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209. HIGHER PREVALENCE OF EXAGGERATED EXERCISE BLOOD PRESSURE IN PEOPLE WITH TYPE 2 DIABETES CAN BE EXPLAINED BY CARDIOVASCULAR RISK FACTORS: THE EXERCISE STRESS TEST COLLABORATION (EXERTION)

Author

Schultz, Martin, primary, Kovacevic, Ann-Marie, additional, Otahal, Petr, additional, Roberts-Thomson, Philip, additional, Stanton, Tony, additional, Wahi, Sudhir, additional, La Gerche, Andre, additional, Hare, James, additional, Selvanayagam, Joseph, additional, Maiorana, Andrew, additional, Venn, Alison, additional, and Sharman, James, additional

Published
2021
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211. Chamado à ação de São Paulo para prevenção e controle da hipertensão arterial, 2020

Author

Campbell, Norm RC, primary, Schutte, Aletta E, additional, Varghese, Cherian V, additional, Ordunez, Pedro, additional, Zhang, Xin-Hua, additional, Khan, Taskeen, additional, Sharman, James E, additional, Whelton, Paul K, additional, Parati, Gianfranco, additional, Weber, Michael A, additional, Orías, Marcelo, additional, Jaffe, Marc G, additional, Moran, Andrew E, additional, Plavnik, Frida Liane, additional, Ram, Venkata S, additional, Brainin, Michael, additional, Owolabi, Mayowa O, additional, Ramirez, Agustin J, additional, Barbosa, Eduardo, additional, Bortolotto, Luiz Aparecido, additional, and Lackland, Daniel T, additional

Published
2021
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212. Llamado a la acción de San Pablo para la prevención y el control de la hipertensión arterial, 2020

Author

Campbell, Norm RC, primary, Schutte, Aletta E, additional, Varghese, Cherian V, additional, Ordunez, Pedro, additional, Zhang, Xin-Hua, additional, Khan, Taskeen, additional, Sharman, James E, additional, Whelton, Paul K, additional, Parati, Gianfranco, additional, Weber, Michael A, additional, Orías, Marcelo, additional, Jaffe, Marc G, additional, Moran, Andrew E, additional, Plavnik, Frida Liane, additional, Ram, Venkata S, additional, Brainin, Michael, additional, Owolabi, Mayowa O, additional, Ramirez, Agustin J, additional, Barbosa, Eduardo, additional, Bortolotto, Luiz Aparecido, additional, and Lackland, Daniel T, additional

Published
2021
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214. Optimización del desempeño del observador al medir la presión arterial en el consultorio: declaración de posición de la Comisión Lancet de Hipertensión*Traducción oficial al español del artículo original en inglés efectuada por la Organización Panamericana de la Salud. En caso de discrepancia, prevalecerá la versión original en inglés. Wolters Kluwer Health, Inc. y sus sociedades no se hacen responsables de la exactitud de la traducción del original inglés ni de los eventuales errores que esta pueda contener. Cita del artículo original: Padwal R, Campbell NRC, Schutte AE, Olsen MH, Delles C, Etyang A, et al. Optimizing observer performance of clinic blood Pressure measurement: a position statement from the Lancet Commission on Hypertension Group. J Hypertens. 2019:37(9):1737-45. doi: https://doi.org/10.1097/HJH.0000000000002112

Author

Padwal, Raj, Campbell, Norm R. C., Schutte, Aletta E., Olsen, Michael Hecht, Delles, Christian, Etyang, Anthony, Cruickshank, J. Kennedy, Stergiou, George, Rakotz, Michael K., Wozniak, Gregory, Jaffe, Marc G., Benjamin, Ivor, Parati, Gianfranco, and Sharman, James E.

