Document Detail


Why use Finapres or Portapres rather than intra-arterial or intermittent non-invasive techniques of blood pressure measurement?
MedLine Citation:
PMID:  9491357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the clinic, blood pressure is measured almost exclusively using non-invasive intermittent techniques, of which the auscultatory (Riva-Rocci/Korotkoff, RRK) and the computerized oscillometric method are most often used. However, both methods only provide a momentary value. In addition, the accuracy is hampered by phenomena such as cuff response and white coat hypertension, thus providing artefactually increased values. The vascular unloading technique of Penáz together with the Physiocal criteria of Wesseling provide reliable, non-invasive and continuous estimates of blood pressure. This technique is thus an alternative to the invasive intra-arterial measurements in many cases, without the risks and ethical questions inherent to invasive measurements. Since the pressure waveform is available continuously, computations such as pulse contour and Modelflow cardiac output, spectral analysis and baroreflex sensitivity provide further information on the dynamics of the cardiovascular system on a beat-to-beat basis, similar to intra-arterial measurements.
Authors:
G J Langewouters; J J Settels; R Roelandt; K H Wesseling
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of medical engineering & technology     Volume:  22     ISSN:  0309-1902     ISO Abbreviation:  J Med Eng Technol     Publication Date:    1998 Jan-Feb
Date Detail:
Created Date:  1998-04-07     Completed Date:  1998-04-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7702125     Medline TA:  J Med Eng Technol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  37-43     Citation Subset:  IM    
Affiliation:
TPD-TNO BioMedical Instrumentation, Academic Medical Centre, Amsterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Artifacts
Auscultation
Baroreflex / physiology
Blood Pressure / physiology
Blood Pressure Determination / instrumentation*
Blood Pressure Monitors*
Cardiac Output / physiology
Catheterization, Peripheral / instrumentation
Equipment Design
Ethics, Medical
Heart Rate / physiology
Humans
Hypertension / physiopathology,  psychology
Oscillometry
Reproducibility of Results
Risk Factors
Signal Processing, Computer-Assisted

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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