{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:06:57Z","timestamp":1791821217552,"version":"4.3.4"},"reference-count":38,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T00:00:00Z","timestamp":1628467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Ambulatory blood pressure monitoring (ABPM) is important in evaluating average 24-hour blood pressure (BP) levels, circadian rhythm, sleeping BP and BP variability but many patients are reluctant to use standard ABPM devices.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We compared two validated ABPM devices, the BPro tonometric wrist monitor and the A&amp;D TM-2430 oscillometric upper arm monitor, for agreement of recordings and acceptability in 37 hypertensive patients (aged 55\u00b19 years).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Successful BP measurements were less frequent with the wrist-type than the arm-type device during the sleeping (66.3% vs. 92.9%, <jats:italic>P<\/jats:italic> &lt;0.01) and awake periods (56.2% vs. 86.5%, <jats:italic>P<\/jats:italic> &lt;0.01). Comparable paired readings showed no significant difference in systolic BP but diastolic BP (DBP) values were higher with the wrist compared to the arm monitor (24-hour 89\u00b113 vs. 85\u00b114 mmHg, <jats:italic>P<\/jats:italic> &lt;0.01) with similar differences awake and sleeping. Bland-Altman analysis showed some large discrepancies between individual arm and wrist monitor measurements. More patients found the wrist monitor more comfortable to use than the arm monitor.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Despite the difference in individual BP measurements and the systematic overestimation of DBP values with the BPro device, wrist monitors with good patient acceptability may be useful to facilitate ABPM in some patients to provide additional information about cardiovascular risk and response to antihypertensive therapies.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0255871","type":"journal-article","created":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T17:27:27Z","timestamp":1628530047000},"page":"e0255871","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":12,"title":["Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type?"],"prefix":"10.1371","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6776-7087","authenticated-orcid":true,"given":"Wei-wei","family":"Zeng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sze Wa","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6717-5444","authenticated-orcid":true,"given":"Brian","family":"Tomlinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2021,8,9]]},"reference":[{"issue":"17","key":"pone.0255871.ref001","first-page":"e484","article-title":"ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: A report of the American College of Cardiology\/American Heart Association task force on clinical practice guidelines","volume":"138","author":"PK Whelton","year":"2017","journal-title":"Circulation"},{"issue":"33","key":"pone.0255871.ref002","doi-asserted-by":"crossref","first-page":"3021","DOI":"10.1093\/eurheartj\/ehy339","article-title":"ESC\/ESH Guidelines for the management of arterial hypertension","volume":"39","author":"B Williams","year":"2018","journal-title":"Eur Heart J"},{"issue":"5","key":"pone.0255871.ref003","doi-asserted-by":"crossref","first-page":"e35","DOI":"10.1161\/HYP.0000000000000087","article-title":"Measurement of blood pressure in humans A scientific statement from the American Heart Association","volume":"73","author":"P Muntner","year":"2019","journal-title":"Hypertension"},{"issue":"3","key":"pone.0255871.ref004","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1038\/hr.2013.145","article-title":"Blood pressure variability over 24 h: prognostic implications and treatment perspectives. An assessment using the smoothness index with telmisartan-amlodipine monotherapy and combination","volume":"37","author":"G Parati","year":"2014","journal-title":"Hypertens Res"},{"issue":"12","key":"pone.0255871.ref005","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1111\/jch.13086","article-title":"Role of ambulatory blood pressure monitoring for the management of hypertension in Asian populations","volume":"19","author":"S Hoshide","year":"2017","journal-title":"J Clin Hypertens (Greenwich)"},{"issue":"9718","key":"pone.0255871.ref006","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1016\/S0140-6736(10)60308-X","article-title":"Prognostic significance of visit-to-visit variability, maximum systolic blood pressure, and episodic hypertension","volume":"375","author":"PM Rothwell","year":"2010","journal-title":"Lancet"},{"issue":"3","key":"pone.0255871.ref007","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1111\/jch.13216","article-title":"Guidance on 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on central aortic pressure and clinical outcomes: principal results of the Conduit Artery Function Evaluation (CAFE) study","volume":"113","author":"B Williams","year":"2006","journal-title":"Circulation"},{"issue":"1","key":"pone.0255871.ref036","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1080\/10641963.2018.1557682","article-title":"Central aortic pressure improves prediction of cardiovascular events compared to peripheral blood pressure in short-term follow-up of a hypertensive cohort","volume":"42","author":"J Zuo","year":"2020","journal-title":"Clin Exp Hypertens"},{"issue":"26","key":"pone.0255871.ref037","doi-asserted-by":"crossref","first-page":"1719","DOI":"10.1093\/eurheartj\/eht565","article-title":"Central blood pressure: current evidence and clinical importance","volume":"35","author":"CM McEniery","year":"2014","journal-title":"Europ Heart 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