AniCura Veterinary Referral Centre Haaglanden, Dordrecht, The Netherlands.
Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
J Feline Med Surg. 2024 Mar;26(3):1098612X241231471. doi: 10.1177/1098612X241231471.
Systemic arterial hypertension is a common occurrence and can have serious adverse consequences in cats. Therefore, measuring blood pressure is very important. There are many indirect blood pressure measurement devices available. This study compared Doppler, oscillometric (petMAP Graphic II, SunTech Vet20, the Cardell Insight-X0000) and high-definition oscillometry devices for the non-invasive measurement of blood pressure in conscious cats.
In this prospective study, blood pressure was measured in 32 cats using the different devices according to the recommendations of the American College of Veterinary Internal Medicine Consensus Statement. Blood pressures (systolic blood pressure [SBP], diastolic blood pressure [DBP], mean arterial pressure [MAP]), time to complete measurements, number of attempts needed, coefficient of variation (CV) between the blood pressure measurements of the different devices, ease of completing measurements and apparent stress level of the cat were assessed.
There was a significant difference between devices in the time taken to obtain blood pressure readings and the number of attempts necessary to obtain six reliable measurements. The CV of the Doppler device was significantly smaller than that of the rest of the devices, but there were no other differences between the devices. The mean SBP, DBP and MAP measured by the petMAP device were significantly higher than the measurements from the other devices. The perceived ease of measurement was not significantly different between the various machines. The perceived level of stress of measurement with the Doppler device was significantly higher compared with the other devices but did not lead to an increased SBP.
Using a Doppler device to measure blood pressure in conscious cats is fast, relatively easy and gives reliable results. A disadvantage is that the Doppler device can only measure SBP, while oscillometric devices also provide DBP and MAP. However, in veterinary medicine, systolic hypertension is considered the most relevant.
全身性高血压在猫中很常见，可能会产生严重的不良后果。因此，测量血压非常重要。有许多间接的血压测量设备可供选择。本研究比较了多普勒、振荡（petMAP Graphic II、SunTech Vet20、Cardell Insight-X0000）和高清振荡设备，用于测量清醒猫的非侵入性血压。
在这项前瞻性研究中，根据美国兽医内科学院共识声明的建议，使用不同的设备测量 32 只猫的血压。评估了不同设备之间的血压（收缩压 [SBP]、舒张压 [DBP]、平均动脉压 [MAP]）、完成测量所需的时间、获得 6 次可靠测量所需的尝试次数、不同设备之间的血压测量之间的变异系数（CV）、完成测量的难易程度以及猫的明显应激水平。
不同设备在获得血压读数所需的时间和获得 6 次可靠测量所需的尝试次数方面存在显著差异。多普勒设备的 CV 明显小于其他设备，但设备之间没有其他差异。petMAP 设备测量的平均 SBP、DBP 和 MAP 明显高于其他设备的测量值。不同机器之间测量的感知难易程度没有显著差异。与其他设备相比，多普勒设备测量时的感知压力水平明显更高，但不会导致 SBP 升高。
使用多普勒设备测量清醒猫的血压速度快、相对容易且结果可靠。缺点是多普勒设备只能测量 SBP，而振荡设备还可以提供 DBP 和 MAP。然而，在兽医领域，收缩期高血压被认为是最相关的。
