Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement Levels

Bia, Daniel - Zócalo, Yanina - Sánchez, Ramiro - Torrado, Juan F. - Lev, Gustavo - Mendiz, Oscar - Pessana, Franco - Ramírez, Agustín - Cabrera-Fischer, Edmundo I.

Resumen:

The use of oscillometric methods to determine brachial blood pressure (bBP) can lead to a systematic underestimation of the invasively measured systolic (bSBP) and pulse (bPP) pressure levels, together with a significant overestimation of diastolic pressure (bDBP). Similarly, the agreement between brachial mean blood pressure (bMBP), invasively and non-invasively measured, can be affected by inaccurate estimations/assumptions. Despite several methodologies that can be applied to estimate bMBP non-invasively, there is no consensus on which approach leads to the most accurate estimation. Aims: to evaluate the association and agreement between: (1) non-invasive (oscillometry) and invasive bBP; (2) invasive bMBP, and bMBP (i) measured by oscillometry and (ii) calculated using six different equations; and (3) bSBP and bPP invasively and non-invasively obtained by applanation tonometry and employing different calibration methods. To this end, invasive aortic blood pressure and bBP (catheterization), and non-invasive bBP (oscillometry [Mobil-O-Graph] and brachial artery applanation tonometry [SphygmoCor]) were simultaneously obtained (34 subjects, 193 records). bMBP was calculated using different approaches. Results: (i) the agreement between invasive bBP and their respective non-invasive measurements (oscillometry) showed dependence on bBP levels (proportional error); (ii) among the different approaches used to obtain bMBP, the equation that includes a form factor equal to 33% (bMBP = bDBP + bPP/3) showed the best association with the invasive bMBP; (iii) the best approach to estimate invasive bSBP and bPP from tonometry recordings is based on the calibration scheme that employs oscillometric bMBP. On the contrary, the worst association between invasive and applanation tonometry-derived bBP levels was observed when the brachial pulse waveform was calibrated to bMBP quantified as bMBP = bDBP + bPP/3. Our study strongly emphasizes the need for methodological transparency and consensus for non-invasive bMBP assessment.

Detalles Bibliográficos
2023
Aortic pressure
Applanation tonometry
Brachial blood pressure
Calibration procedure
Invasive records
Mean blood pressure
Non-invasive records
Oscillometry
Pulse waveform
PRESIÓN ARTERIAL
PRESIÓN SANGUÍNEA
OSCILOMETRÍA
CALIBRACIÓN
Inglés
Universidad de la República
COLIBRI
https://hdl.handle.net/20.500.12008/52136
Acceso abierto
Licencia Creative Commons Atribución (CC - By 4.0)
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author Bia, Daniel
author2 Zócalo, Yanina
Sánchez, Ramiro
Torrado, Juan F.
Lev, Gustavo
Mendiz, Oscar
Pessana, Franco
Ramírez, Agustín
Cabrera-Fischer, Edmundo I.
author2_role author
author
author
author
author
author
author
author
author_facet Bia, Daniel
Zócalo, Yanina
Sánchez, Ramiro
Torrado, Juan F.
Lev, Gustavo
Mendiz, Oscar
Pessana, Franco
Ramírez, Agustín
Cabrera-Fischer, Edmundo I.
author_role author
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http://localhost:8080/xmlui/bitstream/20.500.12008/52136/1/Brachial+Blood+Pressure+Invasively+and+Non-Invasively+Obtained+Using+Oscillometry+and+Applanation+Tonometry.pdf
collection COLIBRI
dc.contributor.filiacion.none.fl_str_mv Bia Daniel, Universidad de la República (Uruguay). Facultad de Medicina
Zócalo Yanina, Universidad de la República (Uruguay). Facultad de Medicina
Sánchez Ramiro, Fundación Favaloro (Argentina). Hospital Universitario
Torrado Juan F., Universidad de la República (Uruguay). Facultad de Medicina
Lev Gustavo, Fundación Favaloro (Argentina). Hospital Universitario
Mendiz Oscar, Fundación Favaloro (Argentina). Hospital Universitario
Pessana Franco, Universidad Favaloro (Argentina). Facultad de Ingeniería y Ciencias Exactas
Ramírez Agustín, Instituto de Medicina Traslacional, Trasplante y Bioingeniería (Argentina)
Cabrera-Fischer Edmundo I., Instituto de Medicina Traslacional, Trasplante y Bioingeniería (Argentina)
dc.creator.none.fl_str_mv Bia, Daniel
Zócalo, Yanina
Sánchez, Ramiro
Torrado, Juan F.
