The effect of clothes on sphygmomanometric blood pressure measurement in hypertensive patients (original) (raw)
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Korean journal of family medicine, 2013
According to the current guidelines for blood pressure monitoring, clinicians are recommended to measure blood pressure by completely exposing the upper arm. However, it is a common practice that blood pressure is measured with the cuff placed over the sleeve or with the sleeve rolled up. We therefore conducted this study to examine whether there are any differences in blood pressure measurements among the three different settings: the sleeve group, the rolled sleeve group, and the bare arm group. We conducted the current study in 141 male and female adult patients who visited our clinical department. In these patients, we took repeatedly blood pressure measurements using the same automatic oscillometric device on three different settings. Then, we analyzed the results with the use of randomized block design analysis of variance. The mean values of systolic blood pressure (SBP) between the first reading and those of the second reading were 128.5 ± 10.6 mm Hg in the sleeve group, 128...
Can blood pressure be measured without undressing patients ?
Bulletin de la Dialyse à Domicile
The guidelines recommend that the technique of measuring arterial blood pressure requires positioning the cuff on a bare arm, without rolled-up sleeve. These recommendations are sometimes difficult to apply in routine practice, as in dialysis centers where the measurement is repeated in fragile patients. In this study, we assess the validity of the blood pressure measurement with a cuff positioned on a bare arm, compared to a cuff positioned on several layers of clothing. A total of 1,224 blood pressure measurements were taken in 51 dialysis patients over a period of one month, 6 measurements per week, i.e. 24 measurements per patient. The patients wore their ordinary clothes suitable for a winter season. Thus, 612 measurements were taken with a cuff on a bare arm, and 612 measurements with a cuff on clothing. The mean systolic pressures were 121.9 and 123.5 mmHg, respectively when the cuff was placed on clothing and bare skin. The mean diastolic pressure was 60.1 and 60.5 mmHg, res...
Scientific Reports, 2020
Repeated blood pressure (BP) measurements allow better control of hypertension. Current measurements rely on cuff-based devices. The aim of the present study was to compare BP measurements using a novel cuff-less photoplethysmography-based device to a standard sphygmomanometer device. Males and females were recruited from within the general population who arrived at a public BP screening station. One to two measurements were taken from each using a sphygmomanometer-based and the photoplethysmography-based devices. Devices were considered equal if the mean difference between paired measurements was below 5 mmHg and the Standard Deviation (SD) was no greater than 8 mmHg. Agreement and reliability analyses were also performed. 1057 subjects were included in the study analysis. There were no adverse events during the study. The mean (± SD) difference between paired measurements for all subjects was -0.1 ± 3.6 mmHg for the systolic and 0.0 ± 3.5 mmHg for the diastolic readings. We found ...
Blood pressure measurements are internationally recognized as essential parameters for monitoring change in health and illness. Health care providers are increasingly obtaining blood pressures (BP) measurements in the forearm in place of the upper arm, but clear parameters are not known for pressures taken in this location.. Based on previous studies and physics, the researchers hypothesized that BP readings will be significantly higher in the forearm than in the upper arm. Blood pressure measurements on forearms and upper arms in 100 healthy young adult volunteers and both the diastolic and systolic readings were significantly higher (6mmHg) in the forearm. Findings suggest that upper arm and forearm measurements may not be similar enough to be treated as interchangeable readings in documentation or in making clinical judgments.
Comparative Study of Blood Pressure Measurement by Aneroid and Digital Manual Sphygmomanometer
National journal of community medicine, 2016
Introduction: After discontinuation of mercury sphygmomanometer, aneroid BP instrument and digital manual BP instrument are commonly used methods in clinical practice. This study was opted to compare the results of blood pressure measurement by aneroid and digital manual sphygmomanometer and determine the agreement between the two apparatus. Material and Method: After written consent, nursing students of Shardaben General Hospital were enrolled in the study. Their blood pressure was measured by both the methods at 5 minute interval in left upper limb. Their reading was documented and analyzed by appropriate statistical test. Results: Mean Systolic Blood pressure by digital and aneroid sphygmomanometer was 108.92+15.14 and 109.66+ 16.81 mm of Hg respectively. Mean Diastolic Blood pressure by digital and aneroid sphygmomanometer was 76.20+12.25 and 78.02+14.35 mm of Hg. By Bland-Altman test, the bias for mean systolic BP was 0.74(-9.0-10.5) and 1.8(_8.28_11.93) for mean diastolic BP by both the apparatus which is clinically non-significant. Conclusion: Blood pressure readings by digital manual and aneroid sphygmomanometer are comparable, so both the apparatus can be used interchangeably in clinical practice.
MANAGEMENT FOR INTER-ARM VARIATION OF BLOOD PRESSURE AND PULSE RATE TO PREVENT MISDIAGNOSIS
Indian Journal of Public Health Research and Development ., 2020
Background: Sphygmomanometer, blood pressure instrument, measure blood pressure of one side of arm at one time, consists of an inflatable cuff to collapse and then release the artery under cuff in a controlled manner. 0 to 30 mmHg points or more variation of blood pressure and pulse rate occurs in human beings in inter-arm. Blood pressure of normal adult is approximately 120/80mmHg and pulse rate is 70-80/minute. Blood pressure and pulse rate variation may lead to misdiagnosis of hypertension and hypotension. Method: Apparatus used are digital sphygmomanometers. Blood pressure and pulse rate is measured of both arms turn by turn and simultaneously by using two digital sphygmomanometer, thrice, the concordant readings are considered and noted for this purpose of blood pressure and pulse rate, in different age groups persons and average real variability method is also used to estimate blood pressure and pulse variation. Data is collected from different rural areas by gathering people, on some fixed places, or by visiting in different rural areas. Result: Total Persons of different age groups investigated = 1765, Males = 834(47.25%),