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Hypertension. 1989;13:647-655

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Hypertension, Vol 13, 647-655, Copyright © 1989 by American Heart Association


ARTICLES

Comparison of finger and intra-arterial blood pressure monitoring at rest and during laboratory testing

G Parati, R Casadei, A Groppelli, M Di Rienzo and G Mancia
Cattedra di Semeiotica Medica, Universita di Milano, Italy.

The accuracy of blood pressure values obtained by continuous noninvasive finger blood pressure recording via the FINAPRES device was evaluated by comparison with simultaneous intraarterial monitoring both at rest and during performance of tests known to induce fast and often marked changes in blood pressure. The comparison was performed in 24 normotensive or essential hypertensive subjects. The average discrepancy between finger and intra-arterial blood pressure recorded over a 30-minute rest period was 6.5 +/- 2.6 mm Hg and 5.4 +/- 2.9 mm Hg for systolic and diastolic blood pressure, respectively; a close between-method correspondence was also demonstrated by linear regression analysis. The beat-to-beat changes in finger systolic and diastolic blood pressure were on average similar to those measured intra-arterially during tests that induced a pressor or depressor response (hand-grip, cold pressor test, diving test, Valsalva maneuver, intravenous injections of phenylephrine and trinitroglycerine) as well as during tests that caused vasomotor changes without major variations in blood pressure (application of lower body negative pressure, passive leg raising). The average between-method discrepancy in the evaluation of blood pressure changes was never greater than 4.3 and 2.0 mm Hg for systolic and diastolic blood pressure, respectively; the corresponding standard deviations ranged between 4.6 and 1.6 mm Hg. Beat-to-beat computer analysis of blood pressure variability over the 30-minute rest period provided standard deviations almost identical when calculated by separate consideration of intra-arterial and finger blood pressure tracings (3.7 and 3.8 mm Hg, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)


