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Kiosk blood pressure measurement in Japan: clinical and population application
Kei Asayama1,2,3, Takayoshi Ohkubo4,5, Shigeru Shibata6
1Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan. kei@asayama.org.
Abstract:
Kiosk blood pressure measurement refers to the self-measurement of blood pressure unattended by medical staff using an automated device in workplaces or public spaces, e.g., gymnasiums, shopping malls, or governmental facilities. Kiosk blood pressure devices consist mainly of automated rolling-type sphygmomanometers that are widely used in health check-ups, hospital waiting rooms, pharmacies, and even at home. The distinguished advantage of kiosk blood pressure measurement is that there can be a casual opportunity to self-measure blood pressure, making them suitable for the identification of high blood pressure. We propose to apply the term "kiosk blood pressure measurement" to all kinds of blood pressure self-measurement out-of-home, and to perform kiosk blood pressure measurements as closely as possible, similar to the self-measured home blood pressure condition, since it is a self-measurement and an unattended setting. Although kiosk blood pressure has various challenges, such as device validation, measurement environments, conditions, and long-term maintenance, we should recognize its benefits and encourage people to know their own blood pressure through the kiosk measurement, leading to self-care for their high blood pressure.
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Related Concept Videos
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Measurement of Blood Pressure
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Assessment of blood pressure in brachial artery(two-step method)
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.
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...