Key result
Central aortic pressure measurement using noninvasive devices is relatively accurate and improves diagnostic and prognostic stratification of hypertension.
Noninvasive central blood pressure measurement during ambulatory monitoring is accurate and improves diagnostic and prognostic stratification in hypertension.
May aid hypertension stratification; leaves open prospective outcome trials before routine adoption.
This review describes the use of central blood pressure (BP) measurements during ambulatory monitoring, using noninvasive devices. The principles of measuring central BP by applanation tonometry and by oscillometry are reported, and information on device validation studies is described. The pathophysiological basis for the differences between brachial and aortic pressure is discussed. The currently available methods for central aortic pressure measurement are relatively accurate, and their use has important clinical implications, such as improving diagnostic and prognostic stratification of hypertension and providing a more accurate assessment of the effect of treatment on BP.
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Muiesan et al. (2014) conducted a review in Hypertension. Central blood pressure measurement using noninvasive devices was evaluated. Central aortic pressure measurement using noninvasive devices is relatively accurate and improves diagnostic and prognostic stratification of hypertension.
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