Strategies to reduce pitfalls in measuring blood pressure
Errors in blood pressure (BP) measurement are common in the clinical practice. Inaccurate measurements of BP may lead to misdiagnosis and inappropriate treatment of hypertension. The preferred method of BP measurement in the clinical setting is auscultation, using the first and the fifth Korotkoff s...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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Series: | International Journal of Preventive Medicine |
Subjects: | |
Online Access: | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2014;volume=5;issue=13;spage=17;epage=20;aulast=Badeli |
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author | Hamidreza Badeli Farahnak Assadi |
author_facet | Hamidreza Badeli Farahnak Assadi |
author_sort | Hamidreza Badeli |
collection | DOAJ |
description | Errors in blood pressure (BP) measurement are common in the clinical practice. Inaccurate measurements of BP may lead to misdiagnosis and inappropriate treatment of hypertension. The preferred method of BP measurement in the clinical setting is auscultation, using the first and the fifth Korotkoff sounds. However, the use of mercury sphygmomanometer is declining. Automated oscillometric devices are an acceptable alternative method of BP measurements if the proper cuff size is used. Aneroid devices are suitable, but they require frequent calibration. There is increasing evidence that home readings predict cardiovascular events and are particularly useful for monitoring the effects of treatment. At 24 h ambulatory monitoring is also useful for diagnosing white-coat hypertension and resistance hypertension. There is increasing evidence that lack of nocturnal BP dipping during the night may be associated with increased cardiovascular event. This report attempts to address the need for accurate BP measurements in children and adolescents by reducing human and equipment errors and providing clinicians with the accurate measurement of BP, which is essential to classify individuals, to ascertain BP-related CV risks and to guide management. |
first_indexed | 2024-12-10T17:57:54Z |
format | Article |
id | doaj.art-d1fd4a98a8424de6828a785acd1a85f1 |
institution | Directory Open Access Journal |
issn | 2008-7802 2008-8213 |
language | English |
last_indexed | 2024-12-10T17:57:54Z |
publishDate | 2014-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | International Journal of Preventive Medicine |
spelling | doaj.art-d1fd4a98a8424de6828a785acd1a85f12022-12-22T01:38:53ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132014-01-015131720Strategies to reduce pitfalls in measuring blood pressureHamidreza BadeliFarahnak AssadiErrors in blood pressure (BP) measurement are common in the clinical practice. Inaccurate measurements of BP may lead to misdiagnosis and inappropriate treatment of hypertension. The preferred method of BP measurement in the clinical setting is auscultation, using the first and the fifth Korotkoff sounds. However, the use of mercury sphygmomanometer is declining. Automated oscillometric devices are an acceptable alternative method of BP measurements if the proper cuff size is used. Aneroid devices are suitable, but they require frequent calibration. There is increasing evidence that home readings predict cardiovascular events and are particularly useful for monitoring the effects of treatment. At 24 h ambulatory monitoring is also useful for diagnosing white-coat hypertension and resistance hypertension. There is increasing evidence that lack of nocturnal BP dipping during the night may be associated with increased cardiovascular event. This report attempts to address the need for accurate BP measurements in children and adolescents by reducing human and equipment errors and providing clinicians with the accurate measurement of BP, which is essential to classify individuals, to ascertain BP-related CV risks and to guide management.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2014;volume=5;issue=13;spage=17;epage=20;aulast=BadeliBlood pressure measurementchildrenmethodpitfalls |
spellingShingle | Hamidreza Badeli Farahnak Assadi Strategies to reduce pitfalls in measuring blood pressure International Journal of Preventive Medicine Blood pressure measurement children method pitfalls |
title | Strategies to reduce pitfalls in measuring blood pressure |
title_full | Strategies to reduce pitfalls in measuring blood pressure |
title_fullStr | Strategies to reduce pitfalls in measuring blood pressure |
title_full_unstemmed | Strategies to reduce pitfalls in measuring blood pressure |
title_short | Strategies to reduce pitfalls in measuring blood pressure |
title_sort | strategies to reduce pitfalls in measuring blood pressure |
topic | Blood pressure measurement children method pitfalls |
url | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2014;volume=5;issue=13;spage=17;epage=20;aulast=Badeli |
work_keys_str_mv | AT hamidrezabadeli strategiestoreducepitfallsinmeasuringbloodpressure AT farahnakassadi strategiestoreducepitfallsinmeasuringbloodpressure |