A comparison of blood pressure and pulse pressure values obtained by oscillometric and central measurements in hypertensive patients

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dc.contributor.authorKayrak, Mehmet
dc.contributor.authorÜlgen, Mehmet S.
dc.contributor.authorYazıcı, Mehmet
dc.contributor.authorYılmaz, Remzi
dc.contributor.authorDemir, Kenan
dc.contributor.authorDoğan, Yıldız
dc.contributor.authorBodur, Sait
dc.date.accessioned2020-04-30T22:38:38Z
dc.date.available2020-04-30T22:38:38Z
dc.date.issued2010
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionKoc, Fatih/0000-0002-0222-3932en_US
dc.descriptionWOS: 000276310100007en_US
dc.descriptionPubMed: 20070247en_US
dc.description.abstractObjective. Wide pulse pressure (PP) affects the accuracy of oscillometric blood pressure measurements (OBPM): however, the degree of this impact on different patient groups with wide PPs is unclear. This study will investigate the accuracy of OBPM in achieving target BP and PP in isolated systolic hypertension (ISH) group compared with mixed hypertension (MHT) group. Method. A total of 115 patients (70 with ISH and 45 with MHT) were enrolled in the study. Upper arm and wrist OBPM, obtained by OmronM3 and OmronR6 devices respectively, were compared with the simultaneously measured values from the ascending aorta. The ISH was defined as a systolic blood pressure (SBP) >= 140 mmHg and a diastolic blood pressure (DBP) < 90 mmHg. MHT was defined as a SBP >= 140 mmHg and a DBP >= 90 mmHg. Results. The mean central arterial blood pressure (BP) and central PP were higher in the ISH group than those in the MHT group. The upper arm OBPM underestimated the central SBP in two groups (-5 mmHg, -3 mmHg, p=0.5, respectively), but overestimated DBP in the ISH group compared with MHT patients (6.8 mmHg, 1 mmHg, p=0.04, respectively). Wrist OBPM similarly underestimated to the central SBP in each group (-16 mmHg, -19 mmHg, p=0.15), whereas the sum of overestimation of DBP was significantly higher in the ISH than in the MHT group (+6 mmHg, - 1 mmHg, p=0.001, respectively). Also, each of the devices underestimated the central PP in the ISH group (about 10 mmHg) as being higher than that of the MHT group. Conclusion. Oscillometric devices may be used for self-BP measurement in patients with ISH without clinically important disadvantages compared with the patients with MHT. For PP measurement in patients with ISH, there were substantial differences between intra-arterial and indirect arm BP measurements.en_US
dc.identifier.doi10.3109/08037050903516318en_US
dc.identifier.endpage103en_US
dc.identifier.issn1651-1999
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage98en_US
dc.identifier.urihttps://doi.org/10.3109/08037050903516318
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2328
dc.identifier.volume19en_US
dc.identifier.wosWOS:000276310100007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofBlood Pressureen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleA comparison of blood pressure and pulse pressure values obtained by oscillometric and central measurements in hypertensive patientsen_US
dc.typeArticleen_US

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