Blood Pressure Monitoring for Small Animals

A special issue of Veterinary Sciences (ISSN 2306-7381). This special issue belongs to the section "Veterinary Internal Medicine".

Deadline for manuscript submissions: closed (17 February 2025) | Viewed by 1605

Special Issue Editor


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Guest Editor
Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK S7N 5A2, Canada
Interests: electrocardiography of small animals; blood pressure and platelet function of canine; cat; small animal; canine

Special Issue Information

Dear Colleagues,

Despite becoming more widely used in small animal medicine, blood pressure measurement is still an area where there are gaps in our knowledge and significant challenges for practicing veterinarians. Part of the reason for our incomplete understanding is the challenge that blood pressure monitors have to overcome in order to accurately measure blood pressure, especially in awake animals. Both hypotension and hypertension can detrimentally affect our small animal patients so that monitoring is essential in many clinical settings. This Special Issue will act as a source of the newest information on blood pressure related topics in small animal practice. Original research articles, case series and reviews are welcomed that focus on a blood-pressure-related topic such as measurement and monitoring (equipment, techniques, etc.), hypertension or hypotension.

Prof. Dr. Anthony P. Carr
Guest Editor

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Keywords

  • blood pressure
  • hypertension
  • hypotension
  • small animals
  • electrocardiography

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Published Papers (2 papers)

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Research

15 pages, 2640 KiB  
Article
Evaluation of Two Veterinary Oscillometric Noninvasive Blood Pressure (NIBP) Measurement Devices (petMAP Graphic II and High-Definition Oscillometry) in Dogs
by Hanna Walter, Sabine B. R. Kästner, Thomas Amon and Julia M. A. Tünsmeyer
Vet. Sci. 2025, 12(4), 349; https://doi.org/10.3390/vetsci12040349 - 9 Apr 2025
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Abstract
Noninvasive blood pressure (NIBP) device performance in dogs may be influenced by extreme pressures and altered systemic vascular resistance (SVR). This study evaluated the agreement of two NIBP devices (HDO and petMAP) with invasive blood pressure (IBP) measurements, compliance with hypertension consensus statement [...] Read more.
Noninvasive blood pressure (NIBP) device performance in dogs may be influenced by extreme pressures and altered systemic vascular resistance (SVR). This study evaluated the agreement of two NIBP devices (HDO and petMAP) with invasive blood pressure (IBP) measurements, compliance with hypertension consensus statement criteria, and their trending ability (TA) across varying blood pressure and SVR ranges in awake and anesthetized dogs. Seven healthy Beagles were studied, with IBP recorded from the dorsal metatarsal artery and NIBP cuffs placed randomly on the front limb, hind limb, or base of the tail. Cardiac output was determined by thermodilution, and the systemic vascular resistance index (SVRI) was calculated by a standard formula. Bland–Altman, concordance rate, and polar plot analyses were used for statistical analysis. A total of 752 and 640 paired measurements were obtained for HDO and petMAP, respectively. Both devices showed good agreement with IBP for mean arterial pressure (MAP) at low blood pressure and the SVRI. At high blood pressure and the SVRI, agreement weakened, with substantial underestimation of systolic arterial pressure (SAP). Both devices demonstrated moderate to good TA for MAP and SAP. Overall, the best agreement was observed for MAP at a low SVRI, while agreement was moderate at hypertension (petMAP) and a high SVRI (petMAP, HDO). Full article
(This article belongs to the Special Issue Blood Pressure Monitoring for Small Animals)
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12 pages, 1781 KiB  
Article
Agreement and Diagnostic Accuracy of New Linear Deflection Oscillometry and Doppler Devices for Hypotension Detection Compared to Invasive Blood Pressure in Anesthetized Dogs
by Matheus M. Mantovani, Any C. A. Costa, Mayara T. de Lima, Luis F. N. dos Santos, Kimberly F. Silva, Alessandro R. de C. Martins, Adan W. M. Navarro, Renata S. Akabane and Denise T. Fantoni
Vet. Sci. 2025, 12(2), 116; https://doi.org/10.3390/vetsci12020116 - 2 Feb 2025
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Abstract
Blood pressure (BP) monitoring is essential during anesthesia to maintain cardiovascular stability and detect hypotension. This study evaluated the agreement and diagnostic accuracy of linear deflection oscillometry (LDO) and Doppler compared to invasive blood pressure (IBP) in anesthetized dogs. Eleven healthy dogs were [...] Read more.
Blood pressure (BP) monitoring is essential during anesthesia to maintain cardiovascular stability and detect hypotension. This study evaluated the agreement and diagnostic accuracy of linear deflection oscillometry (LDO) and Doppler compared to invasive blood pressure (IBP) in anesthetized dogs. Eleven healthy dogs were anesthetized, and BP measurements were taken using LDO, Doppler, and IBP methods under normotensive and hypotensive conditions. The LDO device demonstrated superior agreement, assessed using Bland–Altman analysis, with IBP, especially in hypotensive conditions, compared to the Doppler method. LDO showed bias and standard deviation in the hypotensive state, with a mean and systolic arterial pressure (MAP and SAP) of −5.1 ± 7.9 and −5.6 ± 12.5 mmHg, respectively. Conversely, Doppler measurements tended to overestimate SAP during hypotension, presenting a bias of −13 ± 15.45 mmHg. The LDO achieved an area under the curve (AUC) of 0.809 for hypotension detection, with an MAP cutoff of ≤72 mmHg (sensitivity: 90%, specificity: 63%). Meanwhile, the best threshold for Doppler measurements was an AUC of 0.798, SAP ≤ 100 mmHg (sensitivity: 77.8%, specificity: 81.8%). These results indicate that LDO is a reliable method for hypotension detection in anesthetized dogs, with potential applications for real-time monitoring. In contrast, the Doppler method may help confirm hypotension diagnoses. Full article
(This article belongs to the Special Issue Blood Pressure Monitoring for Small Animals)
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