Preprint Article Version 2 Preserved in Portico This version is not peer-reviewed

Effect of Cuff-Inflation on Blood Pressure, Arousals, Sleep Efficiency, and Desaturations: Sub-Analysis of the VAST Pilot Study

Thenral Socrates
* ORCID logo ,
Philipp Krisai
,
Andrea Meienberg
,
Michael Mayr
ORCID logo ,
Thilo Burkard
ORCID logo ,
Annina Salome Vischer
ORCID logo
Version 1 : Received: 9 August 2023 / Approved: 10 August 2023 / Online: 11 August 2023 (10:42:43 CEST)
Version 2 : Received: 11 August 2023 / Approved: 14 August 2023 / Online: 15 August 2023 (08:48:24 CEST)

A peer-reviewed article of this Preprint also exists.

Socrates, T.; Krisai, P.; Meienberg, A.; Mayr, M.; Burkard, T.; Vischer, A.S. Effect of Cuff Inflation on Blood Pressure, Arousals, Sleep Efficiency, and Desaturations: Sub-Analysis of the VAST Pilot Study. Diagnostics 2023, 13, 2874. Socrates, T.; Krisai, P.; Meienberg, A.; Mayr, M.; Burkard, T.; Vischer, A.S. Effect of Cuff Inflation on Blood Pressure, Arousals, Sleep Efficiency, and Desaturations: Sub-Analysis of the VAST Pilot Study. Diagnostics 2023, 13, 2874.

Abstract

The influence of cuff inflations on nighttime measurements during 24h ambulatory blood pressure (BP) measurements is unknown. We investigated the potential effect of cuff-inflations on asleep parameters using measurements taken simultaneously with a cuffless device using pulse-transit-time (PTT). On the first day of measurement, standard cuff-based 24h BP and cuf-fless measurements were simultaneously performed on right and left arms (CUFF/PTT-D). 1-2 days after the first measurement, the cuffless device was worn alone (PTT-D). Only data from the cuffless device was analyzed. The following mean asleep parameters were analyzed: systolic and diastolic BP, arousals, sleep efficiency, total arousals, arousal per hour and desaturations. 21 in-dividuals were prospectively enrolled. Mean (SD) age was 47(±15) years and 57% were female. Mean systolic asleep BP for the during CUFF/PTT-D and during PTT-D were 131(±21) and 131(±26) mmHg respectively. Mean diastolic asleep BP values during CUFF/PTT-D and during PTT-D were 80(±14) and 84(±14) mmHg respectively (p=0.860, p=0.100 respectively). Systolic and diastolic asleep mean difference was 0.1 (±18.0) and -3.6 (±9.8) mmHg, respectively. There were significantly more total arousals during PTT-D (p=0.042). There was no significant difference seen in sleep efficiency (p=0.339) or desaturations (p=0.896) between the two measurements. We could not show any significant impact from cuff inflations during asleep PTT-D measurements.

Keywords

arterial hypertension; sleep arousal; cuff-based blood pressure measurement; nocturnal hypertension; pulse transit time

Subject

Medicine and Pharmacology, Internal Medicine

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Comments (1)

Comment 1
Received: 15 August 2023
Commenter: Thenral Socrates
Commenter's Conflict of Interests: Author
Comment: at the end of the introduction, there was text from the journal template that was not removed
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