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Published on: May 3, 2018
Invasively measured and estimated central blood pressure using the oscillometric algorithm Antares in patients with
Alexander Stäuber1, Marcus Dörr2, Cornelia Piper3
1Department of Movement and Training Science, Leipzig University, Leipzig, Germany.
Insights
Obesity does not significantly alter central blood pressure (cBP), but women, particularly obese women, show higher cBP. The Antares algorithm accurately estimates non-invasive cBP in obese patients.
Area of Science:
- Cardiology
- Hypertension Research
- Obesity Medicine
Background:
- Obesity is a global health issue and a cardiovascular disease risk factor.
- Central blood pressure (cBP) assessment aids cardiovascular event prediction.
- Limited invasive data exists on obesity's impact on cBP.
Purpose of the Study:
- Evaluate cBP differences between obese and non-obese adults.
- Identify determinants of cBP.
- Assess the accuracy of the Antares algorithm for non-invasive cBP estimation.
Main Methods:
- Invasive and non-invasive cBP measurements in 190 cardiac catheterization patients.
- Included 39% obese patients (BMI ≥30kg/m2).
- Used custo screen 400 device with Antares algorithm.
Main Results:
- No significant cBP differences between obese and non-obese groups.
- Obese females exhibited higher systolic cBP than males.
- Brachial pressure, BMI, and heart rate predicted cBP (adjusted R2 = 0.82).
- Antares showed strong correlation (r=0.74-0.93) and accuracy for non-invasive cBP.
Conclusions:
- No significant cBP difference found between obese and non-obese patients.
- Higher cBP in obese women warrants further investigation.
- Antares algorithm effectively estimates non-invasive cBP in obese individuals, aiding hypertension management.
Background:
Obesity is a global health concern and risk factor for cardiovascular disease. The assessment of central blood pressure (cBP) has been shown to improve prediction of cardiovascular events. However, few studies have investigated the impact of obesity on cBP in adults, and invasive data on this issue are lacking. This study aimed to evaluate cBP differences between patients with and without obesity, identify cBP determinants, and evaluate the accuracy of the algorithm Antares for non-invasive cBP estimation.
Methods:
A total of 190 patients (25% female; 39% with BMI ≥30kg/m2; age: 67±12 years) undergoing elective cardiac catheterization were included. cBP was measured invasively and simultaneously estimated non-invasively using the custo screen 400 device with integrated Antares algorithm.
Results:
No significant cBP differences were found between obese and non-obese patients. However, females, especially those with obesity, had higher systolic cBP compared to males (P<0.05). Multiple regression analysis showed that brachial mean arterial pressure, pulse pressure, BMI, and heart rate predicted cBP significantly (adjusted R2 = 0.82, P<0.001). Estimated cBP correlated strongly with invasive cBP for systolic, mean arterial, and diastolic cBP (r = 0.74-0.93, P<0.001) and demonstrated excellent accuracy (mean difference <5 and SD <8 mmHg).
Conclusions:
This study discovered no significant difference in cBP between obese and non-obese patients. However, it revealed higher cBP values in women, especially those with obesity, which requires further investigation. Additionally, the study highlights Antares' effectiveness in non-invasively determining cBP in obese individuals. This could improve the diagnosis and treatment of hypertension in this special patient population.
Related Concept Videos
Measurement of Blood Pressure
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Pre-Procedural Guidelines for Assessing Blood Pressure
Assessment of blood pressure in brachial artery(two-step method)
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:

