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August 23, 2016HypertensionOpen Access

Poor Reliability of Wrist Blood Pressure Self-Measurement at Home

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Why the study?

Does self-measurement of blood pressure with a wrist device at home provide reliable readings compared to upper-arm devices in the general population?

Population

721 unselected subjects from the general population

Comparison

Blood pressure self-measurement at home with a… vs Blood pressure self-measurement at home with an…

Design

Cross-sectional

Authors

ECEdoardo CasigliaGeneral CardiologyVTValérie TikhonoffPreventive CardiologyFAFederica AlbertiniUniversity of Padua

Discussion

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Implication

Wrist devices may overestimate home BP; leaves open reliability for self-monitoring pending prospective validation.

Structured PICO

Does self-measurement of blood pressure with a wrist device at home provide reliable readings compared to upper-arm devices in the general population?

P
Population
721 unselected subjects from the general population
I
Intervention
Blood pressure self-measurement at home with a wrist device (UB-542, not provided with a position sensor)
C
Comparator
Blood pressure self-measurement at home with an upper-arm device (UA-767 Plus) and office measurements
O
Outcome
Home measurement error (discrepancy between office and home differences in upper-arm versus wrist blood pressure)surrogate

Wrist blood pressure devices used for home self-measurement frequently lead to falsely elevated readings, likely due to incorrect positioning related to poor instruction retention.

Cite This Study

Casiglia et al. (2016) studied this question.

synapsesocial.com/papers/69d57408cb7e4bf698cf4060https://doi.org/10.1161/hypertensionaha.116.07961

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Validation of the A&D BP UB-542 wrist device for home blood pressure measurement according to the European Society of Hypertension International Protocol revision 20102013 · 4 citations
  2. 2Simple determination of the systolic–diastolic pressure relationship from blood pressure readings taken at different arm heights2013 · 7 citations
  3. 3Reproducibility of wrist home blood pressure measurement with position sensor and automatic data storage2009 · 13 citations
  4. 4Cardiovascular Survey Methods.1968 · 3,067 citations
  5. 5Effect of Terminal Digit Preference on Blood Pressure Measurement and Treatment in Primary Care2006 · 82 citations