Improving the accuracy of blood pressure measurement

the influence of the European Society of Hypertension International Protocol (ESH-IP) for the validation of blood pressure measuring devices and future perspectives

European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: The European Society of Hypertension (ESH) International Protocol (ESH-IP) for the validation of blood pressure (BP) measuring devices was published in 2002, with the main objective of simplifying the validation procedures, so that more BP monitors would be subjected to independent validation. This article provides an overview of the international impact of the ESH-IP and of the lessons learned from its use, to be able to justify further developments in validation protocols.

METHODS: A review of published (PubMed) validation studies from 2002 to 2017 was performed.

RESULTS: One hundred and seventy-seven validation studies using the ESH-IP, 59 using the British Hypertension Society protocol, 46 using the Association for the Advancement of Medical Instrumentation (AAMI) standard and 23 using the International Organization for Standardization (ISO) standard were identified. Lists of validated office-clinic, home and ambulatory BP monitors are provided. Of the ESH-IP studies, 93% tested oscillometric devices, 80% upper arm, 71% home, 25% office and 7% ambulatory monitors (some had more than one function).

CONCLUSION: The original goal of the ESH-IP has been fulfilled in that in the last decade the number of published validation studies has more than doubled. It is now recognized that the provision of accurate devices would be best served by having a universal protocol. An international initiative has been put in place by AAMI, ESH and ISO experts aiming to reach consensus for a universal validation protocol to be accepted worldwide, which will allow a more thorough evaluation of the accuracy and performance of future BP monitors.

Original languageEnglish
Pages (from-to)479-487
Number of pages9
JournalJournal of Hypertension
Volume36
Issue number3
DOIs
Publication statusPublished - Mar 2018

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Blood Pressure Monitors
Validation Studies
Blood Pressure
Hypertension
Equipment and Supplies
PubMed
Arm

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Improving the accuracy of blood pressure measurement : the influence of the European Society of Hypertension International Protocol (ESH-IP) for the validation of blood pressure measuring devices and future perspectives. / European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability.

In: Journal of Hypertension, Vol. 36, No. 3, 03.2018, p. 479-487.

Research output: Contribution to journalArticle

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title = "Improving the accuracy of blood pressure measurement: the influence of the European Society of Hypertension International Protocol (ESH-IP) for the validation of blood pressure measuring devices and future perspectives",
abstract = "INTRODUCTION: The European Society of Hypertension (ESH) International Protocol (ESH-IP) for the validation of blood pressure (BP) measuring devices was published in 2002, with the main objective of simplifying the validation procedures, so that more BP monitors would be subjected to independent validation. This article provides an overview of the international impact of the ESH-IP and of the lessons learned from its use, to be able to justify further developments in validation protocols.METHODS: A review of published (PubMed) validation studies from 2002 to 2017 was performed.RESULTS: One hundred and seventy-seven validation studies using the ESH-IP, 59 using the British Hypertension Society protocol, 46 using the Association for the Advancement of Medical Instrumentation (AAMI) standard and 23 using the International Organization for Standardization (ISO) standard were identified. Lists of validated office-clinic, home and ambulatory BP monitors are provided. Of the ESH-IP studies, 93{\%} tested oscillometric devices, 80{\%} upper arm, 71{\%} home, 25{\%} office and 7{\%} ambulatory monitors (some had more than one function).CONCLUSION: The original goal of the ESH-IP has been fulfilled in that in the last decade the number of published validation studies has more than doubled. It is now recognized that the provision of accurate devices would be best served by having a universal protocol. An international initiative has been put in place by AAMI, ESH and ISO experts aiming to reach consensus for a universal validation protocol to be accepted worldwide, which will allow a more thorough evaluation of the accuracy and performance of future BP monitors.",
author = "{European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability} and Stergiou, {George S} and Roland Asmar and Martin Myers and Paolo Palatini and Gianfranco Parati and Andrew Shennan and Jiguang Wang and Eoin O'Brien",
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T1 - Improving the accuracy of blood pressure measurement

T2 - the influence of the European Society of Hypertension International Protocol (ESH-IP) for the validation of blood pressure measuring devices and future perspectives

AU - European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability

AU - Stergiou, George S

AU - Asmar, Roland

AU - Myers, Martin

AU - Palatini, Paolo

AU - Parati, Gianfranco

AU - Shennan, Andrew

AU - Wang, Jiguang

AU - O'Brien, Eoin

PY - 2018/3

Y1 - 2018/3

N2 - INTRODUCTION: The European Society of Hypertension (ESH) International Protocol (ESH-IP) for the validation of blood pressure (BP) measuring devices was published in 2002, with the main objective of simplifying the validation procedures, so that more BP monitors would be subjected to independent validation. This article provides an overview of the international impact of the ESH-IP and of the lessons learned from its use, to be able to justify further developments in validation protocols.METHODS: A review of published (PubMed) validation studies from 2002 to 2017 was performed.RESULTS: One hundred and seventy-seven validation studies using the ESH-IP, 59 using the British Hypertension Society protocol, 46 using the Association for the Advancement of Medical Instrumentation (AAMI) standard and 23 using the International Organization for Standardization (ISO) standard were identified. Lists of validated office-clinic, home and ambulatory BP monitors are provided. Of the ESH-IP studies, 93% tested oscillometric devices, 80% upper arm, 71% home, 25% office and 7% ambulatory monitors (some had more than one function).CONCLUSION: The original goal of the ESH-IP has been fulfilled in that in the last decade the number of published validation studies has more than doubled. It is now recognized that the provision of accurate devices would be best served by having a universal protocol. An international initiative has been put in place by AAMI, ESH and ISO experts aiming to reach consensus for a universal validation protocol to be accepted worldwide, which will allow a more thorough evaluation of the accuracy and performance of future BP monitors.

AB - INTRODUCTION: The European Society of Hypertension (ESH) International Protocol (ESH-IP) for the validation of blood pressure (BP) measuring devices was published in 2002, with the main objective of simplifying the validation procedures, so that more BP monitors would be subjected to independent validation. This article provides an overview of the international impact of the ESH-IP and of the lessons learned from its use, to be able to justify further developments in validation protocols.METHODS: A review of published (PubMed) validation studies from 2002 to 2017 was performed.RESULTS: One hundred and seventy-seven validation studies using the ESH-IP, 59 using the British Hypertension Society protocol, 46 using the Association for the Advancement of Medical Instrumentation (AAMI) standard and 23 using the International Organization for Standardization (ISO) standard were identified. Lists of validated office-clinic, home and ambulatory BP monitors are provided. Of the ESH-IP studies, 93% tested oscillometric devices, 80% upper arm, 71% home, 25% office and 7% ambulatory monitors (some had more than one function).CONCLUSION: The original goal of the ESH-IP has been fulfilled in that in the last decade the number of published validation studies has more than doubled. It is now recognized that the provision of accurate devices would be best served by having a universal protocol. An international initiative has been put in place by AAMI, ESH and ISO experts aiming to reach consensus for a universal validation protocol to be accepted worldwide, which will allow a more thorough evaluation of the accuracy and performance of future BP monitors.

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SN - 0263-6352

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ER -