北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学公共卫生学院  > 期刊论文
学科主题: 公共卫生
题名:
Can electronic sphygmomanometers be used for measurement of blood pressure at high altitudes?
作者: Li, Shenshen1; Zhao, Xingshan2; Ba, Sang5; He, Feng2; Lam, Christopher T.6; Ke, Liang1; Li, Nicole1; Yan, Lijing L.1,7; Li, Xian1; Wu, Yangfeng1,3,4
关键词: aged ; altitude ; blood measure monitors ; blood pressure determination ; hypertension ; sphygmomanometers ; Tibet
刊名: BLOOD PRESSURE MONITORING
发表日期: 2012-04-01
DOI: 10.1097/MBP.0b013e328351371c
卷: 17, 期:2, 页:62-68
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Peripheral Vascular Disease
研究领域[WOS]: Cardiovascular System & Cardiology
关键词[WOS]: HYPERTENSION-SOCIETY PROTOCOL ; MERCURY SPHYGMOMANOMETER ; ANEROID SPHYGMOMANOMETERS ; INTERNATIONAL-PROTOCOL ; MEASURING DEVICES ; OF-HYPERTENSION ; VALIDATION ; MONITOR ; ADULTS
英文摘要:

Objective Validated automated oscillometric sphygmomanometers have been recommended by clinical guidelines to replace mercury sphygmomanometers. No studies have been conducted to evaluate whether these validated devices designed for use at normal altitude are also suitable at high altitudes.

Methods In Dangxiong County in Tibet, 4300m above sea level, two trained cardiologists used standardized protocols to measure the blood pressure (BP) of 129 adults aged between 19 and 69 years three times in a quiet room. The electronic sphygmomanometer was connected to the mercury sphygmomanometer by a ′Y,′ or a three-way air-control valve, and the electronic device providing the pressure. This allowed simultaneous and blinded BP measurements with both instruments.

Results The mean systolic BP measured by the electronic sphygmomanometer (124.67 +/- 20.39 mmHg) was significantly higher than the BP reported by the mercury device (118.91 +/- 20.56 mmHg; P < 0.001), whereas the diastolic BP measured by electronic (76.54 +/- 12.63 mmHg) and mercury (76.95 +/- 13.86 mmHg) sphygmomanometers showed no significant difference (P = 0.228). There was a strong linear relationship between readings from the two instruments, with correlation coefficients for systolic and diastolic BP of 0.97 and 0.96, respectively. Bland-Altman plots showed a general consistency between the two instruments for both systolic and diastolic BP. The systolic BP values, calibrated by subtracting the mean difference, were not inferior to those obtained from linear regression equations.

Conclusion This first explorative study conducted at a high altitude demonstrated that the electronic sphygmomanometer can provide an accurate direct measurement of diastolic BP; however, a simple calibration is required for systolic BP. Blood Press Monit 17:62-68 (C) 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins.

语种: 英语
所属项目编号: 08-04-06 ; HHSN268200900027C
项目资助者: Bureau of Science and Technology of Tibet Autonomous Region ; National Heart, Lung, and Blood Institute ; UnitedHealth Group Chronic Disease Initiative
WOS记录号: WOS:000301335900003
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/61905
Appears in Collections:北京大学公共卫生学院_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 1.George Inst Global Hlth, Beijing, Peoples R China
2.Beijing Jishuitan Hosp, Dept Cardiol, Beijing, Peoples R China
3.Peking Univ, Hlth Sci Ctr, Sch Publ Hlth, Dept Epidemiol & Biostat, Beijing 100871, Peoples R China
4.Peking Univ, Hlth Sci Ctr, Clin Res Inst, Beijing 100871, Peoples R China
5.Dangxiong Renmin Hosp, Dept Cardiol, Tibet, Peoples R China
6.Duke Univ, Duke Global Hlth Inst, Durham, NC USA
7.Northwestern Univ, Feinberg Sch Med, Dept Prevent Med, Chicago, IL 60611 USA

Recommended Citation:
Li, Shenshen,Zhao, Xingshan,Ba, Sang,et al. Can electronic sphygmomanometers be used for measurement of blood pressure at high altitudes?[J]. BLOOD PRESSURE MONITORING,2012,17(2):62-68.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Li, Shenshen]'s Articles
[Zhao, Xingshan]'s Articles
[Ba, Sang]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Li, Shenshen]‘s Articles
[Zhao, Xingshan]‘s Articles
[Ba, Sang]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2018  北京大学医学部 - Feedback
Powered by CSpace