Non-invasive central aortic pressure measurement: what limits its application in clinical practice?

The following article highlights the need for methodological transparency and consensus for an accurate and non-invasive assessment of central aortic blood pressure (aoBP), which would contribute to increasing its validity and value in both clinical and physiological research settings. The recording...

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Bibliographic Details
Authors: Díaz, Alejandro, Zócalo, Yanina, Salazar, Federico, Bia, Daniel
Format: article
Status:Published version
Publication Date:2023
Country:Uruguay
Institution:Universidad de la República
Repository:COLIBRI
Language:English
OAI Identifier:oai:colibri.udelar.edu.uy:20.500.12008/52642
Online Access:https://hdl.handle.net/20.500.12008/52642
Access Level:Open access
Keyword:Aortic blood pressure
Blood pressure measurement
Calibration
Central blood pressure measurement
Non-invasive assessment
Oscillometric method
PRESIÓN ARTERIAL
CALIBRACIÓN
MONITORES DE PRESIÓN SANGUÍNEA
OSCILOMETRÍA
Description
Summary:The following article highlights the need for methodological transparency and consensus for an accurate and non-invasive assessment of central aortic blood pressure (aoBP), which would contribute to increasing its validity and value in both clinical and physiological research settings. The recording method and site, the mathematical model used to quantify aoBP, and mainly the method applied to calibrate pulse waveforms are essential when estimating aoBP and should be considered when analyzing and/or comparing data from different works, populations and/or obtained with different approaches. Up to now, many questions remain concerning the incremental predictive ability of aoBP over peripheral blood pressure and the possible role of aoBP-guided therapy in everyday practice. In this article, we focus on "putting it on the table" and discussing the main aspects analyzed in the literature as potential determinants of the lack of consensus on the non-invasive measurement of aoBP.