Ayach O, Sarlon Bartoli G, Silhol F, Demari C, Vaïsse B
Service de cardiologie : rythmologie et hypertension, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
Service de cardiologie : rythmologie et hypertension, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
Ann Cardiol Angeiol (Paris). 2018 Jun;67(3):180-185. doi: 10.1016/j.ancard.2018.05.003. Epub 2018 May 22.
The evaluation of automated office blood pressure (AOBP) measurement compared to 24-hour ambulatory BP monitoring (ABPM), Home BP measurement and manual BP.
A total of 123 hypertensive patients were included. Overall, 68 completed the 4 measurement: Manual BP in the office (Omron 705 CP 3 measurements), ABPM (Spacelab of 96 measurement/per 24hours), Home BP (18 measurement during 3 days), AOBP using the SPRINT methodology: lying patient, isolated with an automatic measurement (Dinamap) every minutes during 8minutes (average of the last 3 measurement). Twenty-two out of 123 patients (26%) did not complete the Home BP measurement.
The average of AOBP measurement using SPRINT is 132±12/69±9mmHg, of ABPM 134±13/79±9, of Home BP: 135±13/70±13 and of manual BP: 138±13/72±11mmHg The Bland & Altman method highlight that the AOBP, the ABPM and home BP measurement are 3 substitutable methods. The confidence interval is smaller between the ABPM and the AOBP than with the home BP.
The automated office blood pressure, as the Home BP measurement, can be considered a reliable substitute for the ABPM, when the later is not accessible, and when a repeated therapeutic evaluation is needed, or when the home BP measurement is not done. These results encourage us to use it more frequently as the Canadian Hypertension Education Program recommend it.
将自动诊室血压（AOBP）测量与24小时动态血压监测（ABPM）、家庭血压测量及手动血压测量进行比较评估。
共纳入123例高血压患者。总体而言，68例完成了4种测量：诊室手动血压（欧姆龙705 CP测量3次）、ABPM（太空实验室每24小时测量96次）、家庭血压（3天内测量18次）、采用SPRINT方法的AOBP：患者卧位，在8分钟内每隔1分钟使用自动测量仪（Dinamap）进行隔离测量（取最后3次测量的平均值）。123例患者中有22例（26%）未完成家庭血压测量。
采用SPRINT方法测量的AOBP平均值为132±12/69±9mmHg，ABPM为134±13/79±9mmHg，家庭血压为135±13/70±13mmHg，手动血压为138±13/72±11mmHg。Bland & Altman方法表明，AOBP、ABPM和家庭血压测量是3种可相互替代的方法。ABPM与AOBP之间的置信区间比与家庭血压之间的更小。
当无法进行ABPM、需要进行重复治疗评估或未进行家庭血压测量时，自动诊室血压与家庭血压测量一样，可被视为ABPM的可靠替代方法。这些结果鼓励我们更频繁地使用它，正如加拿大高血压教育项目所推荐的那样。
