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Blood Pressure Measurement - ClinicalTrials.gov

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Last Updated: 25 April 2022

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Comparison of 3 Techniques for Blood Pressure Measurements During Interventional Neuroradiology Procedures

The placement of an arterial catheter in the radial artery is required for continual arterial pressure monitoring. This catheter may be long, difficult, and incompatible with emergency neuroradiology procedures. Some research in the operating room demonstrated a good fit between Clearsight® and another invasive monitoring device. With the introduction of an arterial catheter, the investigators hypothesized that Clearsight® measurements of arterial pressure are congruent with arterial pressure measurements. With traditional cuff, the investigators also intend to determine the accuracy of intermittent non invasive pressure measurement.

Source link: https://clinicaltrials.gov/ct2/show/NCT05283824


The Effect of Visual Video With Korotkoff Sounds on Blood Pressure Measurement Skills and Anxiety Levels: A Randomized Controlled Study

Background: The aim of this study was to determine the effect of a visual video with korotkoff sounds on nursing students' blood pressure measurement skills and anxiety levels. Before the blood pressure measurement, intervention participants were shown and listened to a graphical video with korotkoff sounds.

Source link: https://clinicaltrials.gov/ct2/show/NCT05326685


Perioperative Blood Pressure and In-hospital Morbidity After Coronary Artery Bypass Surgery

According to the literature, the connection between BP level and mortality is not linear but rather J-shaped. A systolic BP below 120 mm Hg in treated hypertensive patients with stable coronary artery disease is correlated with the risk of recurrent coronary events and CV mortality. In cardiac surgery, the question of the optimal mean BP value also arises, particularly during extracorporeal circulation in patients undergoing coronary artery bypass grafting. In a population of patients with ischemic heart disease treated for coronary artery bypass graft, the aim of this study is to determine a correlation between perioperative mean arterial pressure level and in-hospital morbidity. According to the presence of peripheral arterial disease and preoperative blood pressure measurements, the results of this descriptive research may make it possible to introduce the issue of the optimal blood pressure target in extracorporeal circulation.

Source link: https://clinicaltrials.gov/ct2/show/NCT05192005


CENtral Blood Pressure Targeting: A Pragmatic RAndomized Pilot triaL in Advanced Chronic Kidney Disease

Background: Emerging evidence points to aortic blood pressure over brachial cuff BP in predicting CV and renal complications, as this BP directly affects the heart, brain, and kidneys. In parallel, central BP measurement systems have been developed that are more accurate toward aortic BP and easy to use without training. Undertreatment is related to adverse CV results and progression toward end-stage kidney disease, and chronic kidney disease is more prevalent, but acute kidney injury can cause ESKD. Given that these patients are at a high risk of CV morbidity and mortality, as well as being a group in which brachial BP is the least accurate, it can be helpful to manage hypertension in this population using central BP measurements. With the introduction of inexpensive and simple to use central BP devices, regular use of central BP hypertension can now be a reality. However, the clinical relevance of central BP to traditional brachial cuff BP in terms of medical results must first be established. After 12 months of follow-up, the aim is to demonstrate that aiming central BP in advanced CKD patients rather than brachial cuff BP is feasible and results in reduced arterial stiffness. Patients with CKD stages 4 and 5 will be randomly assigned to either a central systolic BP target of 130 mmHg or brachial systolic BP target of 130 mmHg.

Source link: https://clinicaltrials.gov/ct2/show/NCT05163158


Arm and Finger Measurement for Blood Pressure Surveillance

Accurate blood pressure measurement during pregnancy and pregnancy diagnosis is a significant factor in peripartum care because it is crucial in detecting hypertensive disorders in pregnancy and medical decision making during pregnancy. If the arm is cylindrical in shape, the current international BP measurement guidelines are based on mid-arm circumference. Nexfin is a finger cuff measuring device that may be a more suitable alternative BP measurement device for such patients. The arm measurements will help to determine the percentage of women that may require non-standard cuff sizes for BP measurement. The finger measurements will also help determine the number of women that may require non-standard cuff sizes on the Nexfin device for BP testing. The results of this pilot study will be used to analyze future studies in which Nexfin's accuracy will be compared to standard BP measurements, which will ultimately lead to improved BP detection, subsequent patient monitoring, and satisfaction.

Source link: https://clinicaltrials.gov/ct2/show/NCT04012151


Aortic Calcification and Central Blood Pressure in Patients With Chronic Kidney Disease

Aim and background: This research will investigate and predict a greater central blood pressure in patients with chronic kidney disease in patients with chronic kidney disease patients with elevated central blood pressures. Using a calibrated pressure transducer connected to the fluid-filled CAG catheter, systolic and diastolic BP is determined in the ascending portion of aorta during the CAG procedure. A non-contrast CT scan of aorta and coronary arteries will be conducted in its entirety prior to the CAG to enable blinded quantification of calcification in the wall of aorta and coronary arteries.

Source link: https://clinicaltrials.gov/ct2/show/NCT04114695


Helping Hypertension Patients to Interpret Blood Pressure Readings and Motivate Blood Pressure Control

However, inadequate health literacy in hypertension patients is a direct predictor of poor blood pressure management, with only around half of hypertension patients having monitored blood pressure. Possibly, patients with lower health literacy may have trouble determining whether blood pressure readings are high or low, indicate safe or bad blood pressure control, and may indicate a need for behavior change or medication use. Patients with home blood pressure monitors may be unable to interpret blood pressure results that are outside the normal range, undermining their efforts to monitor their blood pressure control. Individuals' ability to interpret numbers is enhanced by showing the variation or distribution - also known as'reference data,' according to BEHAVIORAL SCIENCE Lab findings in behavioral science. It has been suggested that providing reference data may also help hypertension patients recognize blood pressure readings and help them monitor their blood pressure. In a sample of hypertension patients with varying degrees of health literacy, age, and SES, the investigators plan to carry out an NIH Stage I primary data collection study to determine the effectiveness of measures to improve blood pressure monitoring and blood pressure monitoring.

Source link: https://clinicaltrials.gov/ct2/show/NCT04485637

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions