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A comparison study of brachial blood pressure recorded with Spacelabs 90217A and Mobil-O-Graph NG devices under static and ambulatory conditions.

TitleA comparison study of brachial blood pressure recorded with Spacelabs 90217A and Mobil-O-Graph NG devices under static and ambulatory conditions.
Publication TypeJournal Article
Year of Publication2016
AuthorsSarafidis, P. A., Lazaridis A. A., Imprialos K. P., Georgianos P. I., Avranas K. A., Protogerou A. D., Doumas M. N., Athyros V. G., & Karagiannis A. I.
JournalJ Hum Hypertens
Volume30
Issue12
Pagination742-749
Date Published2016 12
ISSN1476-5527
KeywordsAdolescent, Adult, Arterial Pressure, Blood Pressure Monitoring, Ambulatory, Blood Pressure Monitors, Brachial Artery, Equipment Design, Female, Greece, Humans, Male, Patient Satisfaction, Predictive Value of Tests, Reproducibility of Results, Sphygmomanometers, Surveys and Questionnaires, Time Factors, Young Adult
Abstract

Ambulatory blood pressure monitoring is an important tool in hypertension diagnosis and management. Although several ambulatory devices exist, comparative studies are scarce. This study aimed to compare for the first time brachial blood pressure levels of Spacelabs 90217A and Mobil-O-Graph NG, under static and ambulatory conditions. We examined 40 healthy individuals under static (study A) and ambulatory (study B) conditions. In study A, participants were randomized into two groups that included blood pressure measurements with mercury sphygmomanometer, Spacelabs and Mobil-O-Graph devices with reverse order of recordings. In study B, simultaneous 6-h recordings with both devices were performed with participants randomized in two sequences of device positioning with arm reversal at 3 h. Finally, all the participants filled in a questionnaire rating their overall preference for a device. In study A, brachial systolic blood pressure (117.2±10.3 vs 117.1±9.8 mm Hg, P=0.943) and diastolic blood pressure (73.3±9.4 mm Hg vs 74.1±9.4 mm Hg, P=0.611) did not differ between Spacelabs and Mobil-O-Graph or vs sphygmomanometer (117.8±11.1 mm Hg, P=0.791 vs Spacelabs, P=0.753 vs Mobil-O-Graph). Similarly, no differences were found in ambulatory systolic blood pressure (117.9±11.4 vs 118.3±11.0 mm Hg, P=0.864), diastolic blood pressure (73.7±7.4 vs 74.7±8.0 mm Hg, P=0.571), mean blood pressure and heart rate between Spacelabs and Mobil-O-Graph. Correlation analyses and Bland-Altman plots showed agreement between the monitors. Overall, the participants showed a preference for the Mobil-O-Graph. Spacelabs 90217A and Mobil-O-Graph NG provide practically identical measurements during the static and ambulatory conditions in healthy individuals and can be rather used interchangeably in clinical practice.

DOI10.1038/jhh.2016.11
Alternate JournalJ Hum Hypertens
PubMed ID26935286

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