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March 1, 2008Journal of Hypertension319 citations

A new oscillometric method for assessment of arterial stiffness: comparison with tonometric and piezo-electronic methods

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JBJohannes BaulmannUSUlrich SchillingsSRSusanna Rickert

Key Result

The Arteriograph oscillometric method for assessing arterial stiffness showed highly significant correlations with SphygmoCor (r=0.67) and Complior (r=0.69) for pulse wave velocity (P<0.001).

Study Design

Type

Cross-Sectional (n=51)

Structured PICO

Does the Arteriograph oscillometric method accurately measure arterial stiffness compared to established tonometric and piezo-electronic systems in patients?

P
Population
51 patients who underwent arterial stiffness measurements using three different devices, with 35 patients repeating measurements after 1 week.
E
Exposure
Arteriograph (new oscillometric method for determining pulse wave velocity and augmentation index)
C
Comparator
SphygmoCor and Complior (clinically validated tonometric and piezo-electronic systems)
O
Outcome
Correlation of Pulse wave velocity (PWV) and augmentation index (AIx) measurements between devicessurrogate

The Arteriograph provides a valid, easy-to-use oscillometric alternative to established tonometric methods for assessing arterial stiffness.

Main Result

Effect estimate: r = 0.67 (SphygmoCor) and r = 0.69 (Complior) for PWV; r = 0.92 for AIx

p-value: p=<0.001

Abstract

INTRODUCTION: Pulse wave velocity (PWV) and augmentation index (AIx) are parameters of arterial stiffness and wave reflection. PWV and AIx are strong indicators for cardiovascular risk and are used increasingly in clinical practice. Previous systems for assessment of PWV and AIx are investigator dependent and time consuming. The aim of this study was to validate the new oscillometric method (Arteriograph) for determining PWV and AIx by comparing it to two clinically validated, broadly accepted tonometric and piezo-electronic systems (SphygmoCor and Complior). DESIGN AND METHOD: PWV and AIx were measured up to five times in 51 patients with the SphygmoCor, Complior and Arteriograph. In 35 patients, the measurements were repeated after 1 week in a second session using the same protocol. RESULTS: The correlations of the PWV as assessed with the Arteriograph with the values obtained using the SphygmoCor (r = 0.67, P < 0.001) and the Complior (r = 0.69, P < 0.001) were highly significant. Variability and reproducibility for PWV were best for the Arteriograph, followed by Complior and SphygmoCor. AIx (SphygmoCor versus Arteriograph) were very closely correlated (r = 0.92, P < 0.001). PERSPECTIVES: The Arteriograph is a new, easy-to-use and time-effective method for assessing arterial stiffness and wave reflection.

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Cite This Study

Baulmann et al. (2008) reported a cross-sectional. Arteriograph vs. SphygmoCor and Complior was evaluated on Correlation of pulse wave velocity (PWV) and augmentation index (AIx) (r = 0.67 (SphygmoCor) and r = 0.69 (Complior) for PWV; r = 0.92 for AIx, p=<0.001). The Arteriograph oscillometric method for assessing arterial stiffness showed highly significant correlations with SphygmoCor (r=0.67) and Complior (r=0.69) for pulse wave velocity (P<0.001).

synapsesocial.com/papers/6a20863b47fdc8d429f42735https://doi.org/10.1097/hjh.0b013e3282f314f7
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