The appropriate technique for blood pressure measurement in healthy geriatric cats using an automatic oscillometric device https://doi.org/10.12982/VIS.2025.013
Main Article Content
Abstract
Currently, the popularity of owning cats is increasing, together with improvements in diet, management, and veterinary specialism. The population of older cats has accordingly increased markedly. There are several health problems that accompany aging, such as degenerative diseases and cardiopulmonary disorders. Hypertension is the most common clinical sign that has been found in aging cats. Therefore, early screening for hypertension is necessary to prevent disease progression. However, cats are sensitive and are likely to develop mental stress during the measurement procedure, so an appropriate technique is required. The experiment was performed in 60 healthy elderly cats, whereby each cat was randomly assigned to one of the two trial groups. There were two groups in the experiment: 1) the cuff was placed on the forelimb at all times and the blood pressure was measured at 0, 5, 15, 30, and 60 minutes, and 2) the cuff was placed after waiting to rest at 30 and 60 minutes, followed by blood pressure measurement using the automatic oscillometric device. The results showed that blood pressure measurement at 15 minutes while placing the forelimb cuff at all times provided appropriate clinical reliability. Thus, this procedure could be used for hypertension screening in geriatric cats
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
Publishing an article with open access in Veterinary Integrative Sciences leaves the copyright with the author. The article is published under the Creative Commons Attribution License 4.0 (CC-BY 4.0), which allows users to read, copy, distribute and make derivative works from the material, as long as the author of the original work is cited.
References
Acierno, M.J., Brown, S., Coleman, A.E., Jepson, R. E., Papich, M., Stepien, R.L., Syme, H.M., 2018. ACVIM consensus statement: Guidelines for the identification, evaluation, and management of systemic hypertension in dogs and cats. J. Vet. Intern. Med. 32(6), 1803– 1822.
Belew, A.M., Barlett, T., Brown, S.A., 1999. Evaluation of the white-coat effect in cats. J. Vet. Intern. Med. 13(2), 134–142.
Beyer, O., Lueck, A., Brundage, C., 2023. Comparison of axillary versus rectal temperature timing in canine and feline patients. Vet. Sci. 10(7), 475.
Bradshaw J., 2018. Normal feline behaviour: … and why problem behaviours develop. J. Feline. Med. Surg. 20(5), 411–421.
Caney, S.M., Page, S., Gunn-Moore, D.A., 2023. Understanding the barriers to blood pressure assessment in cats. J. Feline. Med. Surg. 25(8), 1098612X231183244.
Chester, J.G., Rudolph, J.L., 2011. Vital signs in older patients: age-related changes. J. Am. Med. Dir. Assoc. 12(5), 337–343.
Conroy, M., Chang, Y.M., Brodbelt, D., Elliott, J., 2018. Survival after diagnosis of hypertension in cats attending primary care practice in the United Kingdom. J. Vet. Intern. Med. 32(6), 1846–1855.
Cooper, E., Cooper, S., 2012. Direct systemic arterial blood pressure monitoring. In: Burkitt Creedon, J.M., Davis H. (Eds), Advanced monitoring and procedures for small animal emergency and critical care, Wiley Blackwell, Iowa, pp. 122–133.
Dowgray, N., Pinchbeck, G., Eyre, K., Biourge, V., Comerford, E., German, A.J., 2022. Aging in cats: owner observations and clinical finding in 206 mature cats at enrolment to the cat prospective aging and welfare study. Front. Vet. Sci. 9, 859041.
Driscoll, C.A., Clutton-Brock, J., Kitchener, A. C., O'Brien, S.J., 2009. The taming of the cat. genetic and archaeological findings hint that wildcats became housecats earlier--and in a different place--than previously thought. Sci. Am. 300(6), 68–75.
Ellis, S.L.H., Wells, D.L., 2010. The influence of olfactory stimulation on the behaviour of cats housed in a rescue shelter. Appl. Anim. Behav. Sci. 123, 56–62.
García San José, P., Arenas Bermejo, C., Clares Moral, I., Cuesta Alvaro, P., Pérez Alenza, M.D., 2020. Prevalence and risk factors associated with systemic hypertension in dogs with spontaneous hyperadrenocorticism. J. Vet. Intern. Med. 34(5), 1768–1778.
