Comparison of Portapres non-invasive blood pressure measurement in the finger with intra-aortic pressure measurement during incremental bicycle exercise
Comparison of Portapres non-invasive blood pressure measurement in the finger with intra-aortic pressure measurement during incremental bicycle exercise
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DOI：
10.1097/00126097-200206000-00006
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发表时间：
2002-06-01
影响因子：
1.3
通讯作者：
Horstkotte, D
中科院分区：
文献类型：
--
作者：
Eckert, S;Horstkotte, D
背景和设计 为了评估压力期间手指连续、无创血压测量的准确性，在增加自行车运动水平的过程中，使用 Portapres Model 2 测量了 6 名患者的血压，并使用同时记录的主动脉内（主动脉弓）压力作为参考。方法使用 Portapres Model 2 设备连续、无创地测量左中指血压，同时使用位于主动脉弓内的猪尾导管在休息时以及运动期间和运动后进行有创测量。标准化自行车运动。在每个压力水平结束时，按照医学仪器促进协会的协议，通过无创（Portapres Model 2）和有创测量各15 s测定收缩压、舒张压和脉搏值，并计算平均值和标准差。结果与主动脉弓同步有创血压测量相比，测量血压值的差异（设备测定的值减去测定的值）静息时的压力处于德国和欧洲伍德压力测量设备的授权正常范围内：收缩压 +1.7 +/- 1.8 mmHg 和舒张压 -3.7 +/- 6.2 mmHg。测量值的差异随着压力水平的增加而增加。 结论 使用 Portapres Model 2 可以可靠、准确地非侵入性地确定血压和脉搏，无论是在休息时还是在低至中等压力水平下。
Background and design In order to evaluate the accuracy of continuous, non-invasive blood pressure measurements in the finger during stress, blood pressure was measured in six patients with a Portapres Model 2 during increasing levels of bicycle exercise, using simultaneously registered intra-aortic (aortic arch) pressure as a reference.Methods Blood pressure was measured continuously and non-invasively in the left middle finger using the Portapres Model 2 device, at the same time invasively using a pigtail catheter situated in the aortic arch at rest and during and after standardized bicycle exercise. At the end of each stress level, in accordance with the protocol of the Association for the Advancement of Medical Intrumentation, systolic and diastolic blood pressure and pulse values were determined from the non-invasive (Portapres Model 2) and invasive measurements for 15 s each, and the mean values and standard deviations were calculated.Results Compared with simultaneous invasive blood pressure measurement in the aortic arch, the difference in measured blood pressure value (the value determined by the device minus the value determined invasively) at rest fell within the authorized normal range for German and European Wood pressure measurement devices: systolic +1.7 +/- 1.8 mmHg and diastolic -3.7 +/- 6.2 mmHg. The difference in measured value increased with the stress level.Conclusion Blood pressure and pulse can be determined reliably and accurately using the Portapres Model 2, non-invasively, both at rest and at low-to-moderate levels of stress.