Subjects
Informe Especial, oscillometry, Presión arterial, hypertension, oscilometria, oscilometría, equipamentos de medição, global health, consenso, measurement equipment, hipertensión arterial, equipos de medición, consensus, Pressão arterial, hipertensão, salud mundial, saúde global, Arterial pressure
Abstract

High blood pressure (BP) is a highly prevalent modifiable cause of cardiovascular disease, stroke, and death. Accurate BP measurement is critical, given that a 5-mmHg measurement error may lead to incorrect hypertension status classification in 84 million individuals worldwide. This position statement summarizes procedures for optimizing observer performance in clinic BP measurement, with special attention given to low-tomiddle- income settings, where resource limitations, heavy workloads, time constraints, and lack of electrical power make measurement more challenging. Many measurement errors can be minimized by appropriate patient preparation and standardized techniques. Validated semi-automated/automated upper arm cuff devices should be used instead of auscultation to simplify measurement and prevent observer error. Task sharing, creating a dedicated measurement workstation, and using semi-automated or solar-charged devices may help. Ensuring observer training, and periodic re-training, is critical. Low-cost, easily accessible certification programs should be considered to facilitate best BP measurement practice.A hipertensão é uma causa altamente prevalente de doença cardiovascular, acidente vascular cerebral e morte. A medição precisa da pressão arterial (PA) é um aspecto crítico, uma vez que erros de mensuração da ordem de 5 mmHg podem levar a uma classificação incorreta do status de hipertensão em 84 milhões de pessoas em todo o mundo. O presente posicionamento resume os procedimentos para otimizar o desempenho do observador (o indivíduo responsável pela mensuração da PA) na mensuração clínica da PA, com atenção especial para contextos de baixa a média renda, onde recursos limitados, cargas de trabalho pesadas, restrições de tempo e falta de energia elétrica tornam mais desafiadora a tarefa de medir a PA. Muitos erros de mensuração podem ser minimizados pela preparação adequada do paciente e pelo uso de técnicas padronizadas. Para simplificar a mensuração e evitar erros do observador, devem-se utilizar dispositivos semiautomatizados ou automatizados validados, com manguito para braço, ao invés de auscultação. O compartilhamento de tarefas, a criação de uma estação de trabalho dedicada à mensuração e o uso de dispositivos semiautomatizados ou com carga solar podem ajudar. É essencial que seja assegurado o treinamento e retreinamento periódico do observador. Programas de certificação de baixo custo e de fácil acesso devem ser considerados para facilitar a adoção das melhores práticas na mensuração da PA.

Published
2020

216. Lancet commission on hypertension group position statement on the global improvement of accuracy standards for devices that measure blood pressure

Author

10922180 - Schutte, Aletta Elisabeth, Sharman, James E., Schutte, Aletta E., O'Brien, Eoin, Alpert, Bruce, Delles, Christian, 10922180 - Schutte, Aletta Elisabeth, Sharman, James E., Schutte, Aletta E., O'Brien, Eoin, Alpert, Bruce, and Delles, Christian

Abstract

The Lancet Commission on Hypertension identified that a key action to address the worldwide burden of high blood pressure (BP) was to improve the quality of BP measurements by using BP devices that have been validated for accuracy. Currently, there are over 3000 commercially available BP devices, but many do not have published data on accuracy testing according to established scientific standards. This problem is enabled through weak or absent regulations that allow clearance of devices for commercial use without formal validation. In addition, new BP technologies have emerged (e.g. cuffless sensors) for which there is no scientific consensus regarding BP measurement accuracy standards. Altogether, these issues contribute to the widespread availability of clinic and home BP devices with limited or uncertain accuracy, leading to inappropriate hypertension diagnosis, management and drug treatment on a global scale. The most significant problems relating to the accuracy of BP devices can be resolved by the regulatory requirement for mandatory independent validation of BP devices according to the universally-accepted International Organisation for Standardization Standard. This is a primary recommendation for which there is an urgent international need. Other key recommendations are development of validation standards specifically for new BP technologies and online lists of accurate devices that are accessible to consumers and health professionals. Recommendations are aligned with WHO policies on medical devices and universal healthcare. Adherence to recommendations would increase the global availability of accurate BP devices and result in better diagnosis and treatment of hypertension, thus decreasing the worldwide burden from high BP

Published
2020

217. Reply

Author

Sharman, J, O'Brien, E, Alpert, B, Delles, C, Hecht Olsen, M, Mcmanus, R, Padwal, R, Parati, G, Stergiou, G, Sharman, James E, O'Brien, Eoin, Alpert, Bruce, Delles, Christian, Hecht Olsen, Michael, McManus, Richard J, Padwal, Raj, Parati, Gianfranco, Stergiou, George, Sharman, J, O'Brien, E, Alpert, B, Delles, C, Hecht Olsen, M, Mcmanus, R, Padwal, R, Parati, G, Stergiou, G, Sharman, James E, O'Brien, Eoin, Alpert, Bruce, Delles, Christian, Hecht Olsen, Michael, McManus, Richard J, Padwal, Raj, Parati, Gianfranco, and Stergiou, George

