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Comparison of manual and automated auscultatory blood pressure during graded exercise among people with type 2 diabetes

Citation

Moore, MN and Picone, DS and Callisaya, ML and Srikanth, V and Sharman, JE and Schultz, MG, Comparison of manual and automated auscultatory blood pressure during graded exercise among people with type 2 diabetes, Journal of Clinical Hypertension pp. 1-7. ISSN 1524-6175 (2019) [Refereed Article]

Copyright Statement

Copyright 2019 Wiley Periodicals, Inc.

DOI: doi:10.1111/jch.13717

Abstract

Manual measurement of blood pressure (BP) during exercise testing is the recommended standard. Automated measurement of BP is an alternative method used during clinical exercise testing, but there is little data comparing manual and automated BP in this setting. The aim of this study was to determine the concordance between manual and automated BP during a standard clinical treadmill exercise test. 416 participants (66 5 years; 54% male) completed a Bruce treadmill exercise test at baseline or follow-up within a clinical trial of participants with type 2 diabetes mellitus. Manual and automated BP were measured simultaneously at each exercise test stage. Manual BP was measured by a technician blinded to automated BP values (Tango+, Suntech). Concordance between manual and automated BP was assessed using mean differences and intraclass correlations (ICC). Concordance between manual and automated BP across all exercise stages was excellent for systolic BP (overall mean difference: 3 11 mm Hg, P = .598; ICC = 0.964 [95% CI 0.942-0.977] and pulse pressure (overall mean difference: 2 14 mm Hg, P = .595; ICC = 0.934 [95% CI 0.899-0.956]). Concordance between manual and automated diastolic BP across all exercise stages was moderate-to-good (overall mean difference: 1 9 mm Hg, P = .905; ICC = 0.784 [95% CI 0.672-0.858]). Automated BP using the Tango + device is concordant with manual BP during early stages of a standard clinical exercise test. Thus, this automated method may be a suitable alternative to manual measurement of BP during clinical exercise testing.

Item Details

Item Type:Refereed Article
Keywords:diagnostic techniques and procedures, ergometry, exercise blood pressure
Research Division:Medical and Health Sciences
Research Group:Cardiorespiratory Medicine and Haematology
Research Field:Cardiology (incl. Cardiovascular Diseases)
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Cardiovascular System and Diseases
UTAS Author:Moore, MN (Mr Myles Moore)
UTAS Author:Picone, DS (Mr Dean Picone)
UTAS Author:Callisaya, ML (Dr Michele Callisaya)
UTAS Author:Sharman, JE (Professor James Sharman)
UTAS Author:Schultz, MG (Dr Martin Schultz)
ID Code:136254
Year Published:2019
Deposited By:Menzies Institute for Medical Research
Deposited On:2019-12-10
Last Modified:2020-03-27
Downloads:0

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