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Central blood pressure assessment using 24-hour brachial pulse wave analysis

Authors Muiesan ML, Salvetti M, Bertacchini F, Agabiti-Rosei C, Maruelli G, Colonetti E, Paini A

Received 9 May 2014

Accepted for publication 3 July 2014

Published 24 October 2014 Volume 2014:2 Pages 141—148


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Review by Single-blind

Peer reviewer comments 3

Maria Lorenza Muiesan, Massimo Salvetti, Fabio Bertacchini, Claudia Agabiti-Rosei, Giulia Maruelli, Efrem Colonetti, Anna Paini

Clinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy

Abstract: This review describes the use of central blood pressure (BP) measurements during ambulatory monitoring, using noninvasive devices. The principles of measuring central BP by applanation tonometry and by oscillometry are reported, and information on device validation studies is described. The pathophysiological basis for the differences between brachial and aortic pressure is discussed. The currently available methods for central aortic pressure measurement are relatively accurate, and their use has important clinical implications, such as improving diagnostic and prognostic stratification of hypertension and providing a more accurate assessment of the effect of treatment on BP.

Keywords: aortic blood pressure measurements, ambulatory monitoring, pulse wave analysis

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