Comparison of central pressure estimates obtained from SphygmoCor, Omron HEM-9000AI and carotid applanation tonometry

Comparison of central pressure estimates obtained from SphygmoCor, Omron HEM-9000AI and carotid applanation tonometry
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DOI:
10.1097/hjh.0b013e328346a3bc
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发表时间:
2011-06-01
影响因子:
4.9
通讯作者:
Segers, Patrick
Segers, Patrick
中科院分区:
医学2区
文献类型:
--
作者:
Kipsa, Jan G.;Schutte, Aletta E.;Segers, Patrick

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Omron HEM-9000 AI是首款可提供中心收缩压(cSBP)估计值的自动眼压计,该值被认为比肱压更能预测心血管事件。然而,Omron和SphygmoCor的cSBP估计值之间存在相当大的差异,但未进行解释。这项研究评估了两个cSBP估计之间的差异的来源,并提供了一个处理估计是最接近现实的。方法为此目的,主动脉cSBP来自校准的颈动脉收缩压被用作设备和算法独立的参考。桡动脉,肱动脉和颈动脉压平眼压计进行了143名南非黑人,年龄39-91岁。结果使用Omron HEM-9000 AI和SphygmoCor测量的cSBP与使用Omron HEM-9000 AI和SphygmoCor测量的cSBP具有高度相关性(r=0.99,P
Background The Omron HEM-9000AI is the first automated tonometer to provide an estimate of central SBP (cSBP), which is considered to be more predictive of cardiovascular events than brachial pressure. However, considerable differences between the cSBP estimate of Omron and that of SphygmoCor have been reported, but not explained. This study assesses the sources of differences between both cSBP estimates and provides a handle on which estimate is closest to reality.Method For this purpose, aortic cSBP derived from calibrated carotid SBP was used as device- and algorithm-independent reference. Radial, brachial and carotid applanation tonometry were performed in 143 black South Africans, aged 39-91 years. Each individual was measured with an Omron HEM-9000AI and a SphygmoCor.Results When using both devices as advocated by their manufacturers, the corresponding cSBP estimates correlated strongly (r=0.99, P