Lev, Gustavo
Mendiz, Oscar
Pessana, Franco
Ramírez, Agustín
Cabrera-Fischer, Edmundo I.
dc.date.accessioned.none.fl_str_mv 2025-10-17T16:58:50Z
dc.date.available.none.fl_str_mv 2025-10-17T16:58:50Z
dc.date.issued.none.fl_str_mv 2023
dc.description.abstract.none.fl_txt_mv The use of oscillometric methods to determine brachial blood pressure (bBP) can lead to a systematic underestimation of the invasively measured systolic (bSBP) and pulse (bPP) pressure levels, together with a significant overestimation of diastolic pressure (bDBP). Similarly, the agreement between brachial mean blood pressure (bMBP), invasively and non-invasively measured, can be affected by inaccurate estimations/assumptions. Despite several methodologies that can be applied to estimate bMBP non-invasively, there is no consensus on which approach leads to the most accurate estimation. Aims: to evaluate the association and agreement between: (1) non-invasive (oscillometry) and invasive bBP; (2) invasive bMBP, and bMBP (i) measured by oscillometry and (ii) calculated using six different equations; and (3) bSBP and bPP invasively and non-invasively obtained by applanation tonometry and employing different calibration methods. To this end, invasive aortic blood pressure and bBP (catheterization), and non-invasive bBP (oscillometry [Mobil-O-Graph] and brachial artery applanation tonometry [SphygmoCor]) were simultaneously obtained (34 subjects, 193 records). bMBP was calculated using different approaches. Results: (i) the agreement between invasive bBP and their respective non-invasive measurements (oscillometry) showed dependence on bBP levels (proportional error); (ii) among the different approaches used to obtain bMBP, the equation that includes a form factor equal to 33% (bMBP = bDBP + bPP/3) showed the best association with the invasive bMBP; (iii) the best approach to estimate invasive bSBP and bPP from tonometry recordings is based on the calibration scheme that employs oscillometric bMBP. On the contrary, the worst association between invasive and applanation tonometry-derived bBP levels was observed when the brachial pulse waveform was calibrated to bMBP quantified as bMBP = bDBP + bPP/3. Our study strongly emphasizes the need for methodological transparency and consensus for non-invasive bMBP assessment.
dc.format.extent.es.fl_str_mv 21 p.
dc.format.mimetype.es.fl_str_mv application/pdf
dc.identifier.citation.es.fl_str_mv Bia D, Zócalo Y, Sánchez R y otros. Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement Levels. Journal of Cardiovascular Development and Disease [en línea]. 2023;10(2). 21 p.
dc.identifier.doi.none.fl_str_mv 10.3390/jcdd10020045
dc.identifier.issn.none.fl_str_mv 2308-3425
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12008/52136
dc.language.iso.none.fl_str_mv en
eng
dc.relation.none.fl_str_mv Journal of Cardiovascular Development and Disease. 2023;10(2)
dc.rights.license.none.fl_str_mv Licencia Creative Commons Atribución (CC - By 4.0)
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
dc.source.none.fl_str_mv reponame:COLIBRI
instname:Universidad de la República
instacron:Universidad de la República
dc.subject.es.fl_str_mv Aortic pressure
Applanation tonometry
Brachial blood pressure
Calibration procedure
Invasive records
Mean blood pressure
Non-invasive records
Oscillometry
Pulse waveform
dc.subject.other.es.fl_str_mv PRESIÓN ARTERIAL
PRESIÓN SANGUÍNEA
OSCILOMETRÍA
CALIBRACIÓN
dc.title.none.fl_str_mv Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement Levels
dc.type.es.fl_str_mv Artículo
dc.type.none.fl_str_mv info:eu-repo/semantics/article
dc.type.version.none.fl_str_mv info:eu-repo/semantics/publishedVersion
