Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive records

Autores
Bia, Daniel; Salazar, Federico; Cinca, Luis; Gutierrez, Marcos; Facta, Alvaro; Zócalo, Yanina; Diaz, Alberto Alejandro
Año de publicación
2023
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Recently it has been proposed a new approach to estimate aortic systolic blood pressure (aoSBP) without the need for specific devices, operator-dependent techniques and/or complex wave propagation models/algorithms. The approach proposes aoSBP can be quantified from brachial diastolic and mean blood pressure (bDBP, bMBP) as: aoSBP = bMBP2/bDBP. It remains to be assessed to what extent the method and/or equation used to obtain the bMBP levels considered in aoSBP calculation may affect the estimated aoSBP, and consequently the agreement with aoSBP invasively recorded. Methods: Brachial and aortic pressure were simultaneously obtained invasively (catheterization) and non-invasively (brachial oscillometry) in 89 subjects. aoSBP was quantified in seven different ways, using measured (oscillometry-derived) and calculated (six equations) mean blood pressure (MBP) levels. The agreement between invasive and estimated aoSBP was analyzed (Concordance correlation coefficient; Bland-Altman Test). Conclusions: The ability of the equation “aoSBP = MBP2/DBP” to (accurately) estimate (error <5 mmHg) invasive aoSBP depends on the method and equation considered to determine bMBP, and on the aoSBP levels (proportional error). Oscillometric bMBP and/or approaches that consider adjustments for heart rate or a form factor ∼40% (instead of the usual 33%) would be the best way to obtain the bMBP levels to be used to calculate aoSBP.
Fil: Bia, Daniel. Universidad de la República; Uruguay
Fil: Salazar, Federico. Fundación Medica de Mar del Plata. Hospital Privado de Comunidad; Argentina
Fil: Cinca, Luis. Fundación Medica de Mar del Plata. Hospital Privado de Comunidad; Argentina
Fil: Gutierrez, Marcos. Fundación Medica de Mar del Plata. Hospital Privado de Comunidad; Argentina
Fil: Facta, Alvaro. Fundación Medica de Mar del Plata. Hospital Privado de Comunidad; Argentina
Fil: Zócalo, Yanina. Universidad de la República; Uruguay
Fil: Diaz, Alberto Alejandro. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tandil; Argentina. Universidad Nacional del Centro de la Provincia de Buenos Aires. Escuela Superior de Ciencias de la Salud. Instituto de Investigación en Ciencias de la Salud; Argentina
Materia
AORTIC PRESSURE
BRACHIAL BLOOD PRESSURE
CATHETERISM
HUMAN PHYSIOLOGY
INVASIVE RECORDS
NON-INVASIVE RECORDS
OSCILLOMETRY
PHYSIOLOGICAL MEASUREMENTS
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/225384
Acceder
id CONICETDig_b640bc02da9daafe0341edaaa783e037
oai_identifier_str oai:ri.conicet.gov.ar:11336/225384
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive recordsBia, DanielSalazar, FedericoCinca, LuisGutierrez, MarcosFacta, AlvaroZócalo, YaninaDiaz, Alberto AlejandroAORTIC PRESSUREBRACHIAL BLOOD PRESSURECATHETERISMHUMAN PHYSIOLOGYINVASIVE RECORDSNON-INVASIVE RECORDSOSCILLOMETRYPHYSIOLOGICAL MEASUREMENTShttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Background: Recently it has been proposed a new approach to estimate aortic systolic blood pressure (aoSBP) without the need for specific devices, operator-dependent techniques and/or complex wave propagation models/algorithms. The approach proposes aoSBP can be quantified from brachial diastolic and mean blood pressure (bDBP, bMBP) as: aoSBP = bMBP2/bDBP. It remains to be assessed to what extent the method and/or equation used to obtain the bMBP levels considered in aoSBP calculation may affect the estimated aoSBP, and consequently the agreement with aoSBP invasively recorded. Methods: Brachial and aortic pressure were simultaneously obtained invasively (catheterization) and non-invasively (brachial oscillometry) in 89 subjects. aoSBP was quantified in seven different ways, using measured (oscillometry-derived) and calculated (six equations) mean blood pressure (MBP) levels. The agreement between invasive and estimated aoSBP was analyzed (Concordance correlation coefficient; Bland-Altman Test). Conclusions: The ability of the equation “aoSBP = MBP2/DBP” to (accurately) estimate (error <5 mmHg) invasive aoSBP depends on the method and equation considered to determine bMBP, and on the aoSBP levels (proportional error). Oscillometric bMBP and/or approaches that consider adjustments for heart rate or a form factor ∼40% (instead of the usual 33%) would be the best way to obtain the bMBP levels to be used to calculate aoSBP.Fil: Bia, Daniel. Universidad de la República; UruguayFil: Salazar, Federico. Fundación Medica de Mar del Plata. Hospital Privado de Comunidad; ArgentinaFil: Cinca, Luis. Fundación Medica de Mar del Plata. Hospital Privado de Comunidad; ArgentinaFil: Gutierrez, Marcos. Fundación Medica de Mar del Plata. Hospital Privado de Comunidad; ArgentinaFil: Facta, Alvaro. Fundación Medica de Mar del Plata. Hospital Privado de Comunidad; ArgentinaFil: Zócalo, Yanina. Universidad de la República; UruguayFil: Diaz, Alberto Alejandro. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tandil; Argentina. Universidad Nacional del Centro de la Provincia de Buenos Aires. Escuela Superior de Ciencias de la Salud. Instituto de Investigación en Ciencias de la Salud; ArgentinaFrontiers Media2023-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/225384Bia, Daniel; Salazar, Federico; Cinca, Luis; Gutierrez, Marcos; Facta, Alvaro; et al.; Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive records; Frontiers Media; Frontiers in Cardiovascular Medicine; 10; 1207069; 7-2023; 1-102297-055XCONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.3389/fcvm.2023.1207069info:eu-repo/semantics/altIdentifier/url/https://www.frontiersin.org/articles/10.3389/fcvm.2023.1207069/fullinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-11-12T09:54:57Zoai:ri.conicet.gov.ar:11336/225384instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-11-12 09:54:57.872CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive records
title Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive records
spellingShingle Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive records
Bia, Daniel
AORTIC PRESSURE
BRACHIAL BLOOD PRESSURE
CATHETERISM
HUMAN PHYSIOLOGY
INVASIVE RECORDS
NON-INVASIVE RECORDS
OSCILLOMETRY
PHYSIOLOGICAL MEASUREMENTS
title_short Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive records
title_full Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive records
title_fullStr Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive records
title_full_unstemmed Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive records
title_sort Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive records
dc.creator.none.fl_str_mv Bia, Daniel
Salazar, Federico
Cinca, Luis
Gutierrez, Marcos
Facta, Alvaro
Zócalo, Yanina
Diaz, Alberto Alejandro
author Bia, Daniel
author_facet Bia, Daniel
Salazar, Federico
Cinca, Luis
Gutierrez, Marcos
Facta, Alvaro
Zócalo, Yanina
Diaz, Alberto Alejandro
author_role author
author2 Salazar, Federico
Cinca, Luis
Gutierrez, Marcos
Facta, Alvaro
Zócalo, Yanina
Diaz, Alberto Alejandro
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv AORTIC PRESSURE
BRACHIAL BLOOD PRESSURE
CATHETERISM
HUMAN PHYSIOLOGY
INVASIVE RECORDS
NON-INVASIVE RECORDS
OSCILLOMETRY
PHYSIOLOGICAL MEASUREMENTS
topic AORTIC PRESSURE
BRACHIAL BLOOD PRESSURE
CATHETERISM
HUMAN PHYSIOLOGY
INVASIVE RECORDS
NON-INVASIVE RECORDS
OSCILLOMETRY
PHYSIOLOGICAL MEASUREMENTS
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Recently it has been proposed a new approach to estimate aortic systolic blood pressure (aoSBP) without the need for specific devices, operator-dependent techniques and/or complex wave propagation models/algorithms. The approach proposes aoSBP can be quantified from brachial diastolic and mean blood pressure (bDBP, bMBP) as: aoSBP = bMBP2/bDBP. It remains to be assessed to what extent the method and/or equation used to obtain the bMBP levels considered in aoSBP calculation may affect the estimated aoSBP, and consequently the agreement with aoSBP invasively recorded. Methods: Brachial and aortic pressure were simultaneously obtained invasively (catheterization) and non-invasively (brachial oscillometry) in 89 subjects. aoSBP was quantified in seven different ways, using measured (oscillometry-derived) and calculated (six equations) mean blood pressure (MBP) levels. The agreement between invasive and estimated aoSBP was analyzed (Concordance correlation coefficient; Bland-Altman Test). Conclusions: The ability of the equation “aoSBP = MBP2/DBP” to (accurately) estimate (error <5 mmHg) invasive aoSBP depends on the method and equation considered to determine bMBP, and on the aoSBP levels (proportional error). Oscillometric bMBP and/or approaches that consider adjustments for heart rate or a form factor ∼40% (instead of the usual 33%) would be the best way to obtain the bMBP levels to be used to calculate aoSBP.