Published
2020

218. Lancet Commission on Hypertension Group position statement on the global improvement of accuracy standards for devices that measure blood pressure [Declaración de posición del Grupo de la Comisión Lancet de Hipertensión con respecto a la mejora mundial de las normas de exactitud para los dispositivos de medición de la presión arterial]

Author

Sharman, J, O'Brien, E, Alpert, B, Schutte, A, Delles, C, Olsen, M, Asmar, R, Atkins, N, Barbosa, E, Calhoun, D, Campbell, N, Chalmers, J, Benjamin, I, Jennings, G, Laurent, S, Boutouyrie, P, Lopez-Jaramillo, P, Mcmanus, R, Mihailidou, A, Ordunez, P, Padwal, R, Palatini, P, Parati, G, Poulter, N, Rakotz, M, Rosendorff, C, Saladini, F, Scuteri, A, Barroso, W, Cho, M, Sung, K, Townsend, R, Wang, J, Hansen, T, Wozniak, G, Stergiou, G, Sharman, James E, O'Brien, Eoin, Alpert, Bruce, Schutte, Aletta E, Delles, Christian, Olsen, Michael Hecht, Asmar, Roland, Atkins, Neil, Barbosa, Eduardo, Calhoun, David, Campbell, Norm R C, Chalmers, John, Benjamin, Ivor, Jennings, Garry, Laurent, Stéphane, Boutouyrie, Pierre, Lopez-Jaramillo, Patricio, McManus, Richard J, Mihailidou, Anastasia S, Ordunez, Pedro, Padwal, Raj, Palatini, Paolo, Parati, Gianfranco, Poulter, Neil, Rakotz, Michael K, Rosendorff, Clive, Saladini, Francesca, Scuteri, Angelo, Barroso, Weimar Sebba, Cho, Myeong-Chan, Sung, Ki-Chul, Townsend, Raymond R, Wang, Ji-Guang, Hansen, Tine Willum, Wozniak, Gregory, Stergiou, George, Sharman, J, O'Brien, E, Alpert, B, Schutte, A, Delles, C, Olsen, M, Asmar, R, Atkins, N, Barbosa, E, Calhoun, D, Campbell, N, Chalmers, J, Benjamin, I, Jennings, G, Laurent, S, Boutouyrie, P, Lopez-Jaramillo, P, Mcmanus, R, Mihailidou, A, Ordunez, P, Padwal, R, Palatini, P, Parati, G, Poulter, N, Rakotz, M, Rosendorff, C, Saladini, F, Scuteri, A, Barroso, W, Cho, M, Sung, K, Townsend, R, Wang, J, Hansen, T, Wozniak, G, Stergiou, G, Sharman, James E, O'Brien, Eoin, Alpert, Bruce, Schutte, Aletta E, Delles, Christian, Olsen, Michael Hecht, Asmar, Roland, Atkins, Neil, Barbosa, Eduardo, Calhoun, David, Campbell, Norm R C, Chalmers, John, Benjamin, Ivor, Jennings, Garry, Laurent, Stéphane, Boutouyrie, Pierre, Lopez-Jaramillo, Patricio, McManus, Richard J, Mihailidou, Anastasia S, Ordunez, Pedro, Padwal, Raj, Palatini, Paolo, Parati, Gianfranco, Poulter, Neil, Rakotz, Michael K, Rosendorff, Clive, Saladini, Francesca, Scuteri, Angelo, Barroso, Weimar Sebba, Cho, Myeong-Chan, Sung, Ki-Chul, Townsend, Raymond R, Wang, Ji-Guang, Hansen, Tine Willum, Wozniak, Gregory, and Stergiou, George

