Validation of non-invasive central blood pressure devices: ARTERY Society task force consensus statement on protocol standardization

Sharman, James E.; Avolio, Alberto; Baulmann, Johannes; Bénétos, Athanase; Blacher, Jacques; Blizzard, Christopher Leigh; Boutouyrie, Pierre; Chen, Chen Huan; Chowienczyk, Phil; Cockcroft, John R.; Cruickshank, J.; Ferreira, Isabel; Ghiadoni, Lorenzo; Hughes, Alun D.; Jankowski, Piotr; Laurent, Stéphane; McDonnell, Barry J.; McEniery, Carmel M.; Millasseau, Sandrine; Παπαϊωάννου, Θεόδωρος; Parati, Gianfranco; Park, Jeong Bae; Protogerou, Athanase D.; Roman, Mary J.; Schillaci, Giuseppe; Segers, Patrick; Stergiou, George S.; Tomiyama, Hirofumi; Townsend, Raymond R.; Bortel, Luc M. Van; Wang, Ji‐Guang; Wassertheurer, Siegfried; Weber, Thomas; Wilkinson, Ian B.; Vlachopoulos, Charalambos

doi:10.1093/eurheartj/ehw632

Cited by 197 publications

(231 citation statements)

References 71 publications

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“…It is suggested that the accuracy of central BP should be examined against the invasive measurements counterparts . Accuracy of current central BP methods and devices has been investigated in several systematic review .…”

Section: Methods and Devices Used For Noninvasive Estimation Of Centrmentioning

confidence: 99%

“…After the introduction of cuff‐based techniques developed to obtain noninvasive central BP, its convenient measurement can realize the use of central BP concept in daily clinical practice. Moreover, the Artery Society task force, in response to the burgeoning noninvasive central BP monitoring devices, has proposed a validation standard . One of the major suggestions in the consensus statement is the further classification of central BP monitoring devices based on its purpose.…”

Section: Introductionmentioning

confidence: 99%

“…One of the major suggestions in the consensus statement is the further classification of central BP monitoring devices based on its purpose. It suggests to classify the devices into two types: Type I devices estimate central BP relative to the measured brachial BP, and type II devices estimate the intra‐arterial central BP . The features are a relatively accurate pressure difference between central and peripheral sites for type I devices and a relatively accurate absolute central BP value for type II devices.…”

Section: Introductionmentioning

confidence: 99%

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Central blood pressure for the management of hypertension: Is it a practical clinical tool in current practice?

Cheng

Chuang

Wang

et al. 2019

J of Clinical Hypertension

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Since noninvasive central blood pressure (BP) measuring devices are readily available, central BP has gained growing attention regarding its clinical application in the management of hypertension. The disagreement between central and peripheral BP has long been recognized. Some previous studies showed that noninvasive central BP may be better than the conventional brachial BP in association with target organ damages and long-term cardiovascular outcomes. Recent studies further suggest that the central BP strategy for confirming a diagnosis of hypertension may be more cost-effective than the conventional strategy, and guidance of hypertension management with central BP may result in less use of medications to achieve BP control.Despite the use of central BP being promising, more randomized controlled studies comparing central BP-guided therapeutic strategies with conventional care for cardiovascular events reduction are required because noninvasive central and brachial BP measures are conveniently available. In this brief review, the rationale supporting the utility of central BP in clinical practice and relating challenges are summarized.

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Section: Methods and Devices Used For Noninvasive Estimation Of Centrmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Central blood pressure for the management of hypertension: Is it a practical clinical tool in current practice?

