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Prefacio
El dispositivo WatchBP Office (Cn) ha sido validado en comparación con registros simultáneos de medición de la presión intraarterial, que es el
criterio de referencia para la validación de la medición de la presión arterial central, y mostró una precisión extremadamente alta 1. El dispositivo
WatchBP central ha aprobado el protocolo de validación de la BHS para la precisión en la medición de la presión arterial (A/A) y está equipado con
herramientas innovadoras de detección, tales como:
Un sistema de detección de la fibrilación auricular (Afib, por sus siglas en inglés) que ha demostrado tener una precisión excelente 2, 3 y es
oficialmente la recomendación del Instituto Nacional de Salud y Excelencia Clínica (NICE, por sus siglas en inglés) en el Reino Unido 4.
Dos brazaletes que permiten la medición de la presión arterial simultánea de ambos brazos para la determinación precisa de las diferencias de
presión arterial entre los mismos 5, 6. Este modo está muy respaldado por las últimas directrices de la ESH (2013), que indican que la diferencia de
la presión arterial entre ambos brazos solo es válida cuando se obtiene de mediciones simultáneas de la presión arterial 7.
Cálculo del índice tobillo-brazo (ABI, por sus siglas en inglés) que se validó en comparación con Doppler con resultados positivos en precisión y,
además, mostró que la evaluación llevó a una reducción de tiempo significativa en comparación con el Doppler 8. Por último, el cálculo automático
del valor ABI garantiza la uniformidad y evita errores debidos a fallos de registro y cálculos 9.
1. Cheng, H.M., et al., Measurement Accuracy of a Stand-Alone Oscillometric Central Blood Pressure Monitor: A Validation Report for Microlife WatchBP Office Central. Am J Hypertens. 2013. 26: 42-50.
2. Stergiou, G.S., et al., Diagnostic accuracy of a home blood pressure monitor to detect atrial fibrillation. J Hum Hypertens, 2009. 23: 654-8.
3. Wiesel, J., et al., Detection of atrial fibrillation using a modified microlife blood pressure monitor. Am J Hypertens, 2009. 22: 848-52.
4. NICE, WatchBP Home A for opportunistically detecting atrial fibrillation during diagnosis and monitoring of hypertension. http://guidance.nice.org.uk/MTG13, 2013.
5. Lohmann, F.W., et al., Interarm differences in blood pressure should be determined by measuring both arms simultaneously with an automatic oscillometric device. Blood Press Monit, 2011. 16: 37-42.
6. Stergiou, G.S., et al., Automated device that complies with current guidelines for office blood pressure measurement: design and pilot application study of the Microlife WatchBP Office device. Blood
Press Monit, 2008. 13: 231-5.
7. Mancia, G., et al., 2013 ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH)
and of the European Society of Cardiology (ESC). J of Hypertens. 2013, 31:12811357.
8. Kollias, A., et al., Automated determination of the ankle-brachial index using an oscillometric blood pressure monitor: validation vs. Doppler measurement and cardiovascular risk factor profile.
Hypertens Res, 2011. 34: 825-30.
9. Verberk, W.J., et al., Automated oscillometric determination of the ankle-brachial index: a systematic review and meta-analysis. Hypertens Res, 2012. 35: 883-91.
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