Haberman, C.E., Kang, C.W., Morgan, J.D., Brown, S.A., 2006. Evaluation of oscillometric and Doppler ultrasonic methods of indirect blood pressure estimation in conscious dogs. Can. J. Vet. Res. 70(3), 211–217.
Hanås, S., Holst, B.S., Ljungvall, I., Tidholm, A., Olsson, U., Häggström, J., Höglund, K., 2021. Influence of clinical setting and cat characteristics on indirectly measured blood pressure and pulse rate in healthy Birman, Norwegian Forest, and Domestic Shorthair cats. J. Vet. Intern. Med. 35(2), 801–811.
Harvey, J., Falsetti, H., Cooper, P., Downing, D., 1983. Auscultatory indirect measurement of blood pressure in dogs. Lab. Anim. Sci. 33(4), 370–372.
Herron, M.E., Shreyer, T., 2014. The pet-friendly veterinary practice: a guide for practitioners. Vet. Clin. North. Am. Small. Anim. Pract. 44(3), 451–481.
Hori, Y., Heishima, Y., Yamashita, Y., Iguchi, M., Nakamura, K., Isayama, N., Onodera, H., Kitade, A., Kanno, N., Hirakawa, A., Katagi, M., Ibaragi, T., Yamano, S., Aramaki, Y., Sawada, T. 2019. Epidemiological study of indirect blood pressure measured using oscillometry in clinically healthy cats at initial evaluation. J. Vet. Med. Sci. 81(4), 513–516.
Jepson, R. E., 2011. Feline systemic hypertension: classification and pathogenesis. J. Feline. Med. Surg. 13(1), 25–34.
Knies, M., Kooistra, H.S., Teske, E., 2023. Prevalence of persistent hypertension and situational hypertension in a population of elderly cats in The Netherlands. J. Feline. Med. Surg. 25(6), 1098612X231172629.
Kobluk, K., Pypendop, B.H., 2022. Effects of dopamine, norepinephrine or phenylephrine on the prevention of hypotension in isoflurane-anesthetized cats administered vatinoxan or vatinoxan and dexmedetomidine. Vet. Anaesth. Analg. 49(1), 54–64.
Koo, S.T., Carr, A.P., 2022. Comparison of home blood pressure and office blood pressure measurement in dogs and cats. Can. J. Vet. Res. 86(3), 203–208.
Lawson, J.S., Jepson, R.E., 2021. Feline comorbidities: The intermingled relationship between chronic kidney disease and hypertension. J. Feline. Med. Surg. 23(9), 812–822.
Mitsui, K., Sato, S., Kakuma, Y., 2020. Effects of the community cats program on population control, migration and welfare status of free-roaming cats in Tokyo, Japan. J. Anim. 10(3), 461.
Monegro, A.F., Muppidi, V., Regunath, H., 2023. Hospital-acquired infections. StatPearls. Available online: https://www.ncbi.nlm.nih.gov/books/NBK441857/
Natterson-Horowitz, B., Desmarchelier, M., Winkler, A.S., Carabin, H., 2022. Beyond zoonoses in one health: non-communicable diseases across the animal kingdom. Front. Public. Health. 9, 807186.
Niiranen, T.J., Thijs, L., Asayama, K., Johansson, J.K., Ohkubo, T., Kikuya, M., Boggia, J., Hozawa, A., Sandoya, E., Stergiou, G.S., Tsuji, I., Jula, A.M., Imai, Y., Staessen, J.A., IDHOCO Investigators., 2012. The International Database of HOme blood pressure in relation to Cardiovascular Outcome (IDHOCO): moving from baseline characteristics to research perspectives. Hypertens. Res. 35(11), 1072–1079.
O'Neill, D.G., Romans, C., Brodbelt, D.C., Church, D.B., Černá, P., Gunn-Moore, D.A., 2019. Persian cats under first opinion veterinary care in the UK: demography, mortality and disorders. Sci. Rep. 9(1), 12952.
Payne, J.R., Brodbelt, D.C., Luis Fuentes, V., 2017. Blood pressure measurements in 780 apparently healthy cats. J. Vet. Intern. Med. 31(1), 15–21.
Petric, A.D., Petra, Z., Jerneja, S., Alenka, S., 2010. Comparison of high definition oscillometric and Doppler ultrasonic devices for measuring blood pressure in anaesthetised cats. J. Feline. Med. Surg. 12(10), 731–737.
Prost, K., 2023. Under pressure: a survey of Canadian veterinarians in the diagnosis and treatment of feline hypertension. Can. Vet. J. 64(1), 45–53.
Quimby, J. M., Smith, M. L., Lunn, K. F., 2011. Evaluation of the effects of hospital visit stress on physiologic parameters in the cat. J. Feline. Med. Surg. 13(10), 733–737.
Ray, M., Carney, H. C., Boynton, B., Quimby, J., Robertson, S., St Denis, K., Tuzio, H., Wright, B., 2021. 2021 AAFP feline senior care guidelines. J. Feline. Med. Surg. 23(7), 613–638.
Salonen, M., Vapalahti, K., Tiira, K., Mäki-Tanila, A., Lohi, H., 2019. Breed differences of heritable behaviour traits in cats. Sci. Rep. 9(1), 7949.
Sastravaha, A., Rattanasrisomporn, J., Roongsitthichai, A., 2020. Comparative systolic blood pressures in healthy cats measured at home and different times at a veterinary hospital using doppler ultrasonograph. J. Mahanakorn. Vet. Med. 15(2), 179-188.
Skelding, A., Valverde, A., 2020a. Non-invasive blood pressure measurement in animals: Part 1 – Techniques for measurement and validation of non-invasive devices. Can. Vet. J. 61(4), 368–374.
Skelding, A., Valverde, A., 2020b. Review of non-invasive blood pressure measurement in animals: Part 2 - Evaluation of the performance of non-invasive devices. Can. Vet. J. 61(5), 481–498.
Sykes, J.E., Weese, J.S., 2014. Infection control programs for dogs and cats. Canine. Feline. Infect. Dis. 2014, 105–118.
Sordo, L., Breheny, C., Halls, V., Cotter, A., Tørnqvist-Johnsen, C., Caney, S.M.A., Gunn-Moore, D.A., 2020. Prevalence of disease and age-related behavioural changes in cats: past and present. Vet. Sci. 7(3), 85.
Sparkes, A.H., Caney, S.M., King, M.C., Gruffydd-Jones, T.J., 1999. Inter- and intraindividual variation in Doppler ultrasonic indirect blood pressure measurements in healthy cats. J. Vet. Intern. Med. 13(4), 314–318.
Taylor, S.S., Sparkes, A.H., Briscoe, K., Carter, J., Sala, S.C., Jepson, R.E., Reynolds, B.S., Scansen, B.A., 2017. ISFM consensus guidelines on the diagnosis and management of hypertension in cats. J. Feline. Med. Surg. 19(3), 288–303.
Torrey, E.F., 2022. The rise of cats and madness: i. the renaissance. In: Torrey, E.F (Ed), Parasites, pussycats and psychosis the unknown dangers of human toxoplasmosis, Springer, Cham, pp. 29–41.
Thompson, J., 2004. Management of hypertension in a geriatric cat. Can. Vet. J. 45(5), 427–429.
Uematsu, S., Summers, S., Keys, D., Quimby, J., 2023. Effect of audible static on blood pressure measurement by Doppler ultrasonic sphygmomanometry in cats. J. Feline. Med. Surg. 25(9), 1-6.
Van Vertloo, L.R., Carnevale, J.M., Parsons, R.L., Rosburg, M., Millman, S.T., 2021. Effects of waiting room and feline facial pheromone experience on blood pressure in cats. Front. Vet. Sci. 8, 640751.
Wall, M., Cave, N.J., Vallee, E., 2019. Owner and cat-related risk factors for feline overweight or obesity. Front. Vet. Sci. 6, 266.
Yamada, R., Kuze-Arata, S., Kiyokawa, Y., Takeuchi, Y., 2020. Prevalence of 17 feline behavioral problems and relevant factors of each behavior in Japan. J. Vet. Med. Sci. 82(3), 272–278.
Yu, L., Lacorcia, L., Johnstone, T., 2022. Hyperthyroid cats and their kidneys: a literature review. Aust. Vet. J. 100(9), 415–432.
Zadik-Weiss, L., Ritter, S., Hermush, V., Asher, N., Avital, A., Or, R., 2020. Feline cognitive dysfunction as a model for Alzheimer's disease in the research of CBD as a potential treatment-a narrative review. J. Cannabis. Res. 2(1), 43.
Zhang, L., Bian, Z., Liu, Q., Deng, B., 2022. Dealing with stress in cats: what is new about the olfactory strategy?. Front. Vet. Sci. 9, 928943.