To what extent can the chosen blood pressure measurement technique affect the outcomes of an observational survey?
Language English Country Great Britain, England Media print-electronic
Document type Journal Article, Observational Study, Research Support, Non-U.S. Gov't
PubMed
31475585
DOI
10.2217/cer-2018-0149
Knihovny.cz E-resources
- Keywords
- EUROASPIRE, auscultatory, automated oscillometric, coronary heart disease, treatment target adherence, unattended automated oscillometric,
- MeSH
- Clinical Protocols MeSH
- Blood Pressure MeSH
- Middle Aged MeSH
- Humans MeSH
- Blood Pressure Determination methods MeSH
- Oscillometry MeSH
- Cross-Sectional Studies MeSH
- Aged MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Observational Study MeSH
- Research Support, Non-U.S. Gov't MeSH
Aim: We analyzed to what extent measurement protocol influenced individual blood pressure (BP) and achievement of treatment target in patients with coronary heart disease. Methods: In a subsample of Czech EUROASPIRE III-V survey participants (n = 913), we compared the per-protocol BP measurement (by automated oscillometric device OMRON at the beginning of survey procedure) with control auscultatory measurement (by physician during interview). Results: Per-protocol approach produced significantly (p < 0.0001) higher BP values (by 9/6 mmHg in median) than auscultatory measurements and led to markedly higher proportion of patients over target BP (less than 140/90 mmHg; 59.3 vs 34.9% [p < 0.0001], per-protocol vs auscultatory technique, respectively). Conclusion: Per-protocol oscillometric technique was not equivalent to conventional auscultatory measurement and seriously over-rated the real nonachievement of BP target in observational surveys.
Biomedical Center Faculty of Medicine in Pilsen Charles University Czech Republic
Department of Cardiology University Hospital Pilsen Czech Republic
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