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[Are mercury sphygmomanometers obsolete?].

T Mengden1, B Binswanger, S Grüne

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Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|January 28, 1992
PubMed
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Accurate blood pressure measurement requires reducing variability and errors. Ambulatory and self-measurement offer superior diagnostic and therapeutic insights compared to single office readings.

Area of Science:

  • Cardiology
  • Hypertension Research
  • Medical Measurement Technology

Context:

  • Physiologic variability and measurement errors limit the diagnostic, prognostic, and therapeutic value of in-office blood pressure readings.
  • Spontaneous blood pressure variations necessitate repeated measurements for accurate assessment.
  • Minimizing measurement errors through proper technique and standardized recording is crucial.

Purpose:

  • To evaluate the diagnostic and therapeutic advantages of repeated blood pressure measurements over single office readings.
  • To compare the utility of 24-hour ambulatory blood pressure monitoring and self-blood pressure monitoring for hypertension management.
  • To identify the optimal applications for different blood pressure measurement techniques.

Summary:

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  • Repeated blood pressure measurements, including 24-hour ambulatory monitoring and self-blood pressure monitoring, provide a more representative diurnal profile than isolated office measurements.
  • Ambulatory monitoring is ideal for initial assessment and identifying hypertensive patients.
  • Self-monitoring is valuable for long-term follow-up and therapy optimization.

    • Impact:

    • Improved accuracy in hypertension diagnosis and prognosis.
    • Enhanced therapeutic strategies through personalized blood pressure monitoring.
    • Potential for wider clinical adoption pending standardization and international norm development.