Overlooking orthostatic hypotension with routine blood-pressure equipment

Measuring orthostatic hypotension with the Finometer device: is a blood pressure drop of one heartbeat clinically relevant?

“…This study shows that the optimal time average for finger-blood-pressure measurements, when addressing OH as a cause of falls, appears to be 5 s and not the generally used beat-to-beat reading [12,[22][23][24][25]35]. Compared with conventional sphygmomanometry, Percentages of participants with orthostatic hypotension for the different measurement averages.…”

“…Therefore, it seems logical to use a more objective and precise measurement method, i.e. a tilt table and a continuous-blood-pressure-measurement system, such as Finometer or Finapres [25]. Of late, continuous finger blood pressure measurement systems are increasingly available in hospital settings.…”

Diagnosing orthostatic hypotension: a narrative review of the evidence

“…However, there was a lack of consensus about when to first measure the initial orthostatic BP and how often thereafter during the upright position 29 . Further doubt arose when it became possible to record upright BP continuously 30 .…”

Orthostatic hypotension in older patients

“…This allows 'beat-to-beat' recording of BP changes by means of a volume-clamp technique, and allows indirect, non-invasive calculation of several cardiovascular variables such as systemic vascular resistance, stroke volume and cardiac output, by means of a specifically designed software program which analyzes the digital-artery pressure waveform generated by each digital-artery pulse. 77 They compared results to manual sphygmomanometry and semiautomatic sphygmomanometry . Its accuracy, sensitivity and reproducibility have been found to be similar to standard invasive techniques.…”