Arterial Stiffness as Underlying Mechanism of Disagreement Between an Oscillometric Blood Pressure Monitor and a Sphygmomanometer
Open accessAbstract
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 beta-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.
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It is not possible to identify failure of the oscillometric method in individual patients based on clinical features only.
“it is not possible to identify failure of the oscillometric method in individual patients based on clinical features only [70,92–95].”
It is not possible to identify failure of the oscillometric method in individual patients based on clinical features only.
“it is not possible to identify failure of the oscillometric method in individual patients based on clinical features only [70,92–95].”
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- Authors
- van Popele, N. M., Bos, W. J. W., de Beer, N. A. M., van der Kuip, D. A. M., Hofman, A., Grobbee, D. E., & Witteman, J. C. M.
- Affiliations
- 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).
- Erasmus MC (NL)
- Venue
- Hypertension
- Published
- 2000-10
- Volume
- 36
- Issue
- 4
- Pages
- 484-488
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W2104738482
- Cited by
- 170
- References
- 20
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 9 · 2022: 5 · 2021: 4 · 2020: 10 · 2019: 5 · 2018: 8 · 2017: 8 · 2016: 13 · 2015: 8 · 2014: 3 · 2013: 4 · 2012: 11
- FWCI
- 3.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Hypertension (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- TNO Repository (submittedVersion)
- RePub (Erasmus University Rotterdam) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Keywords
- arterial stiffness, oscillometric blood pressure measurement, sphygmomanometer, carotid-femoral pulse wave velocity, blood pressure measurement agreement, elderly subjects
- MeSH terms
- Aged, Aged, 80 and over, Arteries, Blood Pressure, Blood Pressure Determination, Elasticity, Female, Humans, Male, Middle Aged, Oscillometry, Reproducibility of Results, Cohort Studies, Blood Pressure Monitors, Age Distribution, Sex Distribution, Sphygmomanometers
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