George S Stergiou1, Roland Asmar2, Martin Myers3, Paolo Palatini4, Gianfranco Parati5, Andrew Shennan6, Jiguang Wang7, Eoin O'Brien8. 1. Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Athens, Greece. 2. Foundation, Medical Research Institutes, Paris, France. 3. University of Toronto, Schulich Heart Program. Division of Cardiology, Sunnybrook Health Sciences Centre, Toronto, Canada. 4. Department of Medicine. University of Padova, Italy. 5. Department of Medicine and Surgery, University of Milano-Bicocca. 6. King's College London, St. Thomas' Hospital, London, UK. 7. Shanghai Institute of Hypertension, Department of Hypertension, Centre for Epidemiological Studies and Clinical Trials, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. 8. The Conway Institute, University College Dublin, Ireland.
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.
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.
Authors: Robert Kessinger; Trevor Qualls; John Hart; Henri Dallies; Michael Anderson; Jered Wayland; Leldon Bradshaw Journal: J Can Chiropr Assoc Date: 2019-04
Authors: Tammy M Brady; Raj Padwal; Drew E Blakeman; Margaret Farrell; Thomas R Frieden; Prabhdeep Kaur; Andrew E Moran; Marc G Jaffe Journal: J Clin Hypertens (Greenwich) Date: 2020-04-29 Impact factor: 3.738
Authors: George S Stergiou; Bruce S Alpert; Stephan Mieke; Jiguang Wang; Eoin O'Brien Journal: J Clin Hypertens (Greenwich) Date: 2018-07 Impact factor: 3.738