根据动脉协会的建议,对基于袖口的中央血压装置的验证评估
Tan V Bui1, Dean S Picone1,2, Wojciech P Kosmala1,3
1Menzies Institute for Medical Research, University of Tasmania, Hobart.
Blood pressure monitoring
|May 6, 2025
概括
针对非侵入性中央血压估计的Uscom BP+设备,与侵入性测量相比,不符合准确性标准. 这种基于袖子的设备未能通过临床使用的标准.
科学领域:
- 心血管研究的心血管研究.
- 生物医学工程 生物医学工程
- 医疗器械验证 医疗器械验证
背景情况:
- 中心血压 (BP) 估计提供了超出手臂血压的洞察力.
- 乌斯康 BP+ 是一款基于袖口的设备,旨在进行非侵入性的中央血压测量.
- 准确的中央血压监测对于评估心血管风险至关重要.
研究的目的:
- 为了评估Uscom BP+设备用于估计中心BP的准确性.
- 为了比较来自Uscom BP+的非侵入性中心血压读数与侵入性测量.
- 为了确定Uscom BP+设备是否符合动脉协会准确性标准.
主要方法:
- 在191名参与者中同时记录非侵入性袖口中央血压 (Uscom BP+) 和侵入性中央大动脉血压.
- 参与者在三个国际研究站点进行了冠状动脉血管造影.
- 验证遵循了动脉学会的建议,通过标准为≤5 ± ≤8 mmHg.
主要成果:
- 使用默认校准,Uscom BP+显著低估了缩血压 (-10.2 ± 11.2 mmHg) 和高估了透缩血压 (9.8 ± 8.5 mmHg).
- 替代校准方法稍微提高了缩血压的准确性,但保持了很高的可变性.
- 透析血压的准确性和可变性在所有校准方法中保持相似.
结论:
- 美国电信公司的BP+袖口装置未能满足动脉协会对中央血压测量的准确性标准.
- 目前的校准方法无法确保Uscom BP+设备在临床应用中具有足够的准确性.
- 可能需要进一步的研究来提高非侵入性中央血压估计设备的准确性.
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Direct Method
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