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J. Appl. Physiol.Home page
K. Aoki, D. P. Stephens, A. R. Saad, and J. M. Johnson
Cutaneous vasoconstrictor response to whole body skin cooling is altered by time of day
J Appl Physiol, March 1, 2003; 94(3): 930 - 934.
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StrokeHome page
T. G. Robinson, S. L. Dawson, P. J. Eames, R. B. Panerai, J. F. Potter, and S. Oppenheimer
Cardiac Baroreceptor Sensitivity Predicts Long-Term Outcome After Acute Ischemic Stroke * Editorial Comment
Stroke, March 1, 2003; 34(3): 705 - 712.
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Am. J. Physiol. Heart Circ. Physiol.Home page
C. W. Myers, W. B. Farquhar, D. E. Forman, T. D. Williams, D. L. Dierks, and J. A. Taylor
Carotid distensibility characterized via the isometric exercise pressor response
Am J Physiol Heart Circ Physiol, December 1, 2002; 283(6): H2592 - H2598.
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CirculationHome page
R. Zhang, J. H. Zuckerman, K. Iwasaki, T. E. Wilson, C. G. Crandall, and B. D. Levine
Autonomic Neural Control of Dynamic Cerebral Autoregulation in Humans
Circulation, October 1, 2002; 106(14): 1814 - 1820.
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J. Appl. Physiol.Home page
J. P. A. Andersson, M. H. Liner, E. Runow, and E. K. A. Schagatay
Diving response and arterial oxygen saturation during apnea and exercise in breath-hold divers
J Appl Physiol, September 1, 2002; 93(3): 882 - 886.
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Psychosom. Med.Home page
L. M. Glynn, N. Christenfeld, and W. Gerin
The Role of Rumination in Recovery from Reactivity: Cardiovascular Consequences of Emotional States
Psychosom Med, September 1, 2002; 64(5): 714 - 726.
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J. Physiol.Home page
R. Zhang, K. Iwasaki, J. H Zuckerman, K. Behbehani, C. G Crandall, and B. D Levine
Mechanism of blood pressure and R-R variability: insights from ganglion blockade in humans
J. Physiol., August 15, 2002; 543(1): 337 - 348.
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Journals of Gerontology Series A: Biological Sciences and Medical SciencesHome page
R. D. Lipman, P. Grossman, S. E. Bridges, J.W. Hamner, and J. A. Taylor
Mental Stress Response, Arterial Stiffness, and Baroreflex Sensitivity in Healthy Aging
J. Gerontol. A Biol. Sci. Med. Sci., July 1, 2002; 57(7): B279 - 284.
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J Am Coll CardiolHome page
C. Giannattasio, F. Achilli, M. Failla, A. Capra, A. Vincenzi, F. Valagussa, and G. Mancia
Radial, carotid and aortic distensibility in congestive heart failure: effects of high-dose angiotensin-converting enzyme inhibitor or low-dose association with angiotensin type 1 receptor blockade
J. Am. Coll. Cardiol., April 17, 2002; 39(8): 1275 - 1282.
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CirculationHome page
M. F. O'Rourke, W. W. Nichols, B. E. Hunt, W. B. Farquhar, and J. A. Taylor
Does Reduced Vascular Stiffening Fully Explain Preserved Cardiovagal Baroreflex Function in Older Physically Active Men? Response
Circulation, January 15, 2002; 105 (2): e11 - e11.
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Am. J. Respir. Crit. Care Med.Home page
V. A. IMADOJEMU, K. GLEESON, K. S. GRAY, L. I. SINOWAY, and U. A. LEUENBERGER
Obstructive Apnea during Sleep Is Associated with Peripheral Vasoconstriction
Am. J. Respir. Crit. Care Med., January 1, 2002; 165(1): 61 - 66.
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J. Am. Soc. Nephrol.Home page
H. P. Schobel, H. Frank, R. Naraghi, H. Geiger, E. Titz, and K. Heusser
Hypertension in Patients with Neurovascular Compression Is Associated with Increased Central Sympathetic Outflow
J. Am. Soc. Nephrol., January 1, 2002; 13(1): 35 - 41.
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J. Physiol.Home page
C A Carrington and M J White
Exercise-induced muscle chemoreflex modulation of spontaneous baroreflex sensitivity in man
J. Physiol., November 1, 2001; 536(3): 957 - 962.
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J. Am. Soc. Nephrol.Home page
I. H. H. T. KLEIN, G. LIGTENBERG, P. L. OEY, H. A. KOOMANS, and P. J. BLANKESTIJN
Sympathetic Activity Is Increased in Polycystic Kidney Disease and Is Associated with Hypertension
J. Am. Soc. Nephrol., November 1, 2001; 12(11): 2427 - 2433.
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J. Physiol.Home page
M. Elstad, K. Toska, K. H Chon, E. A Raeder, and R. J Cohen
Respiratory sinus arrhythmia: opposite effects on systolic and mean arterial pressure in supine humans
J. Physiol., October 1, 2001; 536(1): 251 - 259.
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Psychosom. Med.Home page
P. Grossman, F. H. Wilhelm, I. Kawachi, and D. Sparrow
Gender Differences in Psychophysiological Responses to Speech Stress Among Older Social Phobics:: Congruence and Incongruence Between Self-Evaluative and Cardiovascular Reactions
Psychosom Med, September 1, 2001; 63(5): 765 - 777.
