater rates of insomnia, irritability, and loss of appetite compared to ATMX alone. A small significant increase in diastolic blood pressure was observed during adjunctive OROS MPH, with no clinically meaningful changes in electrocardiogram (ECG) parameters during the study. ATMX levels and liver function tests did not significantly change during the combination treatment. Conclusion: Adjunct OROS MPH in ATMX partial responders yielded an additive adverse effect burden in this short-term study. Further controlled research with larger samples of children is warranted.

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Comparison of Auscultatory and Oscillometric Blood Pressures

Abstract: These findings preclude the interchange of readings by the 2 methods. Caution must be exercised in the diagnosis of hypertension when an automated device is used.

Cited by 184 publications

References 14 publications

Trends in high blood pressure prevalence in Greek adolescents

Trends in high blood pressure prevalence in Greek adolescents

Zalecenia Sekcji Pediatrycznej Polskiego Towarzystwa Nadciśnienia Tętniczego dotyczące postępowania diagnostycznego i terapeutycznego w nadciśnieniu tętniczym u dzieci i młodzieży

An Open Study of Adjunct OROS-Methylphenidate in Children Who Are Atomoxetine Partial Responders: II. Tolerability and Pharmacokinetics

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