description The use of oscillometric methods to determine brachial blood pressure (bBP) can lead to a systematic underestimation of the invasively measured systolic (bSBP) and pulse (bPP) pressure levels, together with a significant overestimation of diastolic pressure (bDBP). Similarly, the agreement between brachial mean blood pressure (bMBP), invasively and non-invasively measured, can be affected by inaccurate estimations/assumptions. Despite several methodologies that can be applied to estimate bMBP non-invasively, there is no consensus on which approach leads to the most accurate estimation. Aims: to evaluate the association and agreement between: (1) non-invasive (oscillometry) and invasive bBP; (2) invasive bMBP, and bMBP (i) measured by oscillometry and (ii) calculated using six different equations; and (3) bSBP and bPP invasively and non-invasively obtained by applanation tonometry and employing different calibration methods. To this end, invasive aortic blood pressure and bBP (catheterization), and non-invasive bBP (oscillometry [Mobil-O-Graph] and brachial artery applanation tonometry [SphygmoCor]) were simultaneously obtained (34 subjects, 193 records). bMBP was calculated using different approaches. Results: (i) the agreement between invasive bBP and their respective non-invasive measurements (oscillometry) showed dependence on bBP levels (proportional error); (ii) among the different approaches used to obtain bMBP, the equation that includes a form factor equal to 33% (bMBP = bDBP + bPP/3) showed the best association with the invasive bMBP; (iii) the best approach to estimate invasive bSBP and bPP from tonometry recordings is based on the calibration scheme that employs oscillometric bMBP. On the contrary, the worst association between invasive and applanation tonometry-derived bBP levels was observed when the brachial pulse waveform was calibrated to bMBP quantified as bMBP = bDBP + bPP/3. Our study strongly emphasizes the need for methodological transparency and consensus for non-invasive bMBP assessment.
eu_rights_str_mv openAccess
format article
id COLIBRI_e0aa9f33da8638e5717a280891072356
identifier_str_mv Bia D, Zócalo Y, Sánchez R y otros. Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement Levels. Journal of Cardiovascular Development and Disease [en línea]. 2023;10(2). 21 p.
2308-3425
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reponame_str COLIBRI
repository.mail.fl_str_mv karina.camps@seciu.edu.uy
repository.name.fl_str_mv COLIBRI - Universidad de la República
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rights_invalid_str_mv Licencia Creative Commons Atribución (CC - By 4.0)
spelling Bia Daniel, Universidad de la República (Uruguay). Facultad de MedicinaZócalo Yanina, Universidad de la República (Uruguay). Facultad de MedicinaSánchez Ramiro, Fundación Favaloro (Argentina). Hospital UniversitarioTorrado Juan F., Universidad de la República (Uruguay). Facultad de MedicinaLev Gustavo, Fundación Favaloro (Argentina). Hospital UniversitarioMendiz Oscar, Fundación Favaloro (Argentina). Hospital UniversitarioPessana Franco, Universidad Favaloro (Argentina). Facultad de Ingeniería y Ciencias ExactasRamírez Agustín, Instituto de Medicina Traslacional, Trasplante y Bioingeniería (Argentina)Cabrera-Fischer Edmundo I., Instituto de Medicina Traslacional, Trasplante y Bioingeniería (Argentina)2025-10-17T16:58:50Z2025-10-17T16:58:50Z2023Bia D, Zócalo Y, Sánchez R y otros. Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement Levels. Journal of Cardiovascular Development and Disease [en línea]. 2023;10(2). 21 p.2308-3425https://hdl.handle.net/20.500.12008/5213610.3390/jcdd10020045The use of oscillometric methods to determine brachial blood pressure (bBP) can lead to a systematic underestimation of the invasively measured systolic (bSBP) and pulse (bPP) pressure levels, together with a significant overestimation of diastolic pressure (bDBP). Similarly, the agreement between brachial mean blood pressure (bMBP), invasively and non-invasively measured, can be affected by inaccurate estimations/assumptions. Despite several methodologies that can be applied to estimate bMBP non-invasively, there is no consensus on which approach leads to the most accurate estimation. Aims: to evaluate the association and agreement between: (1) non-invasive (oscillometry) and invasive bBP; (2) invasive bMBP, and bMBP (i) measured by oscillometry and (ii) calculated using six different equations; and (3) bSBP and bPP invasively and non-invasively obtained by applanation tonometry and employing different calibration methods. To this end, invasive aortic blood pressure and bBP (catheterization), and non-invasive bBP (oscillometry [Mobil-O-Graph] and brachial artery applanation