Comparison of Doppler ultrasonography and high-definition oscillometry for blood pressure measurements in healthy awake dogs

Valérie Chetboul Unité de Cardiologie d'Alfort, Unité Mixte de Recherche INSERM U955, Ecole Nationale Vétérinaire d'Alfort, 94 704 Maisons-Alfort cedex, France; and Unité Mixte de Recherche 181 INRA, ENVT, Physiopathologie et Toxicologie Expérimentales

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Renaud Tissier Unité Mixte de Recherche INSERM U955, Ecole Nationale Vétérinaire d'Alfort, 94 704 Maisons-Alfort cedex, France; and Unité Mixte de Recherche 181 INRA, ENVT, Physiopathologie et Toxicologie Expérimentales, Unité de Pharmacie-Toxicologie, Ecole Nationale Vétérinaire d'Alfort, 94 704 Maisons-Alfort cedex, France; and Unité Mixte de Recherche 181 INRA, ENVT, Physiopathologie et Toxicologie Expérimentales

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Vassiliki Gouni Unité de Cardiologie d'Alfort, Ecole Nationale Vétérinaire d'Alfort, 94 704 Maisons-Alfort cedex, France; and Unité Mixte de Recherche 181 INRA, ENVT, Physiopathologie et Toxicologie Expérimentales

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Virginie de Almeida Unité de Pathologie Médicale, Ecole Nationale Vétérinaire d'Alfort, 94 704 Maisons-Alfort cedex, France; and Unité Mixte de Recherche 181 INRA, ENVT, Physiopathologie et Toxicologie Expérimentales

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Hervé P. Lefebvre Département des Sciences Cliniques, Ecole Nationale Vétérinaire de Toulouse, 23 chemin des Capelles, BP 87614, F31076 Toulouse cedex 03, France

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Didier Concordet Département des Sciences Cliniques, Ecole Nationale Vétérinaire de Toulouse, 23 chemin des Capelles, BP 87614, F31076 Toulouse cedex 03, France

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Nathalie Jamet Unité de Pathologie Médicale, Ecole Nationale Vétérinaire d'Alfort, 94 704 Maisons-Alfort cedex, France; and Unité Mixte de Recherche 181 INRA, ENVT, Physiopathologie et Toxicologie Expérimentales

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Carolina Carlos Sampedrano Unité de Cardiologie d'Alfort, Ecole Nationale Vétérinaire d'Alfort, 94 704 Maisons-Alfort cedex, France; and Unité Mixte de Recherche 181 INRA, ENVT, Physiopathologie et Toxicologie Expérimentales

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François Serres Unité de Cardiologie d'Alfort, Ecole Nationale Vétérinaire d'Alfort, 94 704 Maisons-Alfort cedex, France; and Unité Mixte de Recherche 181 INRA, ENVT, Physiopathologie et Toxicologie Expérimentales

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Jean-Louis Pouchelon Unité de Cardiologie d'Alfort, Unité Mixte de Recherche INSERM U955, Ecole Nationale Vétérinaire d'Alfort, 94 704 Maisons-Alfort cedex, France; and Unité Mixte de Recherche 181 INRA, ENVT, Physiopathologie et Toxicologie Expérimentales

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Abstract

Objective—To determine the intra- and interobserver variability of systolic arterial pressure (SAP) and diastolic arterial pressure (DAP) measurements obtained with 2 indirect methods in awake dogs and percentage of successful measurements.

Animals—6 healthy conscious adult dogs.

Procedures—4 observers with different levels of training measured SAP and DAP on 4 days by use of Doppler ultrasonography (DU) and high-definition oscillometry (HDO). The examinations were randomized. Measurements for each technique were recorded 5 consecutive times, and mean values (total, 720 measurements) were used for statistical analysis.

Results—All within- and between-day coefficients of variation (CVs) for SAP were < 15% irrespective of the observer or method (HDO, 3.6% to 14.1%; DU, 4.1% to 12.4%). Conversely, half the CVs for DAP were > 15% with the highest within- and between-day CVs obtained by the least experienced observer by use of DU (19.5% and 25.9%, respectively). All attempts with HDO were successful, whereas DAP could not be measured by use of DU by the least experienced observer in 17% of attempts.

Conclusions and Clinical Relevance—SAP may be assessed in healthy dogs by use of DU and HDO with good repeatability and reproducibility after a short period of training. Conversely, the variability of DAP is higher and longer training is required to assess DAP via DU than via HDO.

Abstract

Objective—To determine the intra- and interobserver variability of systolic arterial pressure (SAP) and diastolic arterial pressure (DAP) measurements obtained with 2 indirect methods in awake dogs and percentage of successful measurements.

Animals—6 healthy conscious adult dogs.

Procedures—4 observers with different levels of training measured SAP and DAP on 4 days by use of Doppler ultrasonography (DU) and high-definition oscillometry (HDO). The examinations were randomized. Measurements for each technique were recorded 5 consecutive times, and mean values (total, 720 measurements) were used for statistical analysis.

Results—All within- and between-day coefficients of variation (CVs) for SAP were < 15% irrespective of the observer or method (HDO, 3.6% to 14.1%; DU, 4.1% to 12.4%). Conversely, half the CVs for DAP were > 15% with the highest within- and between-day CVs obtained by the least experienced observer by use of DU (19.5% and 25.9%, respectively). All attempts with HDO were successful, whereas DAP could not be measured by use of DU by the least experienced observer in 17% of attempts.

Conclusions and Clinical Relevance—SAP may be assessed in healthy dogs by use of DU and HDO with good repeatability and reproducibility after a short period of training. Conversely, the variability of DAP is higher and longer training is required to assess DAP via DU than via HDO.

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