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Related Concept Videos

Sites for measuring blood pressure01:21

Sites for measuring blood pressure

Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

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...
Assessment of blood pressure in brachial artery(one-step method)01:15

Assessment of blood pressure in brachial artery(one-step method)

This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Assessment of blood pressure in brachial artery(two-step method)01:23

Assessment of blood pressure in brachial artery(two-step method)

Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

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 patient.
Measurement of Blood Pressure01:17

Measurement of Blood Pressure

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 stethoscope.

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Feasibility of Implementing a Clinical Integration Package to Support Self-Measured Blood Pressure Monitoring in Primary Care: A Qualitative Study.

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Related Experiment Video

Updated: Jun 20, 2026

A Community-based Stress Management Program: Using Wearable Devices to Assess Whole Body Physiological Responses in Non-laboratory Settings
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Adopting Self-Measured Blood Pressure Monitoring Among Underserved Communities (ASPIRE): A Pilot Randomized

Rasha Khatib1, Nicole Glowacki2, Iridian Guzman2

  • 1Advocate Aurora Research Institute, Advocate Health, Milwaukee, WI, USA. rasha.alkhatib@aah.org.

Journal of General Internal Medicine
|June 25, 2025
PubMed
Summary

The ASPIRE Clinical Integration Package is feasible for improving self-measured blood pressure (SMBP) engagement in primary care. This intervention significantly increased SMBP adoption and reduced systolic blood pressure in under-resourced settings.

Keywords:
HypertensionImplementation scienceSelf-blood pressure monitoring (SMBP)Social needs

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Area of Science:

  • Cardiovascular Medicine
  • Health Services Research
  • Implementation Science

Background:

  • Addressing barriers to self-measured blood pressure (SMBP) is crucial for managing hypertension.
  • Tailored implementation strategies are needed to improve SMBP engagement and outcomes.
  • Under-resourced primary care settings face unique challenges in adopting new health technologies.

Purpose of the Study:

  • To evaluate the feasibility and acceptability of the ASPIRE Clinical Integration Package.
  • To assess the impact of ASPIRE on SMBP adoption and engagement in primary care.
  • To determine the effectiveness of ASPIRE in improving blood pressure control in diverse populations.

Main Methods:

  • A randomized trial was conducted in a large, diverse primary care clinic.
  • Patients with hypertension were randomized to receive a free SMBP device or a device plus the ASPIRE package.
  • The ASPIRE package included cuff sizing, training, log use, reminders, social needs screening, and workflow integration.

Main Results:

  • Feasibility targets for referral, recruitment, and retention were met.
  • High fidelity was observed for all 6 ASPIRE components, with over 90% patient uptake for screening and workflow integration.
  • The ASPIRE intervention arm showed a 52.0% greater SMBP engagement and an 11.9 mmHg greater reduction in systolic blood pressure at 6 months.

Conclusions:

  • The ASPIRE Clinical Integration Package is feasible and acceptable for promoting SMBP adoption in under-resourced primary care.
  • Findings support further investigation in a larger trial to confirm effectiveness in hypertension control and disparity reduction.