Feasibility of ambulatory, continuous 24-hour finger arterial pressure recording

Ben P M Imholz, Gerard J. Langewouters, Gert A. Van Montfrans, Gianfranco Parati, Jeroen Van Goudoever, Karel H. Wesseling, Wouter Wieling, Giuseppe Mancia

Research output: Contribution to journalArticle

Abstract

We tested Portapres, an innovative portable, battery-operated device for the continuous, noninvasive, 24-hour ambulatory measurement of blood pressure in the finger. Portapres is based on Finapres, a stationary device for the measurement of finger arterial pressure. Systems were added to record signals on tape, to alternate measurements between fingers automatically each 30 minutes, and to correct for the hydrostatic height of the hand. We compared the pressure as measured by Portapres with contralateral intrabrachial pressure measured with an Oxford device. Results were obtained in eight volunteers and 16 hypertensive patients. Time lost due to artifact was about 10% for each device. In two patients a full 24-hour Oxford profile was not obtained. In the remaining 22 subjects finger systolic, diastolic, and mean pressures differed +1 (SD 9), -8 (6), and -10 (6) mm Hg, respectively, from intrabrachial pressure. These diastolic and mean pressure underestimations are similar to what was found earlier for Finapres, are typical for the technique, and are systematic. Avoiding brisk hand movements resulted in fewer waveform artifacts. The hand had to be kept covered to continue recording at low outside temperatures. Sleep was not disturbed by Portapres, and arterial pressure showed a marked fall during siesta and nighttime. There were no major limitations in behavior, and no discomfort that originated from continuous monitoring was reported. Measurements continued normally during physical exercise. Portapres provides for the first time continuous 24-hour, noninvasive ambulatory blood pressure waveform monitoring and offers real and obvious advantages over current noninvasive and invasive devices.

Original languageEnglish
Pages (from-to)65-73
Number of pages9
JournalHypertension
Volume21
Issue number1
Publication statusPublished - Jan 1993

Keywords

  • Blood pressure determination
  • Blood pressure monitors
  • Exercise
  • Feasibility studies
  • Hydrostatic pressure
  • Monitoring, physiological

ASJC Scopus subject areas

  • Internal Medicine

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  • Cite this

    Imholz, B. P. M., Langewouters, G. J., Van Montfrans, G. A., Parati, G., Van Goudoever, J., Wesseling, K. H., Wieling, W., & Mancia, G. (1993). Feasibility of ambulatory, continuous 24-hour finger arterial pressure recording. Hypertension, 21(1), 65-73.