Comparison of Two Home Blood Pressure Monitors with a Mercury Sphygmomanometer in an Ambulatory Population

Johnson, K. B.; Partsch, Deborah J.; Gleason, Patrick P.; Makay, Kelly

doi:10.1592/phco.19.4.333.30936

Cited by 9 publications

(6 citation statements)

References 11 publications

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“…Most validation studies of digital monitors carried out so far were restricted to adults 6,7,12,14,16 . However, hypertension in adolescence, one of the possible consequences of the obesity epidemics, is a growing public health concern.…”

Section: Discussionmentioning

confidence: 99%

“…As an alternative, digital devices have received growing attention, and well-known health associations are recommending their use [13][14][15] . Regardless of the recommendations, the validity of digital monitors needs to be confirmed prior to their widespread utilization.Most validation studies of digital monitors carried out so far were restricted to adults 6,7,12,14,16 . However, hypertension in adolescence, one of the possible consequences of the obesity epidemics, is a growing public health concern.…”

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Validade de um monitor digital de pulso para mensuração de pressão arterial em comparação com um esfigmomanômetro de mercúrio

Menezes

Dumith

Noal

et al. 2010

Arq. Bras. Cardiol.

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Background: Valid measurements of blood pressure, both at clinical and community settings, are essential for monitoring this variable at the population level.Objective: To evaluate the validity of a wrist digital monitor for measuring blood pressure among adolescents in comparison to a mercury sphygmomanometer.Methods: A validation study was carried out in the city of Pelotas, Southern Brazil. Blood pressure was measured twice using two different sphygmomanometers; an OMRON wrist digital and a desktop BD mercury one. Half of the sample was measured first with the digital manometer and subsequently with the mercury one, whereas the remaining half was evaluated in the opposite order. Agreement between both measures was evaluated using the Bland and Altman method.Results: 120 adolescents aged 14 to 15 years were included (50% of each sex). Mean systolic blood pressure among boys was 113.7 mmHg (SD 14.2) when using the mercury manometer and 115.5 mmHg (SD 15.2) when using the digital one. Equivalent values for diastolic blood pressure were 61.5 mmHg (SD 9.9) and 69.6 mmHg (10.2), respectively. Among girls, the mean systolic blood pressure was 104.7 mmHg (SD 10.1) when using the mercury manometer and 102.4 mmHg (SD 11.9) when using the digital device. Values for diastolic blood pressure were 60.0 mmHg (SD 10.4) and 65.7 mmHg (SD 7.7), respectively. Conclusions:The digital device showed a high level of agreement with the mercury manometer when measuring systolic blood pressure. The level of agreement was lower for diastolic blood pressure. The use of correction equations may be an alternative for studies using this wrist digital monitor in adolescent patients. ( 3,4 . It seems that this type of equipment can replace the others in some contexts, such as at home or in epidemiological studies within the community 5 . However, most studies so far included only adults, and therefore, the validity of these methods among adolescents in unclear.The aim of the present study was to test the validity of a wrist digital monitor against that of a mercury sphygmomanometer -the gold standard -in a convenience sample of adolescents living in Pelotas, southern Brazil. MethodsA sample of 120 adolescents aged 14 to 15 years from five public schools of the city had their blood pressure measured with two different sphygmomanometers -a desktop BD IntroductionAn accurate assessment of blood pressure is very important for the diagnosis and treatment of hypertension. The importance of attaining the diagnosis of high blood pressure and its continuous monitoring are well known. Therefore, several equipments have been available for the measurement of blood pressure, not only to be used by specialized individuals, but also by the population itself. In this sense, wrist digital monitors have been increasingly used, instead of mercury and aneroid devices, which require a trained professional to operate them 1,2 .Although digital monitors are much easier to use when compared to the mercury sphygmomanometers, it is 345Original Article mercur...

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Validade de um monitor digital de pulso para mensuração de pressão arterial em comparação com um esfigmomanômetro de mercúrio

Menezes

Dumith

Noal

et al. 2010

Arq. Bras. Cardiol.

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“…Participants’ blood pressure was measured by the cardiologist after 9 min of complete passive rest. Systolic and diastolic blood pressure were measured with a stethoscope and a sphygmomanometer (Erka Perfect Aneroid / Germany) [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

Investigation of left atrial mechanical function and left ventricular systolic and diastolic parameters in athletes performing resistance exercise and combined exercise

