Reliability of palpation of the radial artery compared with auscultation of the brachial artery in measuring SBP.
Summary of "Reliability of palpation of the radial artery compared with auscultation of the brachial artery in measuring SBP."
BACKGROUND:
Systolic blood pressure contributes more to cardiovascular disease than DBP, especially in elderly persons. Palpation of the radial artery to assess SBP - Riva-Rocci's technique - may be an attractive alternative for auscultatory SBP in these patients. Therefore, we investigated the difference between SBP determined by palpation of the radial artery (pSBP) and SBP assessed by auscultation of the brachial artery (aSBP).
METHODS:
Patients were included from the waiting room of a hypertension outpatient clinic. In each patient eight simultaneous pSBP and aSBP measurements were assessed by two observers in the same arm. After every two readings the observers switched between pSBP and aSBP.
RESULTS:
Forty patients were included, 25 men (62.5%), mean age 55.3 years (range 24-78). From a total of 320 measurements, mean difference between pSBP and aSBP was -5.2 mmHg (range -12-26 mmHg) (P < 0.01). This difference correlated significantly with BMI (r = 0.51, P < 0.01), but not with age (r = 0.15, P = 0.35), pulse rate (r = 0.29, P = 0.09) or mean SBP (r = 0.03, P = 0.85). After averaging the first three comparisons, reproducibility did not improve when increasing the number of comparisons. When correcting for the underestimation of 6 mmHg over the first three comparisons, Riva-Rocci's technique estimates SBP with an acceptable accuracy.
CONCLUSION:
In clinical practice, Riva-Rocci palpatory technique offers an acceptable alternative for auscultatory SBP measurement. It is recommended to take three measurements and then correct for the average underestimation of 6 mmHg.
Affiliation
Departments of Internal and Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Journal Details
This article was published in the following journal.
Name: Journal of hypertension
ISSN: 1473-5598
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20706131
- DOI: http://dx.doi.org/10.1097/HJH.0b013e32833e0ffa
Medical and Biotech [MESH] Definitions
Radial Artery
The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.
Brachial Artery
The continuation of the axillary artery; it branches into the radial and ulnar arteries.
Ulnar Artery
The larger of the two terminal branches of the brachial artery, beginning about one centimeter distal to the bend of the elbow. Like the RADIAL ARTERY, its branches may be divided into three groups corresponding to their locations in the forearm, wrist, and hand.
Ankle Brachial Index
Comparison of the BLOOD PRESSURE between the BRACHIAL ARTERY and the POSTERIOR TIBIAL ARTERY. It is a predictor of PERIPHERAL ARTERIAL DISEASE.
Radial Nerve
A major nerve of the upper extremity. In humans the fibers of the radial nerve originate in the lower cervical and upper thoracic spinal cord (usually C5 to T1), travel via the posterior cord of the brachial plexus, and supply motor innervation to extensor muscles of the arm and cutaneous sensory fibers to extensor regions of the arm and hand.
PubMed Articles
Abstract BACKGROUND: Ultrasound-guidance is commonly used for the placement of central venous catheters (CVC). The Agency for Healthcare Research and Quality (AHRQ) recommends the use of ultrasound fo...
Background: The purpose of this study was to evaluate the effect of anatomical variation of the brachial artery on flow-mediated vasodilation (FMD) in healthy subjects and patients with cardiovascul...
OBJECTIVES: To determine the optimal radial puncture point, we analyzed the anatomy and luminal diameter of the right radial artery (RA) by quantitative angiography. BACKGROUND: Difficulty of radial p...
Of 48 consecutive children with Gartland III supracondylar fractures, 11 (23%) had evidence of vascular injury, with an absent radial pulse. The hand was pink and warm in eight and white and cold in t...
Background: To investigate the relationship between brachial ankle pulse wave velocity (BaPWV), radial augmentation index (radial AI), ankle-brachial index (ABI), and carotid intima-media thickness (c...
Clinical Trials
Study of Endoscopic Versus Open Harvest of the Radial Artery in Coronary Artery Bypass Surgery
The purpose of this study is to compare the safety and effectiveness of minimally invasive endoscopic harvest of the radial artery to the conventional open method of radial artery harvest...
The purpose of this study is to determine if the Ascension PyroCarbon Radial Head is safe and effective in the treatment of arthritis, fractures, symptoms from radial head resections, and...
Cardiac catheterization has traditionally been performed via access to the arterial circulation from the femoral artery located in the groin. As an alternative to this approach, the radia...
The radial artery, which is located on the outer side of the forearm, can be used in interventional procedures, such as cardiac catheterization, to provide access to the arterial blood sup...
Multicentre Radial Artery Patency Study: 5 Year Results
Bypass surgery is often required to treat severe coronary heart disease. Either arteries or veins can be used as bypass grafts. We wish to compare the long-term durability of the saphenou...
