Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

The use of ambulatory tonometric radial arterial wave capture to measure ambulatory blood pressure: the validation of a novel wrist-bound device in adults

Journal of Human Hypertension volume 22, pages 220–222 (2008)Cite this article

Although ambulatory blood pressure (BP) monitoring provides a better guide to the management of hypertension, 1, 2, 3, 4 these devices are cumbersome and inconvenient, and therefore not widely used. HealthSTATS International (Singapore) developed a wrist-bound BP measurement device (BPro), which measures BP using arterial tonometry. 5 We aimed to validate the accuracy of this device in measuring BP according to the modified European Society of Hypertension (ESH) protocol 6 and Association for the Advancement of Medical Instrumentation (AAMI) standard. 7

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Rent or buy this article

Prices vary by article type

from$1.95

to$39.95

Learn more

Prices may be subject to local taxes which are calculated during checkout

Figure 1

References

  1. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr JL et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003; 289: 2560–2572 [published erratum appears in 2003; 290:197].

    Article  CAS  Google Scholar 

  2. O'Brien E, Asmar R, Beilin L, Imai Y, Mallion JM, Mancia G et al. European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J Hypertens 2003; 21: 821–848.

    Article  CAS  Google Scholar 

  3. Williams B, Poulter NR, Brown MJ, Davis M, McInnes GT, Potter JF et al. Guidelines for management of hypertension: report of the fourth working party of the British Hypertension Society, 2004-BHS IV. J Hum Hypertens 2004; 18: 139–185.

    Article  CAS  Google Scholar 

  4. Verdecchia P, Angeli F, Gattobigio R . Clinical usefulness of ambulatory blood pressure monitoring. J Am Soc Nephrol 2004; 15 (Suppl 1): S30–S33.

    Article  Google Scholar 

  5. Ng K-G, Ting C-M, Yeo J-H, Sim K-W, Peh W-L, Chua N-H et al. Progress on the development of the MediWatch ambulatory blood pressure monitor and related devices. Blood Press Monit 2004; 9: 149–165 [published erratum appears in 2004; 9:327].

    Article  Google Scholar 

  6. O'Brien E, Pickering T, Asmar R, Myers M, Parati G, Staessen J et al. Working Group on Blood Pressure Monitoring of the European Society of Hypertension International Protocol for validation of blood pressure measuring devices in adults. Blood Press Monit 2002; 7: 3–17.

    Article  Google Scholar 

  7. Association for the Advancement of Medical Instrumentation. American National Standard ANSI/AAMI SP10:2002. Manual, Electronic, or Automated Sphygmomanometers. AAMI: Arlington, VA, 2003 [a published amendment appeared as ANSI/AAMI SP10:2002/A1:2003].

  8. Perloff D, Grim C, Flack J, Frohlich ED, Hill M, McDonald M et al. Human Blood Pressure Determination by Sphygmomanometry. American Heart Association: Dallas, 2001.

    Google Scholar 

  9. Bland JM, Altman DG . Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 1: 307–310.

    Article  CAS  Google Scholar 

  10. Kario K, Pickering TG, Matsuo T, Hoshide S, Schwartz JE, Shimada K . Stroke prognosis and abnormal nocturnal blood pressure falls in older hypertensives. Hypertension 2001; 38: 852–857.

    Article  CAS  Google Scholar 

  11. Association for the Advancement of Medical Instrumentation. American National Standard ANSI/AAMI SP10-1992. Electronic or Automated Sphygmomanometers. AAMI: Arlington, VA, 1993 [a published amendment in relation to considerations for neonates, infants and children appeared as ANSI/AAMI SP10:1992/A1:1996].

Download references

Acknowledgements

KHM was the study director and principal investigator; he directed the entire study, including protocol development, training of staff, conduct of study, review of findings, and obtaining ethics approval. DN, SYT and HWG were the co-investigators. JT recruited subjects and coordinated the validation sessions. SFL supervised nurses during the validation sessions. ZM and GH managed the data and performed the statistical analysis in accordance with the protocol. WLP and NHC provided technical support. DN, SYT and KHM wrote the paper. All the authors reviewed and approved the final version. This study was funded by HealthSTATS, Singapore.

Author information

Authors and Affiliations

  1. Department of Cardiology, National Heart Centre, Singapore, Singapore

    D Nair, S-Y Tan, H-W Gan, S-F Lim, J Tan & K-H Mak

  2. Clinical Trials, Epidemiology and Research Unit, Singapore, Singapore

    M Zhu & H Gao

  3. HealthSTATS, Singapore, Singapore

    N-H Chua & W-L Peh

  4. Gleneagles Medical Centre, Singapore, Singapore

    K-H Mak

Authors
  1. D Nair
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S-Y Tan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H-W Gan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S-F Lim
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. J Tan
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. M Zhu
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. H Gao
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. N-H Chua
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. W-L Peh
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. K-H Mak
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to K-H Mak.

Additional information

Conflict of interest

WLP is employed by HealthSTATS International. NHC is an executive director of the company. All the other authors have no financial or personal relationships with HealthSTATS International.

Supplementary Information accompanies the paper on the Journal of Human Hypertension website (http://www.nature.com/jhh).

Supplementary information

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Nair, D., Tan, SY., Gan, HW. et al. The use of ambulatory tonometric radial arterial wave capture to measure ambulatory blood pressure: the validation of a novel wrist-bound device in adults. J Hum Hypertens 22, 220–222 (2008). https://doi.org/10.1038/sj.jhh.1002306

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jhh.1002306

This article is cited by

Search

Advanced search

Quick links