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June 1, 1993Journal of Hypertension

Comparative accuracy of six ambulatory devices according to blood pressure levels

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Key result

CH-Druck outperforms other ambulatory blood pressure systems across ranges despite slipping at high pressures.

Why the study?

Does the accuracy of ambulatory blood pressure measuring systems vary according to blood pressure levels?

Population

Data from original validations of six ambulatory blood pressure measuring systems

Design

Other

Authors

EBEoin O BrienRoyal College of Surgeons in IrelandNANeil AtkinsPreventive CardiologyFMFáinsía MeeBeaumont Hospital

Discussion

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Implication

ABPM device accuracy may decline at high BP levels; leaves open whether range-specific validation alters device selection in practice.

Structured PICO

Does the accuracy of ambulatory blood pressure measuring systems vary according to blood pressure levels?

P
Population
Data from original validations of six ambulatory blood pressure measuring systems
E
Exposure
Six ambulatory blood pressure measuring systems (CH-Druck, Profilomat, SpaceLabs 90207, Novacor DIASYS 200R, Pressurometer IV, Takeda TM-2420)
O
Outcome
Accuracy grading according to the British Hypertension Society (BHS) protocol and Association for the Advancement of Medical Instrumentation criteria across low (<=130/80 mmHg), medium (130-160/80-100 mmHg), and high (>=160/100 mmHg) blood pressure rangessurrogate

The accuracy of ambulatory blood pressure monitors decreases at high blood pressure levels, highlighting the need to consider BP range when selecting devices for clinical practice.

Cite This Study

Brien et al. (1993) studied Blood pressure measurement. Six ambulatory blood pressure measuring systems was evaluated on Accuracy grading according to the British Hypertension Society (BHS) protocol across low, medium, and high blood pressure ranges. The CH-Druck was the most accurate ambulatory blood pressure system across pressure ranges, though its grading slipped from A/A to B/C in the high blood pressure range.

synapsesocial.com/papers/6aa402d7e7e1fc235074949ahttps://doi.org/10.1097/00004872-199306000-00012
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