Poor Reliability of Wrist Blood Pressure Self-Measurement at Home: A Population-Based Study
Poor Reliability of Wrist Blood Pressure Self-Measurement at Home: A Population-Based Study
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DOI：
10.1161/hypertensionaha.116.07961
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发表时间：
2016-10-01
期刊：
影响因子：
8.3
通讯作者：
Palatini, Paolo
中科院分区：
文献类型：
--
作者：
Casiglia, Edoardo;Tikhonoff, Valerie;Palatini, Paolo
使用腕部设备测量血压的可靠性（之前尚未在普通人群的实际生活环境下进行评估）取决于腕部设备在心脏水平的正确定位。我们确定是否存在误差时，血压在手腕上自我测量721例受试者从一般人群。培训后，在办公室测量血压，并在家中使用上臂装置（UA-767 Plus）和腕部装置（UB-542，未配备位置传感器）进行自我测量。在办公室检测的上臂-手腕血压差被用作参考测量值。办公室和家庭差异之间的差异是家庭测量误差。在办公室，腕部收缩压比臂部低2.5%（P=0.002），而在家中，腕部收缩压和舒张压比臂部高（分别为+5.6%和+5.4%; P
The reliability of blood pressure measurement with wrist devices, which has not previously been assessed under real-life circumstances in general population, is dependent on correct positioning of the wrist device at heart level. We determined whether an error was present when blood pressure was self-measured at the wrist in 721 unselected subjects from the general population. After training, blood pressure was measured in the office and self-measured at home with an upper-arm device (the UA-767 Plus) and a wrist device (the UB-542, not provided with a position sensor). The upper-arm-wrist blood pressure difference detected in the office was used as the reference measurement. The discrepancy between office and home differences was the home measurement error. In the office, systolic blood pressure was 2.5% lower at wrist than at arm (P=0.002), whereas at home, systolic and diastolic blood pressures were higher at wrist than at arm (+5.6% and +5.4%, respectively; P