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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Main Authors: Hamidreza Badeli, Farahnak Assadi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
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.
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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
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AT farahnakassadi strategiestoreducepitfallsinmeasuringbloodpressure