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Am. J. Physiol. Heart Circ. Physiol.Home page
D. Baldassarre, M. Amato, C. Palombo, C. Morizzo, L. Pustina, and C. R. Sirtori
Time course of forearm arterial compliance changes during reactive hyperemia
Am J Physiol Heart Circ Physiol, September 1, 2001; 281(3): H1093 - H1103.
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J. Appl. Physiol.Home page
C. Harrington, T. Kirjavainen, A. Teng, and C. E. Sullivan
Cardiovascular responses to three simple, provocative tests of autonomic activity in sleeping infants
J Appl Physiol, August 1, 2001; 91(2): 561 - 568.
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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
K. Aoki, D. P. Stephens, and J. M. Johnson
Diurnal variation in cutaneous vasodilator and vasoconstrictor systems during heat stress
Am J Physiol Regulatory Integrative Comp Physiol, August 1, 2001; 281(2): R591 - R595.
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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
J. Hisdal, K. Toska, and L. Walloe
Beat-to-beat cardiovascular responses to rapid, low-level LBNP in humans
Am J Physiol Regulatory Integrative Comp Physiol, July 1, 2001; 281(1): R213 - R221.
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J. Appl. Physiol.Home page
U. A. Leuenberger, J. C. Hardy, M. D. Herr, K. S. Gray, and L. I. Sinoway
Hypoxia augments apnea-induced peripheral vasoconstriction in humans
J Appl Physiol, April 1, 2001; 90(4): 1516 - 1522.
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J. Physiol.Home page
P. Kienbaum, T. Karlsson, Y. B Sverrisdottir, M. Elam, and B G. Wallin
Two sites for modulation of human sympathetic activity by arterial baroreceptors?
J. Physiol., March 15, 2001; 531(3): 861 - 869.
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CirculationHome page
J. M. Legramante, G. Raimondi, M. Massaro, and F. Iellamo
Positive and Negative Feedback Mechanisms in the Neural Regulation of Cardiovascular Function in Healthy and Spinal Cord-Injured Humans
Circulation, March 6, 2001; 103(9): 1250 - 1255.
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CirculationHome page
P. Kienbaum, T. Heuter, M. C. Michel, N. Scherbaum, M. Gastpar, and J. Peters
Chronic {micro}-Opioid Receptor Stimulation in Humans Decreases Muscle Sympathetic Nerve Activity
Circulation, February 13, 2001; 103(6): 850 - 855.
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Am. J. Clin. Nutr.Home page
R. Marfella, L. De Angelis, F. Nappo, D. Manzella, M. Siniscalchi, G. Paolisso, and D. Giugliano
Elevated plasma fatty acid concentrations prolong cardiac repolarization in healthy subjects
Am. J. Clinical Nutrition, January 1, 2001; 73(1): 27 - 30.
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HypertensionHome page
G. Grassi, G. Seravalle, R. Dell'Oro, C. Turri, G. B. Bolla, and G. Mancia
Adrenergic and Reflex Abnormalities in Obesity-Related Hypertension
Hypertension, October 1, 2000; 36(4): 538 - 542.
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Eur Heart JHome page
G.D Pinna, M.T La Rovere, R Maestri, A Mortara, J.T Bigger, and P.J Schwartz
Comparison between invasive and non-invasive measurements of baroreflex sensitivity. Implications for studies on risk stratification after a myocardial infarction
Eur. Heart J., September 2, 2000; 21(18): 1522 - 1529.
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Journals of Gerontology Series A: Biological Sciences and Medical SciencesHome page
T. J. Overend, T. H. Versteegh, E. Thompson, T. B. Birmingham, and A. A. Vandervoort
Cardiovascular Stress Associated With Concentric and Eccentric Isokinetic Exercise in Young and Older Adults
J. Gerontol. A Biol. Sci. Med. Sci., April 1, 2000; 55(4): 177B - 182.
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J. Clin. Endocrinol. Metab.Home page
G. Paolisso, M. R. Tagliamonte, M. Barbieri, G. A. Zito, A. Gambardella, G. Varricchio, E. Ragno, and M. Varricchio
Chronic Vitamin E Administration Improves Brachial Reactivity and Increases Intracellular Magnesium Concentration in Type II Diabetic Patients
J. Clin. Endocrinol. Metab., January 1, 2000; 85(1): 109 - 115.
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Cardiovasc ResHome page
F. Lombardi and G. Parati
An update on: cardiovascular and respiratory changes during sleep in normal and hypertensive subjects
Cardiovasc Res, January 1, 2000; 45(1): 200 - 211.
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HypertensionHome page
G. Grassi, G. Seravalle, C. Turri, and G. Mancia
Sympathetic Nerve Traffic Responses to Surgical Removal of Pheochromocytoma
Hypertension, September 1, 1999; 34(3): 461 - 465.
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Am. J. Respir. Crit. Care Med.Home page
D. ANNANE, F. TRABOLD, T. SHARSHAR, I. JARRIN, A. S. BLANC, J. C. RAPHAEL, and P. GAJDOS
Inappropriate Sympathetic Activation at Onset of Septic Shock . A Spectral Analysis Approach
Am. J. Respir. Crit. Care Med., August 1, 1999; 160(2): 458 - 465.
[Abstract] [Full Text]