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Can blood pressure be measured during exercise with an automated sphygmomanometer based on an oscillometric method?
Tomoyuki Shinohara1, Naoko Tsuchida2, Kanako Seki2
1Department of Physical Therapy, Faculty of Health Care, Takasaki University of Health and Welfare, Japan.
Abstract:
[Purpose] This study investigated the reliability of an automated sphygmomanometer based on an oscillometric method, when used during exercise. [Subjects and Methods] Ten healthy subjects were included. Blood pressure (BP) was measured with an automated sphygmomanometer based on a cuff-oscillometric method. The experiment consisted of five tests: sitting posture at rest, walking with swinging the upper limbs, walking without swinging the upper limbs, walking on a treadmill, and riding a bicycle ergometer. Right and left brachial artery BP was measured twice at the same times. If the difference in systolic BP on bilateral testing was less than 15 mmHg, it was judged to be accurate, and accurate measurement rates were calculated. [Results] BP could not be measured in most limbs on walking with swinging the upper limbs, walking without swinging the upper limbs, or walking on a treadmill. The accurate measurement rates in bilateral limbs were 95.0% in sitting posture at rest, 0.0% on walking with swinging upper limbs, 5.0% on walking without swinging upper limbs, 15.0% on walking on a treadmill, and 65.0% on riding a bicycle ergometer. [Conclusion] An automated sphygmomanometer based on an oscillometric method was useful for BP measurement only at rest.
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Equipments Used To Measure Blood Pressure
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
Assessment of blood pressure in brachial artery(two-step method)
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Sites for measuring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Measurement of Blood Pressure
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.

