作者
Dean S Picone, Martin G Schultz, Petr Otahal, Svend Aakhus, Ahmed M Al-Jumaily, J Andrew Black, Willem J Bos, John B Chambers, Chen-Huan Chen, Hao-Min Cheng, Antoine Cremer, Justin E Davies, Nathan Dwyer, Brian A Gould, Alun D Hughes, Peter S Lacy, Esben Laugesen, Fuyou Liang, Roman Melamed, Sandy Muecke, Nobuyuki Ohte, Sho Okada, Stefano Omboni, Christian Ott, Xiaoqing Peng, Telmo Pereira, Giacomo Pucci, Ronak Rajani, Philip Roberts-Thomson, Niklas B Rossen, Daisuke Sueta, Manish D Sinha, Roland E Schmieder, Harold Smulyan, Velandai K Srikanth, Ralph Stewart, George A Stouffer, Kenji Takazawa, Jiguang Wang, Berend E Westerhof, Franz Weber, Thomas Weber, Bryan Williams, Hirotsugu Yamada, Eiichiro Yamamoto, James E Sharman
发表日期
2017/8/1
来源
Journal of the American College of Cardiology
卷号
70
期号
5
页码范围
572-586
出版商
American College of Cardiology Foundation
简介
Background
Hypertension (HTN) is the single greatest cardiovascular risk factor worldwide. HTN management is usually guided by brachial cuff blood pressure (BP), but questions have been raised regarding accuracy.
Objectives
This comprehensive analysis determined the accuracy of cuff BP and the consequent effect on BP classification compared with intra-arterial BP reference standards.
Methods
Three individual participant data meta-analyses were conducted among studies (from the 1950s to 2016) that measured intra-arterial aortic BP, intra-arterial brachial BP, and cuff BP.
Results
A total of 74 studies with 3,073 participants were included. Intra-arterial brachial systolic blood pressure (SBP) was higher than aortic values (8.0 mm Hg; 95% confidence interval [CI]: 5.9 to 10.1 mm Hg; p < 0.0001) and intra-arterial brachial diastolic BP was lower than aortic values (−1.0 mm Hg; 95% CI: −2.0 to −0.1 mm Hg; p = 0 …
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DS Picone, MG Schultz, P Otahal, S Aakhus… - Journal of the American College of Cardiology, 2017