Abstract

The Lancet Commission on Hypertension identified that a key action to address the worldwide burden of high blood pressure (BP) was to improve the quality of BP measurements by using BP devices that have been validated for accuracy. Currently, there are over 3 000 commercially available BP devices, but many do not have published data on accuracy testing according to established scientific standards. This problem is enabled through weak or absent regulations that allow clearance of devices for commercial use without formal validation. In addition, new BP technologies have emerged (e.g. cuffless sensors) for which there is no scientific consensus regarding BP measurement accuracy standards. Altogether, these issues contribute to the widespread availability of clinic and home BP devices with limited or uncertain accuracy, leading to inappropriate hypertension diagnosis, management and drug treatment on a global scale. The most significant problems relating to the accuracy of BP devices can be resolved by the regulatory requirement for mandatory independent validation of BP devices according to the universally-accepted International Organization for Standardization Standard. This is a primary recommendation for which there is an urgent international need. Other key recommendations are development of validation standards specifically for new BP technologies and online lists of accurate devices that are accessible to consumers and health professionals. Recommendations are aligned with WHO policies on medical devices and universal healthcare. Adherence to recommendations would increase the global availability of accurate BP devices and result in better diagnosis and treatment of hypertension, thus decreasing the worldwide burden from high BP.

Published
2020

221. Clinical audit of adherence to hypertension treatment guideline and control rates in hospitals of different sizes in Thailand

Author

Angkurawaranon, Chaisiri, primary, Pinyopornpanish, Kanokporn, additional, Srivanichakorn, Supattra, additional, Sanchaisuriya, Pattara, additional, Thepthien, Bang‐on, additional, Tooprakai, Dusida, additional, Ngetich, Elisha, additional, Damasceno, Albertino, additional, Olsen, Michael Hecht, additional, Sharman, James E., additional, and Garg, Renu, additional

Published
2021
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224. Brachial-cuff excess pressure is associated with carotid intima-media thickness among Australian children: a cross-sectional population study

Author

Peng, Xiaoqing, primary, Picone, Dean S., additional, Schultz, Martin G., additional, Cai, Guoqi, additional, Wake, Melissa, additional, Burgner, David P., additional, Mynard, Jonathan P., additional, Ellul, Susan, additional, Cheung, Michael, additional, Juonala, Markus, additional, and Sharman, James E., additional

Published
2020
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225. HYPERTENSION PHENOTYPES BASED ON BRACHIAL AND AORTIC 24HR SYSTOLIC PRESSURE AND THEIR ASSOCIATION WITH HYPERTENSION PHENOTYPES BASED ON BOTH BRACHIAL AND AORTIC 24HR SYSTOLIC PRESSURE AND THEIR ASSOCIATION WITH LEFT VENTRICULAR HYPERTROPHY: FINDINGS FROM THE I24ABC CONSORTIUM

Author

Athanasopoulou, Elpida, Weber, Thomas, Wassertheurer, Siegfried, Sharman, James E., Argyris, Antonios, Sala, Enrique Rodilla, Jankowski, Piotr, Muiesan, Maria Lorenza, Giannattasio, Cristina, Wilkinson, Ian, Hametner, Bernhard, Orter, Stefan, Mayer, Christopher, Li, Yan, Pascual, Jose Maria, Danninger, Kathrin, Karachalias, Fotis, McEniery, Carmel, Pucci, Giacomo, and Blacher, Jaques

Published
2024
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227. Increased Excess Pressure After Creation of an Arteriovenous Fistula in End-Stage Renal Disease.

Author

Paré, Mathilde, Goupil, Rémi, Fortier, Catherine, Mac-Way, Fabrice, Madore, François, Hametner, Bernhard, Wassertheurer, Siegfried, Schultz, Martin G, Sharman, James E, and Agharazii, Mohsen

Subjects
CHRONIC kidney failure, ARTERIOVENOUS fistula, BLOOD pressure, CARDIOVASCULAR system, PULSE wave analysis, WAVE analysis
Abstract

