Evidence map›Paper›PMID 28531255›Full record

ArticleAmerican journal of hypertension2017

Measurement Repeatability of Central and Peripheral Blood Pressures: The ARIC Study.

Fran Yong, Gerardo Heiss, David Couper, Michelle L Meyer, Susan Cheng, Hirofumi Tanaka

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in American journal of hypertension, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Fran YongUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Gerardo HeissUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
David CouperUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Michelle L MeyerUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Susan ChengBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Hirofumi TanakaUniversity of Texas at Austin, Austin, Texas, USA.

Funding

Cardiovascular Epidemiology Training GrantT32HL007055 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Wayne D. Rosamond · 1986 to 2026
$10.0M
Cardiac microstructure and the immune-inflammatory response to SARS-CoV-2R01HL131532 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CHENG, SUSAN, LI, DEBIAO · 2016 to 2025
$6.6M
Changes in arterial stiffness, cognition and dementia risk in a diverse cohortR01AG053938 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MEYER, MICHELLE · 2016 to 2020
$2.9M
Inflammatory Mediators, Cardiovascular Health, and Longevity in WomenR01HL134168 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CHENG, SUSAN · 2016 to 2019
$1.6M
Myocardial and Arterial Aging: Spectrum, Correlates, and PrognosisR00HL107642 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI CHENG, SUSAN · 2014 to 2016
$747k
NHLBI NIH HHS HHSN268201100005CNHLBI NIH HHS HHSN268201100005GNHLBI NIH HHS HHSN268201100005INHLBI NIH HHS HHSN268201100006CNHLBI NIH HHS HHSN268201100007CNHLBI NIH HHS HHSN268201100007INHLBI NIH HHS HHSN268201100008CNHLBI NIH HHS HHSN268201100008INHLBI NIH HHS HHSN268201100009CNHLBI NIH HHS HHSN268201100009INHLBI NIH HHS HHSN268201100010CNHLBI NIH HHS HHSN268201100012CNHLBI NIH HHS R00 HL107642NHLBI NIH HHS R01 HL131532NHLBI NIH HHS R01 HL134168NHLBI NIH HHS T32 HL007055NIA NIH HHS R01 AG053938
6 · The paper itself

Abstract

backgroundCentral systolic and pulse pressures are markers of risk for small vessel disease in the brain and kidneys. The extent to which these markers are reproducible in the setting of population studies is less well established. We estimated short-term repeatability of central systolic and pulse pressures, and those of their peripheral measures for comparison.

methodsParticipants aged 65 years and over (n = 79, 56% women) were drawn from the 2011-2013 examination of the ARIC cohort. Measurements were obtained with automated devices in the supine position, except for conventional sitting pressures, from paired measurements at each of 2 visits separated by 4 to 8 weeks. Three-level variance component models with between-participant, between-visit, and within-visit components estimated reliability metrics.

resultsMean central systolic and pulse pressures were higher than conventional brachial measures, yet their 4 to 8 week measurement repeatability was similar: reliability coefficients were 0.62 (95% confidence interval: 0.49, 0.74) and 0.63 (0.51, 0.76) for central and sitting brachial systolic pressures, and 0.66 (0.54. 0.77) and 0.73 (0.63, 0.82) for their corresponding pulse pressures. Between-participant variation contributed to two-thirds of the short-term repeatability for all measures. Within-visit variation remained uniformly low across visits.

conclusionsOur results indicate that the average of 2 standardized measurements obtained at a single visit can provide reliable estimates of central systolic and pulse pressures. The reliability coefficients of central and peripheral blood pressure measures were comparable. Estimates are presented of minimal detectable change and difference to aid in study design and evaluation of analytic results.

Indexed as

Blood PressureAgedAged, 80 and overBlood Pressure DeterminationBrachial ArteryCardiovascular DiseasesFemaleHumansMalePatient PositioningPredictive Value of TestsReproducibility of ResultsSupine PositionTibial ArteriesUnited Statesblood pressurecentral blood pressurecentral pulse pressurehypertensionmeasurement errorminimal detectable changereliabilityshort-term repeatability

Identifiers

PMID28531255
PMCPMC5654294

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.