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The Impact of Central Blood Pressure Levels on the Relationship Between Oscillometric and Central Blood Pressure Measurements: A Multicenter Invasive Study
Authors:Yusuf I. Alihanoglu MD  Mehmet Kayrak MD  Mehmet S. Ulgen MD  Mehmet Yazici MD  Mehmet Yazici MD  Remzi Yilmaz MD  Kenan Demir MD  Yildiz Dogan MD  Murat Sizer MD  Hakan Ozhan MD  Fatih Koc MD  Sait Bodur MD
Affiliation:1. Department of Cardiology, Faculty of Medicine, Pamukkale University, , Denizli, Turkey;2. Department of Cardiology, Meram Medical Faculty, Necmettin Erbakan University, , Konya, Turkey;3. Department of Cardiology, Faculty of Medicine, Duzce University, , Duzce, Turkey;4. Department of Cardiology, Private OSM Ortadogu Hospital, , SanliUrfa, Turkey;5. Department of Cardiology, Selcuk Medical Faculty, Selcuk University, , Konya, Turkey;6. Department of Cardiology, Private Medicalpark Hospital, , Tokat, Turkey;7. Department of Public Health, Bal?kesir University School of Medicine, , Balikesir, Turkey
Abstract:The aim of this study was to investigate impact of central blood pressure (BP) levels and sex on the difference between central and upper arm oscillometric BP values. Oscillometric arterial BP measurements of 675 patients were simultaneously compared with values measured from the ascending aorta. The patients were divided into 3 groups according to systolic BP levels. The upper arm oscillometric device overestimated systolic BP (SBP) at low and medium BP levels but it underestimated SBP at high BP level. As for the effect of sex on differences in central and oscillometric BP, SBP was overestimated to a lesser degree in women than in men at low BP levels, but it was more highly underestimated in women than in men at high BP levels. The difference between oscillometric upper arm BP and aortic BP was directly affected by the patient's central BP level. In addition, the difference between central and oscillometric BP was also affected by sex factor.
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