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Accuracy of cuff-measured blood pressure: Systematic reviews and meta-analyses

Picone, DS ORCID: 0000-0002-4760-1634, Schultz, MG ORCID: 0000-0003-3458-1811, Otahal, P ORCID: 0000-0003-4042-1769, Aakhus, S, Al-Jumaily, AM, Black, JA, Bos, WJ, Chambers, JB, Chen, CH, Cheng, HM, Cremer, A, Davies, JE, Dwyer, N ORCID: 0000-0002-1583-8290, Gould, BA, Hughes, AD, Lacy, PS, Laugesen, E, Liang, F, Melamed, R, Muecke, S, Ohte, N, Okada, S, Omboni, S, Ott, C, Peng, X, Pereira, T, Pucci, G, Rajani, R, Roberts-Thomson, P, Rossen, NB, Sueta, D, Sinha, MD, Schmieder, RE, Smulyan, H, Srikanth, VK, Stewart, R, Stouffer, GA, Takazawa, K, Wang, J, Westerhof, BE, Weber, F, Weber, T, Williams, B, Yamada, H, Yamamoto, E and Sharman, JE ORCID: 0000-0003-2792-0811 2017 , 'Accuracy of cuff-measured blood pressure: Systematic reviews and meta-analyses' , Journal of the American College of Cardiology, vol. 70, no. 5 , pp. 572-586 , doi: 10.1016/j.jacc.2017.05.064.

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Abstract

Background: Hypertension (HTN) is the single greatest cardiovascular risk factor worldwide. HTN management is usually guided by brachial cuff blood pressure (BP), but questions have been raised regarding accuracy.Objectives: This comprehensive analysis determined the accuracy of cuff BP and the consequent effect on BP classification compared with intra-arterial BP reference standards.Methods: Three individual participant data meta-analyses were conducted among studies (from the 1950s to 2016) that measured intra-arterial aortic BP, intra-arterial brachial BP, and cuff BP.Results: A total of 74 studies with 3,073 participants were included. Intra-arterial brachial systolic blood pressure (SBP) was higher than aortic values (8.0 mm Hg; 95% confidence interval [CI]: 5.9 to 10.1 mm Hg; p Conclusions: Cuff BP has variable accuracy for measuring either brachial or aortic intra-arterial BP, and this adversely influences correct BP classification. These findings indicate that stronger accuracy standards for BP devices may improve cardiovascular risk management.

Item Type: Article
Authors/Creators:Picone, DS and Schultz, MG and Otahal, P and Aakhus, S and Al-Jumaily, AM and Black, JA and Bos, WJ and Chambers, JB and Chen, CH and Cheng, HM and Cremer, A and Davies, JE and Dwyer, N and Gould, BA and Hughes, AD and Lacy, PS and Laugesen, E and Liang, F and Melamed, R and Muecke, S and Ohte, N and Okada, S and Omboni, S and Ott, C and Peng, X and Pereira, T and Pucci, G and Rajani, R and Roberts-Thomson, P and Rossen, NB and Sueta, D and Sinha, MD and Schmieder, RE and Smulyan, H and Srikanth, VK and Stewart, R and Stouffer, GA and Takazawa, K and Wang, J and Westerhof, BE and Weber, F and Weber, T and Williams, B and Yamada, H and Yamamoto, E and Sharman, JE
Keywords: blood pressure determination, hemodynamics, sphygmomanometers
Journal or Publication Title: Journal of the American College of Cardiology
Publisher: Elsevier Science Inc
ISSN: 0735-1097
DOI / ID Number: 10.1016/j.jacc.2017.05.064
Copyright Information:

Copyright 2017 American College of Cardiology Foundation

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