Effect of pressurization methods on the accuracy of wrist blood pressure measurement

In developing a wrist blood pressure monitor of high and reliable accuracy, the effect of different pressurization methods on the accuracy of blood pressure measurement at the wrist using oscillometry is investigated in this paper. 30 volunteers are recruited and blood pressure readings are taken with three different methods of pressurizing the wrist. It was found that measurement of mean arterial pressure (MAP) is more accurate when the wrist is locally compressed directly over the radial artery (-2.6 ± 11.4 mmHg) or with a region of surrounding tissue (10.3 ± 6.0 mmHg) than when the whole wrist is compressed by a conventional, constricting cuff (-11.4 ± 16.4 mmHg). Characteristics of accuracy, however, differ between the two local pressurization methods. While a square airbag that compresses the wrist directly over the radial artery may measure the most accurate MAP on average, the range of errors among individuals is large. Contrarily, measurements taken by pressurizing a region over the radial artery with a bladder are least affected by individual variability. In order to measure blood pressure accurately at the wrist while unbiased by the population-based algorithmic compensation to ensure accuracy among different individuals, therefore, the use of local pressurization method may be the most appropriate.