BACKGROUND Reservoir-wave analysis (RWA) separates the arterial waveform into reservoir and excess pressure (XSP) components, where XSP is analogous to flow and related to left ventricular workload. RWA provides more detailed information about the arterial tree than traditional blood pressure (BP) parameters. In end-stage renal disease (ESRD), we have previously shown that XSP is associated with increased mortality and is higher in patients with arteriovenous fistula (AVF). In this study, we examined whether XSP increases after creation of an AVF in ESRD. METHODS Before and after a mean of 3.9 ± 1.2 months following creation of AVF, carotid pressure waves were recorded using arterial tonometry. XSP and its integral (XSPI) were derived using RWA through pressure wave analysis alone. Aortic stiffness was assessed by carotid–femoral pulse wave velocity (CF-PWV). RESURLTS In 38 patients (63% male, age 59 ± 15 years), after AVF creation, brachial diastolic BP decreased (79 ± 10 vs. 72 ± 12 mm Hg, P = 0.002), but the reduction in systolic BP, was not statistically significant (133 ± 20 vs. 127 ± 26 mm Hg, P = 0.137). However, carotid XSP (14 [12–19] to 17 [12–22] mm Hg, P = 0.031) and XSPI increased significantly (275 [212–335] to 334 [241–439] kPa∙s, P = 0.015), despite a reduction in CF-PWV (13 ± 3.6 vs. 12 ± 3.5 m/s, P = 0.025). CONCLUSIONS Creation of an AVF resulted in increased XSP in this population, despite improvement in diastolic BP and aortic stiffness. These findings underline the complex hemodynamic impact of AVF on the cardiovascular system. [ABSTRACT FROM AUTHOR]

Published
2022
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232. Excess pressure as an analogue of blood flow velocity

Author

Armstrong, Matthew K., primary, Schultz, Martin G., additional, Hughes, Alun D., additional, Picone, Dean S., additional, Black, J. Andrew, additional, Dwyer, Nathan, additional, Roberts-Thomson, Philip, additional, and Sharman, James E., additional

Published
2020
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233. Weak and fragmented regulatory frameworks on the accuracy of blood pressure‐measuring devices pose a major impediment for the implementation of HEARTS in the Americas

Author

Lombardi, Cintia, primary, Sharman, James E., additional, Padwal, Raj, additional, Picone, Dean, additional, Alcolea, Ernesto, additional, Ayala, Roberto, additional, Gittens, Anselm, additional, Lawrence‐Williams, Patrice, additional, Malcolm, Taraleen, additional, Neira, Carolina, additional, Perez, Vivian, additional, Rosende, Andres, additional, Tesser, Juliano, additional, Villacres, Nilda, additional, Campbell, Norm R. C., additional, and Ordunez, Pedro, additional

Published
2020
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235. Brief online certification course for measuring blood pressure with an automated blood pressure device. A free new resource to support World Hypertension Day Oct 17, 2020

Author

Campbell, Norm R. C., primary, Khalsa, Tej, additional, Ordunez, Pedro, additional, Rodriguez Morales, Yenny A., additional, Zhang, Xin‐Hua, additional, Parati, Gianfranco, additional, Padwal, Raj, additional, Tsuyuki, Ross T., additional, Cloutier, Lyne, additional, and Sharman, James E., additional

Published
2020
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243. Type 2 Diabetes Mellitus Is Independently Associated With Decreased Neural Baroreflex Sensitivity

Author

Cseh, Domonkos, primary, Climie, Rachel E., additional, Offredo, Lucile, additional, Guibout, Catherine, additional, Thomas, Frédérique, additional, Zanoli, Luca, additional, Danchin, Nicolas, additional, Sharman, James E., additional, Laurent, Stéphane, additional, Jouven, Xavier, additional, Boutouyrie, Pierre, additional, and Empana, Jean-Philippe, additional

Published
2020
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246. Reply

Author

Sharman, James E., primary, O’Brien, Eoin, additional, Alpert, Bruce, additional, Delles, Christian, additional, Hecht Olsen, Michael, additional, McManus, Richard J., additional, Padwal, Raj, additional, Parati, Gianfranco, additional, and Stergiou, George, additional

Published
2020
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247. Association of brachial-cuff excess pressure with carotid intima–media thickness in Australian adults: a cross-sectional study

Author

Peng, Xiaoqing, primary, Wake, Melissa, additional, Schultz, Martin G., additional, Burgner, David P., additional, Otahal, Petr, additional, Mynard, Jonathan P., additional, Ellul, Susan, additional, Cheung, Michael, additional, Liu, Richard S., additional, Juonala, Markus, additional, and Sharman, James E., additional

Published
2020
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