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Measuring blood pressure accurately
1Department of Cardiology, Royal North Shore Hospital, Sydney.
None:
Accurately measuring blood pressure is imperative for diagnosis and control of hypertension. There is a range of devices and methods for measuring blood pressure that each have advantages and limitations. To ensure accuracy of blood pressure measurement and hypertension diagnosis, clinicians and patients should use an accurate and validated blood pressure measurement device, an appropriately sized cuff, and take several measurements rather than only one measurement, using a standardised measurement protocol. Out-of-clinic measurement, using an ambulatory or home blood pressure monitoring device, depending on patient preference, should be used to confirm diagnosis and guide treatment of hypertension. There are emerging new technologies for blood pressure measurement (e.g. wearable technologies) that are yet to be validated and have the potential to improve blood pressure monitoring and patient self-management.
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Measurement of Blood Pressure
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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...
Errors occurring during blood pressure monitoring
Several factors...
Sites for measuring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
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.

