RESUMO
The objectives of this study were to retrospectively compare blood pressure measurements obtained in clinic with those obtained at home from cats and dogs seen at our hospital and to investigate the potential for white-coat effect (WCE) and white-coat hypertension (WCH) in this population of 10 cats and 7 dogs. Medical records from Western College of Veterinary Medicine were searched to identify patients with paired home and in-clinic blood pressure measurements taken within 14 d. The results were compared with matched-pair analysis to determine the agreement and bias. Significantly higher systolic and diastolic blood pressures were measured in the clinic compared with those from home measurements. A mean difference of +27.7 mmHg [95% confidence interval (CI): 17.1 to 38.3 mmHg, P < 0.001] and +12.9 mmHg (95% CI: 6.4 to 19.5 mmHg, P = 0.0007) was found for systolic and diastolic pressure, respectively. The prevalence of WCH in this population was 41%. A total of 39% of home blood pressure measurements by owners were free of artefacts as evaluated by waveforms on high-definition oscillometry (HDO) devices. The results of this study showed that blood pressure measurements taken at home and at a clinic varied significantly, which was attributed to a high prevalence of white-coat effect and white-coat hypertension in this clinical population.
Les objectifs de cette étude étaient de comparer rétrospectivement les mesures de pression sanguine obtenues en clinique avec celles obtenues à la maison pour des chats et des chiens vus en consultation à notre hôpital et d'examiner le potentiel pour l'effet pelage blanc (WCE) et l'hypertension pelage blanc (WCH) dans cette population de dix chats et sept chiens. Les dossiers médicaux du Western College of Veterinary Medicine ont été consultés afin d'identifier des patients avec mesures pairées de la pression sanguine en clinique et à la maison prises dans un délai de 14 jours. Les résultats furent comparés par analyse par paires appariées pour déterminer l'accord et le biais. Des pressions sanguines systoliques et diastoliques significativement plus élevées ont été mesurées en clinique comparativement à celles mesurées à la maison. Une différence moyenne de + 27,7 mmHg [intervalle de confiance 95 % (CI) : 17,1 à 38,3 mmHg, P < 0,001] et + 12,9 mmHg (CI 95 % : 6,4 à 19,5 mmHg, P = 0,0007) a été trouvée pour la pression systolique et diastolique, respectivement. La prévalence de WCH dans cette population était de 41 %. Un total de 39 % des mesures de pression sanguine à la maison par les propriétaires était exempt d'artéfact, tel qu'évalué par la forme des ondes sur des équipements d'oscillométrie à haute définition (HDO). Les résultats de cette étude ont montré que les mesures de pression sanguine prises à la maison et à une clinique variaient de manière significative, ce qui a été attribué à une prévalence élevée de l'effet pelage blanc et d'hypertension pelage blanc dans cette population clinique.(Traduit par Docteur Serge Messier).
Assuntos
Pressão Sanguínea , Doenças do Gato , Doenças do Cão , Hipertensão do Jaleco Branco , Animais , Pressão Sanguínea/fisiologia , Doenças do Gato/diagnóstico , Gatos , Doenças do Cão/diagnóstico , Cães , Estudos Retrospectivos , Hipertensão do Jaleco Branco/diagnóstico , Hipertensão do Jaleco Branco/veterináriaRESUMO
BACKGROUND: Greyhounds are known to have a higher systemic arterial blood pressure (BP) than non-Greyhound dogs. OBJECTIVES: The purpose of this study was to determine whether the high systemic BP was because of the white-coat effect. ANIMALS: Twenty-two healthy retired racing Greyhounds (RRG) enrolled in a blood donation program. MATERIALS/METHODS: We prospectively measured systemic BP in 3 environments: in the hospital by the investigator (Hosp), in the home by the investigator (H/I), and in the home by the owner (H/O). Five serial measurements of systolic, diastolic, and mean arterial pressures (SAP, DAP, MAP) as well as heart rate (HR) were measured by an oscillometric method on the distal forelimb and distal hind limb in all 3 environments. RESULTS: There was a significant difference for SAP, MAP, and HR between the Hosp and both H/I and H/O (P < .001); there were no significant differences for any of the parameters between the H/I and H/O environments. HR, but not SAP, MAP, or DAP (P < .05) decreased in RRG with multiple hospital visits for blood donation before this study. The hind limb SAP was significantly higher than the forelimb SAP (P < .05). CONCLUSIONS AND CLINICAL IMPORTANCE: We conclude that the high SAP, MAP, and HR seen in the hospital setting are likely because of a white-coat effect. Furthermore, consideration should be given to defining the parameters of normal BP in RRG according to the environment in which they are obtained.
