Influence of Age on Upper Arm Cuff Blood Pressure Measurement

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  • Dean S. Picone, University of Tasmania
  • ,
  • Martin G. Schultz, University of Tasmania
  • ,
  • Petr Otahal, University of Tasmania
  • ,
  • J. Andrew Black, University of Tasmania, Royal Hobart Hospital
  • ,
  • Willem J. Bos, St. Antonius Ziekenhuis, Leiden University
  • ,
  • Chen Huan Chen, National Yang-Ming University, Veterans General Hospital-Taipei
  • ,
  • Hao Min Cheng, National Yang-Ming University, Veterans General Hospital-Taipei
  • ,
  • Antoine Cremer, CHU Hôpitaux de Bordeaux
  • ,
  • Nathan Dwyer, University of Tasmania, Royal Hobart Hospital
  • ,
  • Ricardo Fonseca, University of Tasmania
  • ,
  • Alun D. Hughes, University College London
  • ,
  • Hack Lyoung Kim, Seoul National University
  • ,
  • Peter S. Lacy, University College London
  • ,
  • Esben Laugesen
  • Nobuyuki Ohte, Nagoya City University
  • ,
  • Stefano Omboni, Italian Institute of Telemedicine, Sechenov First Moscow State Medical University
  • ,
  • Christian Ott, Friedrich-Alexander University Erlangen-Nürnberg
  • ,
  • Telmo Pereira, Polytechnic Institute of Coimbra
  • ,
  • Giacomo Pucci, University of Perugia
  • ,
  • Philip Roberts-Thomson, University of Tasmania, Royal Hobart Hospital
  • ,
  • Niklas B. Rossen
  • Roland E. Schmieder, Friedrich-Alexander University Erlangen-Nürnberg
  • ,
  • Daisuke Sueta, Kumamoto University
  • ,
  • Kenji Takazawa, Tokyo Medical University
  • ,
  • Jiguang Wang, Shanghai Jiao Tong University
  • ,
  • Thomas Weber, Klinikum Wels-Grieskirchen
  • ,
  • Berend E. Westerhof, Vrije Universiteit Amsterdam
  • ,
  • Bryan Williams, University College London
  • ,
  • Hirotsugu Yamada, Tokushima University
  • ,
  • Eiichiro Yamamoto, Kumamoto University
  • ,
  • James E. Sharman, University of Tasmania
  • ,
  • Invasive Blood Pressure Consortium

Blood pressure (BP) is a leading global risk factor. Increasing age is related to changes in cardiovascular physiology that could influence cuff BP measurement, but this has never been examined systematically and was the aim of this study. Cuff BP was compared with invasive aortic BP across decades of age (from 40 to 89 years) using individual-level data from 31 studies (1674 patients undergoing coronary angiography) and 22 different cuff BP devices (19 oscillometric, 1 automated auscultation, 2 mercury sphygmomanometry) from the Invasive Blood Pressure Consortium. Subjects were aged 64±11 years, and 32% female. Cuff systolic BP overestimated invasive aortic systolic BP in those aged 40 to 49 years, but with each older decade of age, there was a progressive shift toward increasing underestimation of aortic systolic BP (P<0.0001). Conversely, cuff diastolic BP overestimated invasive aortic diastolic BP, and this progressively increased with increasing age (P<0.0001). Thus, there was a progressive increase in cuff pulse pressure underestimation of invasive aortic PP with increasing decades of age (P<0.0001). These age-related trends were observed across all categories of BP control. We conclude that cuff BP as an estimate of aortic BP was substantially influenced by increasing age, thus potentially exposing older people to greater chance for misdiagnosis of the true risk related to BP.

OriginalsprogEngelsk
TidsskriftHypertension
Vol/bind75
Nummer3
Sider (fra-til)844-850
Antal sider7
ISSN0194-911X
DOI
StatusUdgivet - mar. 2020

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