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[Study on blood pressure standard in children using the automatic sphygmomanometer].
Nihon Jinzo Gakkai Shi
|March 5, 2015
Summary
Japanese hypertension guidelines need adjustment. Current guidelines, particularly diastolic values, may lead to overtreatment. American criteria are recommended for automated sphygmomanometry use in pediatric hypertension management.
Area of Science:
- Cardiology
- Pediatrics
- Medical Devices
Context:
- Two Japanese hypertension guidelines exist: JCS2012 (stethoscopy-based) and JSH2009 (automated sphygmomanometry-based).
- JSH2009 guidelines may cause overtreatment due to strict low diastolic reference values.
- Physicians often use automated devices but rely on stethoscopy-based reference values.
Purpose:
- To compare Japanese pediatric hypertension reference values with South Korean and US guidelines.
- To evaluate the accuracy of automated sphygmomanometers.
- To propose appropriate blood pressure measurement and treatment criteria for pediatric hypertension.
Summary:
- Comparison revealed JSH2009 diastolic values are lower than US (stethoscopy-based) and South Korean (automated) values.
- Automated sphygmomanometry showed minimal differences compared to mercury measurement, suggesting substitutability.
- A large-scale study is needed to establish accurate reference values considering height and measurement methods.
Impact:
- Highlights potential overtreatment in pediatric hypertension management in Japan.
- Suggests automated sphygmomanometry can be a reliable alternative to stethoscopy for blood pressure measurement.
- Recommends adopting American guidelines' criteria for automated sphygmomanometry in the interim.
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