Talking with a doctor during a visit elicits increases in systolic and diastolic blood pressure

Qi, Wenqiang; Wu, Qinghua; Peng, Qiang; Li, Ping; Cheng, Xiaoshu; Su, Hai

doi:10.1097/mbp.0000000000000270

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Medical staff needs to explain the procedure, place the cuff, and leave the room to the patients when measuring AOBP, which is cumbersome and impractical in daily clinical practice. Considering that it could increase the BP measured, talking should be strictly avoided during AOBP measurement [4], although both attended and unattended AOBP measurements have high concordance with ABP values [5,6]. Additionally, it would be difficult to wait for as long as 5 min before starting a BP measurement.…”

Section: Introductionmentioning

confidence: 99%

Automated office blood pressure measurement with the assistance of an instructional video in patients with hypertension

Toba,

Ishikawa,

Harada

2023

Blood Pressure Monitoring

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Objectives Automated office blood pressure (AOBP) measurement often requires assistance. Accompanied by an instructional video, AOBP measurement could be performed independently by patients. Design and methods Seventy-five patients with hypertension were enrolled. AOBP was measured three times at 1-min intervals after 5 min of rest by an automated BP measurement device with the assistance of an animated instructional video. The video was designed originally to instruct patients on the way to measure BP appropriately. Perceived stress was evaluated using a questionnaire after the AOBP measurement. Office BP was measured three times using the same device. Home BP measurement was performed on 5 consecutive days. Results The mean age of the patients was 74.5 ± 10.6 years, and 96% were taking antihypertensive drugs. Mean AOBP, office BP and home BP measurements were 135.2 ± 17.2/81.3 ± 11.1, 139.3 ± 16.3/78.6 ± 10.9 and 129.2 ± 16.7/72.7 ± 8.9 mmHg, respectively. Regarding SBP, the mean AOBP was significantly lower than office BP (P = 0.005) and higher than home BP (P = 0.004). The differences in SBP and DBP between AOBP and home BP measurements were significantly related to patients’ perceived stress when performing AOBP measurements (r = 0.289; P = 0.013 and r = 0.328; P = 0.004). In a multivariate analysis, patients’ perceived stress was a significant predictor of the difference between AOBP and home BP (P = 0.013), even after adjusting for age, sex, BMI and mean of AOBP and home BP. Conclusion AOBP values measured with the assistance of an instructional video were between conventional office and home BP measurements. Perceived stress during AOBP measurement was related to the difference in AOBP from home BP.

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Section: Introductionmentioning

confidence: 99%

Automated office blood pressure measurement with the assistance of an instructional video in patients with hypertension

Toba,

Ishikawa,

Harada

2023

Blood Pressure Monitoring

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Sources of automatic office blood pressure measurement error: a systematic review

Liu¹,

Li²,

Li³

et al. 2022

Physiol. Meas.

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Objective: Accurate and reliable blood pressure (BP) measurement is important for the prevention and treatment of hypertension. The oscillometric-based automatic office blood pressure measurement (AOBPM) is widely used in hospitals and clinics, but measurement errors are common in BP measurements. There is a lack of systematic review of the sources of measurement errors. Approach: A systematic review of all existing research on sources of AOBPM errors. A search strategy was designed in six online databases, and all the literature published before October 2021 was selected. Those studies that used the AOBPM device to measure BP from the upper arm of subjects were included. Main results: A total of 1365 studies were screened, and 224 studies were included in this final review. They investigated 22 common error sources with clinical AOBPM. Regarding the causes of BP errors, this review divided them into the following categories: the activities before measurement, patient's factors, measurement environment, measurement procedure, and device settings. 13 sources caused increased systolic and diastolic BP (SBP and DBP), 2 sources caused the decrease in SBP and DBP, only 1 source had no significant effect on BPs, and the other errors had a non-uniform effect (either increase or decrease in BPs). The error ranges for SBP and DBP were -14 to 33 mmHg and -6 to 19 mmHg, respectively. Significance: The measurement accuracy of AOBPM is susceptible to the influence of measurement factors. Interpreting BP readings need to be treated with caution in clinical measurements. This review made comprehensive evidence for the need for standardized BP measurements and provided guidance for clinical practitioners when measuring BP with AOBPM devices.

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How Should We Measure and Deal with Office Blood Pressure in 2021?

Vischer

Burkard

2021

Diagnostics

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Arterial hypertension is a major risk factor for cardiovascular disease worldwide. Office blood pressure measurements (OBPMs) are still recommended for diagnosis and follow-up by all major guidelines; however, the recommended procedures differ significantly. In analogy, major outcome studies usually apply OBPMs, again, with a variety of procedures. This variety of OBPM procedures complicates the comparability between studies and challenges daily clinical practice. In this narrative review, we compile the most recent recommendations for office blood pressure measurement together with the major limitations and strategies and how these could be overcome.

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Talking with a doctor during a visit elicits increases in systolic and diastolic blood pressure

Abstract: The maximum SBP increment is 9.1 mmHg and DBP increment is 4.5 mmHg during 5 min of talking with doctor. Meanwhile, the increased SBP needs about 5 min to return to the baseline level.

Cited by 3 publications

References 7 publications

Automated office blood pressure measurement with the assistance of an instructional video in patients with hypertension

Automated office blood pressure measurement with the assistance of an instructional video in patients with hypertension

Sources of automatic office blood pressure measurement error: a systematic review

How Should We Measure and Deal with Office Blood Pressure in 2021?

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