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Comparison of manual and automated auscultatory blood pressure during graded exercise among people with type 2 diabetes
journal contribution
posted on 2023-05-20, 08:53 authored by Myles MooreMyles Moore, Dean PiconeDean Picone, Michele CallisayaMichele Callisaya, Srikanth, V, James SharmanJames Sharman, Martin SchultzMartin SchultzManual 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.
History
Publication title
Journal of Clinical HypertensionPagination
1-7ISSN
1524-6175Department/School
Menzies Institute for Medical ResearchPublisher
Le Jacq Communications, Inc.Place of publication
United StatesRights statement
Copyright 2019 Wiley Periodicals, Inc.Repository Status
- Restricted