How to find and use validated blood pressure measuring devices

Dean S Picone; Raj Padwal; George S Stergiou; Jordana B Cohen; Richard J McManus; Siegfried Eckert; Kei Asayama; Neil Atkins; Michael Rakotz; Cintia Lombardi; Tammy M Brady; James E Sharman

doi:10.1038/s41371-022-00718-5

How to find and use validated blood pressure measuring devices

J Hum Hypertens. 2023 Feb;37(2):108-114. doi: 10.1038/s41371-022-00718-5. Epub 2022 Jul 1.

Authors

Dean S Picone¹, Raj Padwal², George S Stergiou³, Jordana B Cohen⁴, Richard J McManus⁵, Siegfried Eckert⁶, Kei Asayama^{7

8}, Neil Atkins⁹, Michael Rakotz¹⁰, Cintia Lombardi¹¹, Tammy M Brady¹², James E Sharman¹³

Affiliations

¹ Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia. dean.picone@utas.edu.au.
² Department of Medicine, University of Alberta, Edmonton, AB, Canada.
³ Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Department of Medicine, Sotiria Hospital, Athens, Greece.
⁴ Renal-Electrolyte and Hypertension Division, Department of Medicine and Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
⁵ Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
⁶ German Hypertension League, Heidelberg, Germany.
⁷ Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan.
⁸ Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium.
⁹ Medaval Ltd., Unit 107, SBC, Serpentine Ave., Ballsbridge, Dublin, D04 H522, Ireland.
¹⁰ American Medical Association, Chicago, IL, USA.
¹¹ Department of Non-Communicable Diseases and Mental Health. Pan American Health Organization, Washington, DC, USA.
¹² Department of Pediatrics, Division of Nephrology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
¹³ Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia.

Abstract

Clinically validated, automated arm-cuff blood pressure measuring devices (BPMDs) are recommended for BP measurement. However, most BPMDs available for purchase by consumers globally are not properly validated. This is a problem because non-validated BPMDs are less accurate and precise than validated ones, and therefore if used clinically could lead to misdiagnosis and mismanagement of BP. In response to this problem, several validated device lists have been developed, which can be used by clinicians and consumers to identify devices that have passed clinical validation testing. The purpose of this review is to describe the resources that are available for finding validated BPMDs in different world regions, to identify the differences between validated device lists, and describe current gaps and challenges. How to use validated BPMDs properly is also summarised.

Publication types

Review
Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural

MeSH terms

Blood Pressure
Blood Pressure Determination
Blood Pressure Monitoring, Ambulatory
Humans
Hypertension* / diagnosis
Reproducibility of Results
Sphygmomanometers*

Abstract

Publication types

MeSH terms

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