Cheng

Chuang

Wang

et al. 2019

J of Clinical Hypertension

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“…However, this is not a major limitation; while the subtraction method is associated with a cut-off threshold of 10 m/s [32], the threshold for the total direct distance method is 12 m/s [33,34], which was the value used in this study. Finally, it is acknowledged that non-invasive estimations of central APs are dependent on the accuracy of the calibration method [35]. In the present study, cuff-measured non-invasive brachial SBP and DBP were used to calibrate the non-invasive radial waveform used for deriving central APs.…”

Section: Discussionmentioning

confidence: 99%

Association of Haemodynamic Indices of Central and Peripheral Pressure with Subclinical Target Organ Damage

Zuo

Chu

Tan

et al. 2017

Pulse

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Background: Central aortic pressure has often been shown to be more closely associated with markers of vascular function and incidence of cardiovascular events compared to peripheral pressure. However, the potential clinical use of central aortic or peripheral haemodynamic indices as markers of target organ damage (TOD) has not been fully established. Methods: We evaluated associations of TOD with central aortic and peripheral haemodynamic indices (central aortic [cPP] and peripheral pulse pressure [pPP], central aortic augmentation index, and central and peripheral waveform factor) in 770 hospital inpatients (age 60 ± 10 years, 473 males) with primary hypertension. TOD was quantified in terms of arterial stiffness as measured by carotid-femoral pulse wave velocity (cfPWV), carotid intima-media thickness (IMT), and urine albumin-to-creatinine ratio (ACR). Subclinical TOD was defined as carotid IMT >0.9 mm, urine ACR >3.5 mg/mmol in females and >2.5 mg/mmol in males and/or cfPWV >12 m/s. Results: Both cPP and pPP showed significant correlation with cfPWV (r = 0.41 vs. 0.40; p < 0.01), ACR (r = 0.24 vs. 0.27; p < 0.01) and carotid IMT (r = 0.14 vs. 0.15; p < 0.01). Each SD increase in pPP and cPP was associated with increased risk of cfPWV >12 m/s (odds ratio [OR] = 2.7 and 2.9 for pPP and cPP, respectively), ACR >2.5 mg/mmol (OR = 1.2 and 1.4, respectively), and carotid IMT >0.9 mm (OR = 1.46 and 1.53, respectively). Compared to pPP, cPP had higher predictive power for TOD for age ≥60 years (OR = 3.07, p < 0.001). Conclusions: Although both pPP and cPP show an association with TOD in a hypertensive population, cPP provides additional information beyond pPP associated with TOD in a hypertensive cohort. Central aortic haemodynamic indices as potential biomarkers of subclinical TOD need to be validated by further prospective studies.

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“…In order to complete the analysis of the variation, agreement and consistency between repeated measurements, other statistical metrics can be used such as the coefficient of variation (not recommended for measurements that include zero or close to zero values), the root mean square error (RMSE) and others. 4,5 Correlation coefficients (Pearson or Spearman) r and the slope from linear regression analysis or model's R 2 , can be inappropriate for the assessment of reproducibility, under circumstances, since they measure association and not concordance. 6 For example, one set of measurements may take systematically higher or lower values than another set and still r or R 2 values can be very high but misleading.…”

mentioning

confidence: 99%

Reproducibility of measurement of skin melanin, total hemoglobin, and oxygen saturation

Papaioannou

Karamanou

Tousoulis

2017

Skin Research and Technology

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In the recently published study by Nkengne et al, 1 a new technology for the automated quantification of skin melanin, total hemoglobin, and oxygen saturation was investigated. In specific, the reproducibility and repeatability of a hyperspectral imaging device and software (SpectraCam ® ) was studied. The system and the determined parameters related to skin chromophores are very promising and useful especially in cosmetology.In respect to the analysis of the reproducibility and repeatability of quantitative measurements it should be highlighted that although

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Validation of non-invasive central blood pressure devices: ARTERY Society task force consensus statement on protocol standardization

Cited by 197 publications

References 71 publications

Central blood pressure for the management of hypertension: Is it a practical clinical tool in current practice?

Central blood pressure for the management of hypertension: Is it a practical clinical tool in current practice?

Association of Haemodynamic Indices of Central and Peripheral Pressure with Subclinical Target Organ Damage

Reproducibility of measurement of skin melanin, total hemoglobin, and oxygen saturation

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