Kallet A J, Cowgill L D, Kass P H
Madera Pet Hospital, Corte Madera, CA 94925, USA.
J Am Vet Med Assoc. 1997 Mar 1;210(5):651-4.
To compare blood pressure and heart rate measurements performed in a veterinary clinic to similar measurements performed in a dog's home.
Prospective study.
14 client-owned, clinically normal dogs.
Sequential blood pressure and heart rate measurements were recorded from the metatarsus and metacarpus of conscious dogs by indirect oscillometry. Measurements were performed in the dogs' homes and were repeated in a veterinary clinic. Blood pressures and heart rate were derived from 7 serial estimates over 8 to 10 minutes. Statistical differences between the home and clinic and between recording sites were calculated.
Systolic, diastolic, and mean blood pressure and heart rate measurements obtained from the metatarsus and metacarpus in the dogs' homes were significantly lower than measurements from the metatarsus in the clinic, but were similar to measurements from the metacarpus in the clinic. Significant differences were not found between blood pressure measurements from the metatarsus and metacarpus in the dogs' homes, but systolic and mean blood pressure and heart rate measurements from the metacarpus in the clinic were significantly lower than measurements from the metatarsus. Whereas all dogs had normal blood pressure in their homes, 5 of 14 dogs had transient hypertension (systolic pressure > 165 mm of Hg or diastolic pressure > 95 mm of Hg) in the clinic.
Blood pressure and heart rate measurements obtained in the clinic initially overestimate comparable measurements in a dog's home. The differences are best explained by transient autonomic responses to the stress of the clinic. Blood pressure must be measured by use of standardized techniques on dogs acclimated to the clinic environment.
比较在兽医诊所进行的血压和心率测量与在犬只家中进行的类似测量。
前瞻性研究。
14只客户拥有的临床正常犬只。
通过间接示波法从清醒犬只的跖骨和掌骨记录连续的血压和心率测量值。测量在犬只家中进行,并在兽医诊所重复进行。血压和心率来自8至10分钟内的7次连续估计值。计算家中和诊所之间以及记录部位之间的统计差异。
从犬只家中的跖骨和掌骨获得的收缩压、舒张压、平均血压和心率测量值显著低于诊所中跖骨的测量值,但与诊所中掌骨的测量值相似。在犬只家中,跖骨和掌骨的血压测量值之间未发现显著差异,但诊所中掌骨的收缩压、平均血压和心率测量值显著低于跖骨的测量值。虽然所有犬只在家中血压正常,但14只犬中有5只在诊所出现短暂性高血压(收缩压>165 mmHg或舒张压>95 mmHg)。
诊所中最初获得的血压和心率测量值高估了犬只在家中的可比测量值。这些差异最好用对诊所压力的短暂自主反应来解释。必须在适应诊所环境的犬只上使用标准化技术测量血压。