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Cited by 29Blood Pressure and Hypertension StudiesNon-Invasive Vital Sign MonitoringCardiovascular Health and Disease Prevention

Blood pressure measurement in special populations and circumstances

Open access
Stergiou, George S., Dolan, Eamon, Kollias, Anastasios, Poulter, Neil R., Shennan, Andrew, Staessen, Jan A., Zhang, Zhen‐Yu, Weber, Michael A.·2018·The Journal of Clinical Hypertension
DOI 10.1111/jch.13296PMC PMC8030798
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Abstract

According to the established validation protocols, a typical validation study of a blood pressure (BP) monitor includes general population adults with normal or elevated BP. It is recognized, however, that the automated (oscillometric) BP monitors may have different accuracy or uses in some special populations compared with adults in the general population. Thus, an automated BP monitor with proven accuracy in a general population of adults may not be accurate in a special population, and therefore separate validation is needed. Recognized special populations deserving separate validation are those for which there is theoretical, and also clinical evidence, that the accuracy of BP monitors in these groups differs from that in the general population. Young children, pregnant women (including those with preeclampsia), individuals with arm circumference >42 cm, and patients with atrial fibrillation are regarded as special populations. Adolescents, individuals older than 80 years, and patients with end‐stage renal disease or diabetes mellitus have also been considered as possible special groups, but there is still inadequate evidence of altered accuracy of BP monitors in these subjects. Validation studies should be performed in special populations and evaluated separately after the BP‐measuring device has successfully undergone a validation study in a general population (unless the test device is intended only for a special population). This article discusses issues relating to the measurement of BP and the diagnosis of hypertension in selected special populations, as well as in low‐resource settings, where a simplified yet efficient evaluation strategy is necessary.

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Authors
Stergiou, G. S., Dolan, E., Kollias, A., Poulter, N. R., Shennan, A., Staessen, J. A., Zhang, Z., & Weber, M. A.
Affiliations
  • National and Kapodistrian University of Athens (GR)
  • Connolly Hospital Blanchardstown (IE)
  • Hypertension Center STRIDE‐7 School of Medicine Third Department of Medicine Sotiria Hospital National and Kapodistrian University of Athens Greece
  • Imperial College London (GB)
  • St Thomas' Hospital (GB)
  • Maastricht University (NL)
  • KU Leuven (BE)
  • State University of New York (US)
Corresponding author
Stergiou, George S.
ORCID
Venue
The Journal of Clinical Hypertension
Publisher
Wiley
Published
2018-07
Volume
20
Issue
7
Pages
1122-1127
ISSN
  • 1524-6175 (ISSN-L)
  • 1751-7176
DOI
10.1111/jch.13296
PMC
PMC8030798
OpenAlex
W2884316892
Cited by
29
References
9
Citations by year
2026: 3 · 2025: 4 · 2024: 2 · 2023: 4 · 2022: 4 · 2021: 4 · 2020: 1 · 2019: 4 · 2018: 3
FWCI
2.27
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 12 d)
Locations
  • Journal of Clinical Hypertension (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Lirias (acceptedVersion, other-oa)
  • Research Portal (King's College London) (submittedVersion)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
Keywords
blood pressure measurement, automated blood pressure monitors, special populations, children, pregnant women, preeclampsia, arm circumference, atrial fibrillation, hypertension diagnosis, resource-limited settings
MeSH terms
Adult, Aged, Aged, 80 and over, Atrial Fibrillation, Blood Pressure, Blood Pressure Determination, Child, Child, Preschool, Equipment Design, Female, Humans, Hypertension, Kidney Failure, Chronic, Middle Aged, Oscillometry, Pre-Eclampsia, Pregnancy, Reproducibility of Results, Blood Pressure Monitors, Prevalence, Sphygmomanometers

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