Fil: Bia, Daniel. Universidad de la República; Uruguay
Fil: Salazar, Federico. Fundación Medica de Mar del Plata. Hospital Privado de Comunidad; Argentina
Fil: Cinca, Luis. Fundación Medica de Mar del Plata. Hospital Privado de Comunidad; Argentina
Fil: Gutierrez, Marcos. Fundación Medica de Mar del Plata. Hospital Privado de Comunidad; Argentina
Fil: Facta, Alvaro. Fundación Medica de Mar del Plata. Hospital Privado de Comunidad; Argentina
Fil: Zócalo, Yanina. Universidad de la República; Uruguay
Fil: Diaz, Alberto Alejandro. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tandil; Argentina. Universidad Nacional del Centro de la Provincia de Buenos Aires. Escuela Superior de Ciencias de la Salud. Instituto de Investigación en Ciencias de la Salud; Argentina
description Background: Recently it has been proposed a new approach to estimate aortic systolic blood pressure (aoSBP) without the need for specific devices, operator-dependent techniques and/or complex wave propagation models/algorithms. The approach proposes aoSBP can be quantified from brachial diastolic and mean blood pressure (bDBP, bMBP) as: aoSBP = bMBP2/bDBP. It remains to be assessed to what extent the method and/or equation used to obtain the bMBP levels considered in aoSBP calculation may affect the estimated aoSBP, and consequently the agreement with aoSBP invasively recorded. Methods: Brachial and aortic pressure were simultaneously obtained invasively (catheterization) and non-invasively (brachial oscillometry) in 89 subjects. aoSBP was quantified in seven different ways, using measured (oscillometry-derived) and calculated (six equations) mean blood pressure (MBP) levels. The agreement between invasive and estimated aoSBP was analyzed (Concordance correlation coefficient; Bland-Altman Test). Conclusions: The ability of the equation “aoSBP = MBP2/DBP” to (accurately) estimate (error <5 mmHg) invasive aoSBP depends on the method and equation considered to determine bMBP, and on the aoSBP levels (proportional error). Oscillometric bMBP and/or approaches that consider adjustments for heart rate or a form factor ∼40% (instead of the usual 33%) would be the best way to obtain the bMBP levels to be used to calculate aoSBP.
publishDate 2023
dc.date.none.fl_str_mv 2023-07
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/225384
Bia, Daniel; Salazar, Federico; Cinca, Luis; Gutierrez, Marcos; Facta, Alvaro; et al.; Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive records; Frontiers Media; Frontiers in Cardiovascular Medicine; 10; 1207069; 7-2023; 1-10
2297-055X
CONICET Digital
CONICET
url http://hdl.handle.net/11336/225384
identifier_str_mv Bia, Daniel; Salazar, Federico; Cinca, Luis; Gutierrez, Marcos; Facta, Alvaro; et al.; Direct estimation of central aortic pressure from measured or quantified mean and diastolic brachial blood pressure: agreement with invasive records; Frontiers Media; Frontiers in Cardiovascular Medicine; 10; 1207069; 7-2023; 1-10
2297-055X
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.3389/fcvm.2023.1207069
info:eu-repo/semantics/altIdentifier/url/https://www.frontiersin.org/articles/10.3389/fcvm.2023.1207069/full
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 12.976206

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