Validation of the BPLab® 24-hour blood pressure monitoring system in a pediatric population according to the 1993 British Hypertension Society protocol

Abstract

BackgroundAutomatic 24-hour ambulatory blood pressure (BP) monitoring (ABPM) is a basic procedure performed in adults with arterial hypertension, but ABPM monitors have become widely used in pediatric practice only recently. The main problem is the lack of common normative data sets for ABPM in children and the small number of appropriate monitors that can be used for analysis of the 24-hour BP profile in this age group. The aim of this study was to validate the BPLab® ABPM monitor according to the 1993 British Hypertension Society (BHS-93) protocol, as well as to work out solutions regarding the feasibility of this device in pediatric practice.MethodsOur study included 30 children of both sexes and aged 5–15 years, ie, “older” children according to the BHS-93 protocol. Before starting the study, we obtained ethical approval from the regional scientific ethics committee. All participants and their parents signed their written consent for participation in the study. The data were simultaneously obtained by three experts, who had completed a noninvasive BP measurement training course. BP values were measured using the Korotkoff auscultatory method (Phase I for systolic BP and Phase V for diastolic BP). Discrepancies in the systolic and diastolic BP measurements (n=180; 90 for each expert) were analyzed according to the criteria specified in the BHS-93 protocol.ResultsThe device was graded “A” for both systolic BP and diastolic BP according to the criteria of the BHS-93 protocol.ConclusionThe BPLab ABPM device may be recommended for extensive pediatric use.

Comparison of the BPLab® sphygmomanometer for ambulatory blood pressure monitoring with mercury sphygmomanometry in pregnant women: validation study according to the British Hypertension Society protocol

“…The oscillometric BPLab BP monitor has been validated in adult and pediatric population achieving similar results to those we have described. 7 , 11 Moreover, the device was validated for measuring central aortic pressure and parameters of arterial stiffness. 12 – 14 It provides normative data for arterial stiffness and central BP indices and allows studying the feasibility of BPLab indices in daily life dynamic conditions.…”

Blood pressure load in adolescent boys with different circadian systolic and diastolic blood pressure patterns

“…We performed ABPM using oscillometric device BPLab (level of accuracy A/A [12]) with the appropriate size cuff that was applied to the child's nondominant arm. The device was programmed to record BP every 15 min during daytime and every 30 min during sleep.…”

Vascular Health Assessment of The Hypertensive Patients (VASOTENS) Registry: Study Protocol of an International, Web-Based Telemonitoring Registry for Ambulatory Blood Pressure and Arterial Stiffness

“…Twenty-four hour ABPM will be performed with the BPLab device, which has been found to be accurate for estimation of both BP and vascular indices in properly conducted validation studies [ 26 , 27 , 34 - 36 ]. A description of the technique used to non-invasively assess central hemodynamics and arterial stiffness by the BPLab device is detailed in a separate section.…”