(Hypertension. 2000;36:484.)
© 2000 American Heart Association, Inc.
Scientific Contributions |
Arterial Stiffness as Underlying Mechanism of Disagreement Between an Oscillometric Blood Pressure Monitor and a Sphygmomanometer
From the Department of Epidemiology and Biostatistics, Erasmus Medical Center Rotterdam (N.M. van P., D.A.M. van der K., A.H., D.E.G., J.C.M.W.); Department of Internal Medicine (W.J.W.B) and TNO-Biomedical Instrumentation (N.A.M. de B.), Academic Medical Center, Amsterdam; and Julius Center for Patient Oriented Research, University Medical Center Utrecht (D.E.G.) (Netherlands).
Correspondence to J.C.M. Witteman, Department of Epidemiology and Biostatistics, Erasmus Medical Center Rotterdam, Dr Molewaterplein 50, PO Box 1738, 3000 DR Rotterdam, Netherlands. E-mail witteman{at}epib.fgg.eur.nl
Abstract—Oscillometric blood pressure devices tend to overestimate systolic blood pressure and underestimate diastolic blood pressure compared with sphygmomanometers. Recent studies indicate that discrepancies in performance between these devices may differ between healthy and diabetic subjects. Arterial stiffness in diabetics could be the underlying factor explaining these differences. We studied differences between a Dinamap oscillometric blood pressure monitor and a random-zero sphygmomanometer in relation to arterial stiffness in 1808 healthy elderly subjects. The study was conducted within the Rotterdam Study, a population-based cohort study of subjects aged 55 years and older. Systolic and diastolic blood pressure differences between a Dinamap and a random-zero sphygmomanometer were related to arterial stiffness, as measured by carotid-femoral pulse wave velocity. Increased arterial stiffness was associated with higher systolic and diastolic blood pressure readings by the Dinamap compared with the random-zero sphygmomanometer, independent of age, gender, and average mean blood pressure level of both devices. The ß-coefficient (95% CI) was 0.25 (0.00 to 0.50) mm Hg/(m/s) for the systolic blood pressure difference and 0.35 (0.20 to 0.50) mm Hg/(m/s) for the diastolic blood pressure difference. The results indicate that a Dinamap oscillometric blood pressure device, in comparison to a random-zero sphygmomanometer, overestimates systolic and diastolic blood pressure readings in subjects with stiff arteries.
Key Words: blood pressure monitoring • oscillometry • sphygmomanometry • arterial stiffness
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