Artery Research

Volume 1, Issue S1, June 2006, Pages S33 - S33

P.022 VALIDITY OF THE TENSIOCLINIC DEVICE TO MEASURE ARTERIAL STIFFNESS IN PATIENTS ON HEMODIALYSIS

Authors
T. el Hadj Othmane*1, J. Egresits1, B. Fekete1, E. Fodor2, T. Szabo2, C.S. Jekkel1, I. Kiss1, A. Tisler2
1Department of Angiology, Dept. of Nephrology, St Emeritus Teaching Hospital, Budapest, Hungary
2EuroCare Nephrological Network, Budapest, Hungary
Available Online 13 June 2007.
DOI
10.1016/S1872-9312(07)70045-5How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Assessment of arterial stiffness in dialysis patients has prognostic significance. The TensioClinic device uses oscillometrically obtained wave forms to calculate pulse wave velocity (PWV) and augmentation index (AI). Our objective was assess the validity of measurements of TensioClinic (PWVT, AIT) compared to that of the validated PulsePen tonometer (PWVP, AIP).

We measured PWV and AIx in duplicate, before and after hemodialysis, in 94 hemodialysis patients. Reliability of a given device was assessed by calculating the standard deviation of the difference (SDD) between the first and second measurement. Validity of TensioClinic was evaluated by comparing its results to that obtained by the PulsePen device, using correlation analysis and Bland-Altman plots.

Predialysis SDD for PWVP and PWVT were −0.03±0.94 m/s and 0.51±1.35 m/s, postdialysis PWVP and PWVT SDD-s were 0.09±1.419 m/s and 0.07±1.81 m/s, respectively. Pre- and postdialysis SDD for AIP and AIT were 0.87±5.49% and 1.81±8.74%, and 0.79±4.01% and 3.54±22.69%. Mean predialysis PWVPwas 10.95±2.89 m/s and PWVT 9.97±2.36 m/s. Postdialysis PWVP was 11.59±2.92m/s and PWVT 10.37±3.24 m/s. Significant correlation was found between predialysis PWVP and PWVT (r = 0.28, p < 0.05). After dialysis the correlation was not significant (r = 0.16). Mean predialysis AIP was 23.32±12.27% and AIT 2.17±26.4%. Postdialysis AIP and AIT were 22.01±12.54% and −4.36±37.81%, respectively. Significant correlation was found between pre- and postdialysis AIP and AIT, r = 0.40 and 0.26, respectively.

PWV and AI measurements with PulsePen are more reproducible compared to TensioClinic. Poor correlation between the results obtained by the two devices may limit the use of TensioClinic in hemodialysis patients.

Journal
Artery Research
Volume-Issue
1 - S1
Pages
S33 - S33
Publication Date
2007/06/13
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.1016/S1872-9312(07)70045-5How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

TY  - JOUR
AU  - T. el Hadj Othmane*
AU  - J. Egresits
AU  - B. Fekete
AU  - E. Fodor
AU  - T. Szabo
AU  - C.S. Jekkel
AU  - I. Kiss
AU  - A. Tisler
PY  - 2007
DA  - 2007/06/13
TI  - P.022 VALIDITY OF THE TENSIOCLINIC DEVICE TO MEASURE ARTERIAL STIFFNESS IN PATIENTS ON HEMODIALYSIS
JO  - Artery Research
SP  - S33
EP  - S33
VL  - 1
IS  - S1
SN  - 1876-4401
UR  - https://doi.org/10.1016/S1872-9312(07)70045-5
DO  - 10.1016/S1872-9312(07)70045-5
ID  - elHadjOthmane*2007
ER  -