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Published on: March 21, 2013
[Methods of 24-hour blood-pressure measurement]
12nd Department of Internal Medicine, Urafune Hospital, Yokohama City University.
Abstract:
With the recently growing use of portable devices for ambulatory blood pressure (BP) monitoring (ABPM), 24-hour BP measurement is often being performed even clinically. But such measurements as daytime BPs vary according to body position (sitting or standing) and motion (physical activity), ambient temperature, and the activities of the autonomic nervous system. Since it is capable of measuring all these factors (temperature, body position, acceleration, indirect BP, ECG and power spectral of heart rate variability) simultaneously, the multi-biomedical recorder (TM2425) we have developed is useful in objective evaluations of 24-hour BP values and its cause of BP variation. In addition, it is helpful in assessing minimal sleep-time BP (base BP) the most significant nighttime BP value.
Related Concept Videos
Sites for measuring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
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(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.
Measurement of Blood Pressure

