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June 1, 2004Blood Pressure Monitoring

Determination of central aortic systolic and pulse pressure from the radial artery pressure waveform

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Why the study?

Can simpler methods using the radial artery waveform accurately estimate central aortic systolic and pulse pressure compared to the SphygmoCor process?

Population

Two sets of data with radial artery pressure waves measured by applanation tonometry

Comparison

Three simpler methods to generate central… vs SphygmoCor process

Design

Other

Authors

AAAudrey AdjiHeart Failure & TransplantMOMichael F. O’RourkeManitoba Health

Discussion

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Implication

Simplifies bedside central pressure estimation; leaves open outcome validation in broader cohorts.

Structured PICO

Can simpler methods using the radial artery waveform accurately estimate central aortic systolic and pulse pressure compared to the SphygmoCor process?

P
Population
Two sets of data with radial artery pressure waves measured by applanation tonometry
I
Intervention
Three simpler methods to generate central systolic and pulse pressure directly from the radial artery waveform (time period from wave foot to systolic peak; identifying pressure surge from reflected wave; extrapolation and calibration of carotid systolic pressure)
C
Comparator
SphygmoCor process
O
Outcome
Correspondence between central systolic and pulse pressure obtained with each approach and pressures generated by SphygmoCor processsurrogate

Simple inspection of the radial waveform can accurately estimate central aortic systolic and pulse pressure, offering a simpler alternative to the SphygmoCor system.

Cite This Study

Adji et al. (2004) studied this question.

synapsesocial.com/papers/6a86918e07201076d3544aa3https://doi.org/10.1097/01.mbp.0000132426.32886.e0

Topics

Hypertension management
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