Kurtoğlu,

Akgümüş,

Balun

et al. 2024

BMC Cardiovasc Disord

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Some individuals who go to fitness centers for various purposes perform resistance exercise (RE) alone, while others engage in combined exercise (CE) by including cardio exercises along with RE. Studying the effects of these two different training methods on left ventricular (LV) systolic and diastolic parameters and left atrial mechanical function is an important step toward understanding the effects of different types of exercise on cardiac function. This knowledge has significant implications for public health, as it can inform the development of targeted and effective exercise programs that prioritize cardiovascular health and reduce the risk of adverse outcomes. Therefore, the primary aim of this study is to comprehensively investigate the LV systolic and diastolic parameters of athletes who engage in RE and CE using ECHO, to contribute to the growing body of literature on the cardiovascular effects of different types of exercise. Forty-two amateur athletes aged between 17 and 52 were included in our study. The participants consisted of the RE (n = 26) group who did only resistance exercise during the weekly exercise period, and the CE group (n = 16) who also did cardio exercise with resistance exercises. After determining sports age (year), weekly exercise frequency (day), and training volume (min) in addition to demographic information of RE and CE groups, left ventricular systolic and diastolic parameters and left atrial functions were determined by ECHO. Findings from our study revealed that parameters including the left ventricular end-diastolic diameter (LVEDD) (p = .008), left ventricular end-diastolic volume (LVEDV) (p = .020), stroke volume index (SV-I) (p = .048), conduit volume (CV-I) (p = .001), and aortic strain (AS) (p = .017) were notably higher in the RE group compared to the CE group. Also left atrial active emptying volüme (LAAEV) of CE was higher than the RE group (p = .031). In conclusion, the cardiac parameters of the RE group showed more athlete’s heart characteristics than the CE group. These results may help to optimize the cardiovascular benefits of exercise routines while minimizing the potential risks associated with improper training.

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“…Blood pressure was measured by a cardiologist after 9 min of complete passive rest following the standardized method of measurement [ 19 ]. Systolic and diastolic blood pressures were measured using a stethoscope and a sphygmomanometer (Erka Perfect Aneroid / Germany).…”

Section: Methodsmentioning

confidence: 99%

The insufficiency of recreational exercises in improving cardiovascular fitness: an investigation of ventricular systolic and diastolic parameters and left atrial mechanical functions

Akgümüş,

Kurtoğlu,

Aydın

et al. 2023

BMC Cardiovasc Disord

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Aim This study aimed to compare the left ventricular (LV) systolic and diastolic parameters and left atrial (LA) mechanical functions of individuals engaging in recreational sports and resistance exercises on a weekly basis. Methods A total of 43 male amateur athletes were included in this study, of which 24 performed resistance exercises (REs) (29.70 ± 8.74 year, weight: 81.70 ± 12.64 kg, height: 176.05 ± 7.73 cm, BMI: 27.64 ± 4.97 kg/m2), and 19 participated in recreational football training and were included in the recreational sports group (31.73 ± 6.82 year, weight: 86.00 ± 18.52 kg, height: 178.62 ± 4.95 cm, BMI: 25.55 ± 3.42 kg/m2). The exercises were standardized according to the weekly exercise frequency and volume. After recording the participants’ demographic information, the LV systolic and diastolic parameters and LA mechanical functions were measured using echocardiography (ECHO) and Tissue Doppler Imaging. Results Significant differences were observed in various cardiac parameters between the recreational sports group (REG) and resistance exercise Group (RSG). Specifically, the left ventricular (LV) diastolic diameter, LV end diastolic volume index (LVEDVi), and stroke volume index were notably higher in the REG compared to the RSG (t = 2.804, p = .010, effect size (ES) = 2.10; t = 3.174, p = .003, ES = 0.98; t = 3.36, p = .002, ES = 1.02, respectively). Notably, the RSG exhibited higher values for LV mass index (LVMi) and isovolumic relaxation time (IVRT) than the REG (t = 2.843, p = .007, ES = 0.87; t = 2.517, p = .016, ES = 0.76) in terms of LV systolic and diastolic parameters. Regarding left atrial (LA) mechanics, the REG demonstrated increased LA total emptying volume index, LA maximum volume index, LA volume before systole measured at the onset of the p-wave index, and conduit volume index compared to RSG (t = 2.419, p = .020, ES = 0.75; t = 2.669, p = .011, ES = 0.81; t = 2.111, p = .041, ES = 0.64; t = 2.757, p = .009, ES = 0.84, respectively). Conclusion Our study revealed significant variations in LV and LA functions between REG and RSG. Our data suggest that REs led to substantial cardiac remodeling, altering myocardial structure and function. In contrast, the effect of recreational exercise on cardiac adaptation was less pronounced than that of resistance exercise. Consequently, we propose that individuals engaging in recreational exercise should consider modalities that impose higher cardiovascular demand for more effective cardiac conditioning.

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Comparison of Two Home Blood Pressure Monitors with a Mercury Sphygmomanometer in an Ambulatory Population

Cited by 9 publications

References 11 publications

Validade de um monitor digital de pulso para mensuração de pressão arterial em comparação com um esfigmomanômetro de mercúrio

Validade de um monitor digital de pulso para mensuração de pressão arterial em comparação com um esfigmomanômetro de mercúrio

Investigation of left atrial mechanical function and left ventricular systolic and diastolic parameters in athletes performing resistance exercise and combined exercise

The insufficiency of recreational exercises in improving cardiovascular fitness: an investigation of ventricular systolic and diastolic parameters and left atrial mechanical functions

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