The purpose of this study is to test the accuracy of the Pulsewave wrist blood pressure cuff in pregnant and postpartum women who have either normal blood pressure or high blood pressure.
The study will include a series of nine blood pressure measurements. The measurements will alternate between a gold standard auscultatory blood pressure measurement and the Pulsewave monitor. A trained clinician will be used for gold standard measurements using an appropriately sized cuff around the upper arm, a sphygmomanometer, and a stethoscope. Systolic blood pressure is defined by the first Korotkoff sound; diastolic blood pressure is defined by the fifth Korotkoff sound. Measurements by the Pulsewave monitor will be performed using a proprietary oscillometric wrist cuff automated by a computer tablet and software made by CloudDx Inc. Women will be seated for 5 to 10 minutes before the first blood pressure measurement. During this time, 4 circumference measurements will be taken of the arm and wrist. 1. The armpit will be measured as proximally as possible. 2. The mid upper arm will be recorded by measuring at the halfway point between the acromion and the olecranon process. 3. The distal upper arm measurement will be taken approximately 2 cm proximal to the antecubital crease. 4. The wrist will be measured approximately 2 cm proximal to the wrist flexion crease. The first two blood pressure measurements will be used as a way to orient the subject to each device and the methods so that they are comfortable with the cuff and the process. The seven subsequent measurements will be used for analysis. There will be a 30 second to 60 second period between blood pressure measurements.
Study Type
OBSERVATIONAL
Blood pressure monitor utilizing wrist cuff administered and measured using mobile technology.
University of Arkansas for Medical Sciences
Little Rock, Arkansas, United States
Proportion of measurements by Pulsewave cuff that are within 5 mmHg of standard clinical measurements
Test measurement will be compared to standard measurements made at the same time.
Time frame: Immediately after blood pressure measurement
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