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
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.
| 2023 | |
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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 |
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| Inglés | |
| Universidad de la República | |
| COLIBRI | |
| https://hdl.handle.net/20.500.12008/52136 | |
| Acceso abierto | |
| Licencia Creative Commons Atribución (CC - By 4.0) |
| _version_ | 1872865098901487616 |
|---|---|
| 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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| 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 10.3390/jcdd10020045 |
| instacron_str | Universidad de la República |
| institution | Universidad de la República |
| instname_str | Universidad de la República |
| language | eng |
| language_invalid_str_mv | en |
| network_acronym_str | COLIBRI |
| network_name_str | COLIBRI |
| oai_identifier_str | oai:colibri.udelar.edu.uy:20.500.12008/52136 |
| publishDate | 2023 |
| reponame_str | COLIBRI |
| repository.mail.fl_str_mv | karina.camps@seciu.edu.uy |
| repository.name.fl_str_mv | COLIBRI - Universidad de la República |
| repository_id_str | 4771 |
| 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 |