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How Important is the Recommended Slow Cuff Pressure Deflation Rate for Blood Pressure Measurement?
Open accessAbstract
Cuff pressure deflation rate influences blood pressure (BP) measurement. However, there is little quantitative clinical evidence on its effect. Oscillometric pulses recorded from 75 subjects at the recommended deflation rate of 2-3 mmHg per second were analyzed. Some pulses were removed to realize six faster rates (2-7 times faster than the original). Systolic, diastolic, and mean arterial blood pressures (SBP, DBP, MAP) were determined from the original and six reconstructed oscillometric waveforms. Manual measurement was based on the appearance of oscillometric pulse peaks, and automatic measurement on two model envelopes (linear and polynomial) fitted to the sequence of oscillometric pulse amplitudes. The effects of deflation rate on BP determination and within-subject BP variability were analyzed. For SBP and DBP determined from the manual measurement, different deflation rates resulted in significant changes (both p < 0.001). However, for SBP, DBP, and MAP determined from the automatic linear and polynomial model techniques, there was no deflation rate effect (all p > 0.3). Faster deflation increased the within-subject BP variability (all p < 0.001). In conclusion, for the manual technique accurate BP measurement could be achieved only with the recommended slow deflation rate, and for the automatic model-based techniques, the deflation rate had little effect.
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Automation can be much less prone to errors from fast deflation than auscultation, depending on the analysis technique used.
“While auscultation is prone to significant errors with fast deflation, automation can be much less prone to these errors, depending on the analysis technique used, as shown by Zheng et al. [65].”
From Automated 'oscillometric' blood pressure measuring devices: how they work and what they measure (2022) · cites this paper as [65]
Variability between repeat measurements almost doubled with fast deflation, but could be improved with oscillometric modelling techniques.
“However, they studied three repeat measurements, and also showed that variability between repeat measurements almost doubled with fast deflation, but could be improved with oscillometric modelling techniques.”
From Automated 'oscillometric' blood pressure measuring devices: how they work and what they measure (2022) · cites this paper as [65]
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Kallioinen, N., Hill, A., Horswill, M. S., Ward, H. E., & Watson, M. O. (2017) · Journal of Hypertension · doi:10.1097/hjh.0000000000001197 · Cited by 357
Automated 'oscillometric' blood pressure measuring devices: how they work and what they measure
Sharman, J. E., Tan, I., Stergiou, G. S., Lombardi, C., Saladini, F., Butlin, M., Padwal, R., Asayama, K., Avolio, A., Brady, T. M., et al. (2022) · Journal of Human Hypertension · doi:10.1038/s41371-022-00693-x · Cited by 84
Self-citationNovel methods of testing and calibration of oscillometric blood pressure monitors
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G. Celler, B., Butlin, M., Argha, A., Tan, I., Yong, A., & Avolio, A. (2021) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2021.3079578 · Cited by 24
Metadata
- Authors
- Zheng, D., Amoore, J. N., Mieke, S., & Murray, A.
- Affiliations
- Freeman Hospital (GB)
- NHS Ayrshire and Arran (GB)
- Physikalisch-Technische Bundesanstalt (DE)
- Corresponding author
- Zheng, Dingchang
- Venue
- Annals of Biomedical Engineering
- Published
- 2011-07-07
- Volume
- 39
- Issue
- 10
- Pages
- 2584-2591
- ISSN
- 0090-6964 (ISSN-L)
- 1573-9686
- OpenAlex
- W2064380414
- Cited by
- 28
- References
- 1
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 6 · 2016: 1 · 2015: 1 · 2014: 2 · 2013: 2
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Annals of Biomedical Engineering (publishedVersion)
- PubMed (publishedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- Engineering and Physical Sciences Research Council (EP/F012764/1, EP/I027270/1)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Keywords
- blood pressure measurement, oscillometric blood pressure, systolic blood pressure, diastolic blood pressure, mean arterial pressure, manual blood pressure measurement
- MeSH terms
- Adolescent, Adult, Aged, Blood Pressure, Blood Pressure Determination, Data Interpretation, Statistical, Diastole, Female, Heart Rate, Humans, Male, Middle Aged, Oscillometry, Signal Processing, Computer-Assisted, Systole
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