tonometry [SphygmoCor]) were simultaneously obtained (34 subjects, 193 records). bMBP was calculated using different approaches. Results: (i) the agreement between invasive bBP and their respective non-invasive measurements (oscillometry) showed dependence on bBP levels (proportional error); (ii) among the different approaches used to obtain bMBP, the equation that includes a form factor equal to 33% (bMBP = bDBP + bPP/3) showed the best association with the invasive bMBP; (iii) the best approach to estimate invasive bSBP and bPP from tonometry recordings is based on the calibration scheme that employs oscillometric bMBP. On the contrary, the worst association between invasive and applanation tonometry-derived bBP levels was observed when the brachial pulse waveform was calibrated to bMBP quantified as bMBP = bDBP + bPP/3. Our study strongly emphasizes the need for methodological transparency and consensus for non-invasive bMBP assessment.Submitted by Almiñana María Cecilia (marialminana@gmail.com) on 2025-10-14T17:55:22Z No. of bitstreams: 2 license_rdf: 24942 bytes, checksum: 58cb336ce230a47d2f88ad02838a665f (MD5) Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry.pdf: 32164761 bytes, checksum: 6432a568eb7c9b96b9a0f2dd826832f5 (MD5)Approved for entry into archive by Almiñana María Cecilia (marialminana@gmail.com) on 2025-10-15T16:41:10Z (GMT) No. of bitstreams: 2 license_rdf: 24942 bytes, checksum: 58cb336ce230a47d2f88ad02838a665f (MD5) Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry.pdf: 32164761 bytes, checksum: 6432a568eb7c9b96b9a0f2dd826832f5 (MD5)Made available in DSpace by Luna Fabiana (fabiana.luna@seciu.edu.uy) on 2025-10-17T16:58:50Z (GMT). No. of bitstreams: 2 license_rdf: 24942 bytes, checksum: 58cb336ce230a47d2f88ad02838a665f (MD5) Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry.pdf: 32164761 bytes, checksum: 6432a568eb7c9b96b9a0f2dd826832f5 (MD5) Previous issue date: 202321 p.application/pdfenengJournal of Cardiovascular Development and Disease. 2023;10(2)Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)info:eu-repo/semantics/openAccessLicencia Creative Commons Atribución (CC - By 4.0)Aortic pressureApplanation tonometryBrachial blood pressureCalibration procedureInvasive recordsMean blood pressureNon-invasive recordsOscillometryPulse waveformPRESIÓN ARTERIALPRESIÓN SANGUÍNEAOSCILOMETRÍACALIBRACIÓNBrachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement LevelsArtículoinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionreponame:COLIBRIinstname:Universidad de la Repúblicainstacron:Universidad de la RepúblicaBia, DanielZócalo, YaninaSánchez, RamiroTorrado, Juan F.Lev, GustavoMendiz, OscarPessana, FrancoRamírez, AgustínCabrera-Fischer, Edmundo I.LICENSElicense.txtlicense.txttext/plain; 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públicahttps://udelar.edu.uy/https://www.colibri.udelar.edu.uy/oai/requestkarina.camps@seciu.edu.uyUruguayopendoar:47712025-10-17T16:58:50COLIBRI - Universidad de la Repúblicafalse
spellingShingle Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement Levels
Bia, Daniel
Aortic pressure
Applanation tonometry
Brachial blood pressure
Calibration procedure
Invasive records
Mean blood pressure
Non-invasive records
Oscillometry
Pulse waveform
PRESIÓN ARTERIAL
PRESIÓN SANGUÍNEA
OSCILOMETRÍA
CALIBRACIÓN
status_str publishedVersion
title Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement Levels
title_full Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement Levels
title_fullStr Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement Levels
title_full_unstemmed Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement Levels
title_short Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement Levels
title_sort Brachial Blood Pressure Invasively and Non-Invasively Obtained Using Oscillometry and Applanation Tonometry: Impact of Mean Blood Pressure Equations and Calibration Schemes on Agreement Levels
topic Aortic pressure
Applanation tonometry
Brachial blood pressure
Calibration procedure
Invasive records
Mean blood pressure
Non-invasive records
Oscillometry
Pulse waveform
PRESIÓN ARTERIAL
PRESIÓN SANGUÍNEA
OSCILOMETRÍA
CALIBRACIÓN
url https://hdl.handle.net/20.500.12008/52136