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Related Concept Videos

Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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Blood Pressure01:30

Blood Pressure

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Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
1.7K
Measurement of Blood Pressure01:17

Measurement of Blood Pressure

1.3K
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
1.3K
Special considerations while measuring blood pressure01:28

Special considerations while measuring blood pressure

816
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
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.
816
Assessing Blood pressure in the Leg01:11

Assessing Blood pressure in the Leg

4.2K
Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
Preparation:
4.2K
Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

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Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
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Updated: Sep 6, 2025

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

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Blood Pressure Intervention and Control in SPRINT.

William C Cushman1, Robert J Ringer2, Carlos J Rodriguez3

  • 1Department of Preventive Medicine, University of Tennessee Health Science Center, and Medical Service, Veterans Affairs Medical Center, Memphis (W.C.C.).

Hypertension (Dallas, Tex. : 1979)
|June 29, 2022
PubMed
Summary
This summary is machine-generated.

The Systolic Blood Pressure Intervention Trial (SPRINT) showed intensive blood pressure control significantly reduces cardiovascular events. Detailed intervention methods, medication use, and blood pressure control rates are now available to guide clinical practice.

Keywords:
antihypertensive agentsblood pressure controlcardiovascular diseaseshypertensionrandomized controlled trial

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Area of Science:

  • Cardiology
  • Clinical Trials
  • Hypertension Management

Background:

  • The Systolic Blood Pressure Intervention Trial (SPRINT) previously demonstrated cardiovascular benefits of intensive systolic blood pressure (SBP) reduction.
  • A detailed account of the SPRINT intervention, including medication strategies and blood pressure control metrics, was lacking.

Purpose of the Study:

  • To provide a comprehensive description of the SPRINT blood pressure intervention.
  • To report on antihypertensive medication usage, achieved blood pressure levels, and factors influencing blood pressure control within the SPRINT trial.

Main Methods:

  • 9361 hypertensive participants aged 50+ were randomized to SBP goals of <120 mm Hg (intensive) or <140 mm Hg (standard).
  • Medications were provided free, with intensive group participants initiated on at least two drugs, adjusted monthly to reach goal.
  • Standard group participants aimed for SBP of 135-139 mm Hg.

Main Results:

  • Intensive group SBP reached <120 mm Hg in 61.6% and <130 mm Hg in 80.0% by the final visit, with medication use increasing from 2.2 to 2.7.
  • Standard group SBP reached goal in 68.6% at 6 months, with medication use decreasing from 1.9 to 1.8.
  • Median SBP remained stable from 6 to 36 months (intensive: 119±14 mm Hg; standard: 136±15 mm Hg), with few predictors of control identified.

Conclusions:

  • The detailed intervention and outcomes of the SPRINT trial offer valuable insights for clinical practice.
  • These findings can aid in replicating the cardiovascular benefits observed in SPRINT through effective blood pressure management strategies.