A cross-sectional analytical study on the influence of age in the precision and accuracy of non-invasive blood pressure recording compared to invasive intra-arterial pressure recording
Journal Title: National Journal of Physiology, Pharmacy and Pharmacology - Year 2018, Vol 8, Issue 3
Abstract
Background: Even after 115 years after the invention of Riva-Rocci Sphygmomanometer, the technique which shows the maximal accuracy of blood pressure (BP) measurement remains elusive. Currently, non-invasive BP (NIBP) recording is commonly done worldwide. Yet, intra-arterial pressure (IAP) recording gives a beat to beat accurate recording of one’s BP. Aims and Objectives: The aims of this study are as follows: (1) To compare NIBP with IAP in various age groups and (2) to study the influence of age in the accuracy of NIBP recording. Materials and Methods: A total of 98 patients aged 30–75 years posted for a coronary angiogram (CAG) were recruited for the study and divided into 3 groups based on age (Group I 30–45, Group II 46–60, and Group III 61–75). Two sets of NIBP and corresponding IAP (radial and aortic arterial pressures) were recorded during CAG. Paired t-test to compare the NIBP with corresponding IAP and ANOVA with post-hoc Bonferroni to check the influence of age with the accuracy of recording were done. Results: NIBP differed significantly with the corresponding IAP when analyzed by paired t-test (P < 0.0001). Multiple comparisons between three age groups and the pressure difference by ANOVA were done. Age Groups I and III (30–45 years and 61–75 years) both systolic NIBPI versus radial artery pressure (P = 0.013) as well as diastolic NIBP II versus arterial blood pressure (ABP) (P = 0.053) pressure comparison were widely different. Age Groups II (46–60 years) and III (61–70 years) varied in the diastolic NIBPII versus ABP comparison with P = 0.050. The results thus indicate that there is discrepancy of manual BP versus IAP with an increasing trend with the advancement of age. Conclusion: Thus, the results indicate that there is a discrepancy of NIBP versus IAP with NIBP showing higher values which widens with advancing age.
Authors and Affiliations
Ramanathan Sobana, Srinivasan Parthasarathy, Trakroo Madanmohan, Balasubramaniam Amirthaganesh, Krishnan Jaiganesh
Keywords
Related Articles
- EP ID EP487199
- DOI 10.5455/ijmsph.2018.1039720102017
- Views 41
- Downloads 0
Comparative evaluation of topical carboxymethyl cellulose either alone or in combination with topical corticosteroid in the treatment of dry eye in a tertiary-care teaching hospital
Background: The treatment of dry eyes has traditionally involved hydrating and lubricating the ocular surface, which include usage of arti fi cial tear drops [carboxymethyl cellulose (CMC)]. Corticosteroids possess p...
Study of psychological predictors and sleep quality in different grades of premenstrual syndrome
Background: Premenstrual syndrome (PMS) is a recurrent, cluster of symptoms and signs that develop during the 10 days before the onset of menses and subside with the onset of menstruation. It is known to affect the women...
Antidiabetic effects of Cycas riuminiana leaf extracts on alloxan-induced diabetic ICR mice (Mus musculus L.)
Background: The Philippines is one of the countries with high prevalence of diabetes mellitus. Although there are several drugs marketed to control it, there are unwanted side effects. Knowing this, alternative options h...
Pain sensitivity and cardiovascular reactivity to the experimental induced cold pressor pain during different phases of menstrual cycle in young Indian females
Background: Many previous research studies have shown a higher prevalence of chronic pain conditions as well as more pain sensitivity or lesser pain thresholds (PTh) among women as compared to men. It might be related to...
Development of gel composition and technology based on pyrimidine substance
Background: This work was conducted in the framework of quality by design project involving the production of a pharmaceutical gel. Preliminary work included the identification of the quality target product profiles from...