Abstract:
BACKGROUND:Although there is a theoretical basis for crossing legs to increase blood pressure, there are no published data addressing this question. As a result guidelines for measurement of blood pressure are not consistent in recommending that patients legs should not be crossed during measurement. OBJECTIVE:To determine the effect of crossing legs on blood pressure. METHODS:Fifty healthy volunteers and 53 patients with hypertension were randomly allocated in a study with a cross-over design to having seated blood pressure measured with their legs in three different positions: feet flat on the floor and legs crossed using two common methods. The blood pressures were assessed by an investigator who was blinded to the leg positions and used a fully automated sphygmomanometer. RESULTS:Crossing legs during blood pressure measurement increased systolic (by average 8.1 mmHg, 95% confidence interval 5.1-11.1 mmHg for method 1; 10.5 mmHg, 6.5-14.6 mmHg for method 2) and diastolic (by 4.5 mmHg, 1.5-7.5 mmHg for method 1; 4.0 mmHg, 2.0-6.0 mmHg for method 2) blood pressures in patients who have hypertension. Crossing legs increased systolic blood pressure (by 2.5 mmHg, 1.3)3.8 mmHg for method 1; 2.3 mmHg, 0.9-3.7 mmHg for method 2) in the healthy volunteers but had little effect on diastolic blood pressure. The cardiovascular-risk class increased for a large number of the hypertensive patients but for fewer of the normotensive subjects. CONCLUSIONS:Blood pressure increases when legs are crossed and this increases the estimation of cardiovascular risk for many patients. Care should be taken to ensure that the patients feet are flat on the floor when measuring their blood pressure.
journal_name
Blood Press Monitjournal_title
Blood pressure monitoringauthors
Peters GL,Binder SK,Campbell NRsubject
Has Abstractpub_date
1999-04-01 00:00:00pages
97-101issue
2eissn
1359-5237issn
1473-5725journal_volume
4pub_type
临床试验,杂志文章,随机对照试验abstract::We performed this study to elucidate the role of nighttime versus daytime ambulatory blood pressure in predicting stroke and cardiac events. The International Collaborative Study of the Prognostic Utility of ABPM, which includes prospective cohort studies of ambulatory blood pressure monitoring (ABPM) from seven sites...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,多中心研究
doi:10.1097/MBP.0b013e3282411a12
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:The pathogenesis of dialysis-induced hypotension (DIH) is multifactorial and may include increased aortic stiffness. This study was undertaken to determine aortic elastic properties in patients undergoing hemodialysis with and without DIH, and to assess the effects of DIH on mortality. METHODS:Aortic stiffn...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,多中心研究
doi:10.1097/MBP.0b013e3282f13f75
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Data on the reproducibility of serial measurements of ambulatory blood pressure in hypertensive patients are lacking. The purpose of this study was to examine (1) the reproducibility of four consecutive ambulatory blood pressure measurements, and (2) the reproducibility of nocturnal falls in blood pressure i...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200102000-00007
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of a single session of moderate-intensity and high-intensity interval exercise in cardiovascular reactivity to the cold pressor test in young adults with excess body weight. METHODS:Twenty-two subjects with excess body weight (23 ± 2 years; 30.0 ± 3.4 kg·m) performed three sessions...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000422
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVE:Blood pressure (BP) measured in obese patients with a large arm circumference using a cuff of standard width may be overestimated. METHODS:We compared in this study the BP readings obtained with oscillometric devices at the left arm (OMRON HEM 705-CP) and the left wrist (OMRON R6) (Omron Medizintechnik, Mann...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e3282fd16e3
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVES:A number of operator-independent oscillometric devices to measure hemodynamics and arterial stiffness became available recently, but some and in particular VaSera VS-1500 do not provide estimates of aortic pressures and aortic pulse wave velocity (aPWV). The aim of this work was the retrospective application...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000137
更新日期:2015-10-01 00:00:00
abstract:INTRODUCTION:Seventeen male patients with severe obstructive sleep apnea syndrome (OSAS; apnea-hypopnea index>30/h) were monitored by polysomnography in the sleep lab before and after about 8 weeks of continuous positive airway pressure (CPAP). Twelve of the patients were hypertensive, but treated by antihypertensive d...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0000000000000173
更新日期:2016-06-01 00:00:00
abstract:AIM:Blood pressure (BP), a key vital sign, monitors general health. Oscillometric devices are increasingly used for measurement, although their accuracy continues to be critically debated. A functional block diagram is used to review the components that affect accuracy. METHODS:A block diagram is presented covering th...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:10.1097/MBP.0b013e32835026b0
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Obstructive sleep apnea-hypopnea syndrome (OSAHS) is common in people with hypertension and cardiac rhythm disorder. The objectives of this study were to determine the effect of short-term continuous positive airway pressure (CPAP) on blood pressure (BP) and cardiac rhythm in Chinese patients with moderate t...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000324
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Impaired left ventricular diastolic function is not uncommon in patients with either diabetes mellitus or hypertension. This study was carried out to assess the contribution of left ventricular hypertrophy, high blood pressure, preclinical impaired glucose tolerance and diabetes mellitus to left ventricular ...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/01.mbp.0000172710.82287.36
更新日期:2005-10-01 00:00:00
abstract::To determine the accuracy of the large-extra large-sized (L-XL) cuff (32-52 cm) coupled to a Microlife WatchBP Office ABI blood pressure measuring device tested according to the requirements of the International Protocol of the European Society of Hypertension. The L-XL cuff tested in this study is designed to provide...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e328344c73c
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:Guidelines for office blood pressure reading techniques do not warn us about the possibility that patients may clench their fist during cuff-inflation. It is unknown how often patients do this, and what effect it has on measured blood pressure readings. DESIGN AND METHODS:We registered double blood pressure...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200206000-00001
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVES:Nondipping pattern of circadian blood pressure (BP) is associated with increased cardiovascular morbidity and mortality; however, limited data are available among obese African-Americans. We, therefore, aimed to evaluate the pattern of circadian BP variation and to identify clinical conditions associated wit...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e328346a871
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVES:Monitoring of brachial blood pressure during exercise-electrocardiogram (ECG) testing is mandatory and changes in blood pressure (BP) can provide critical management evidence. Patient movement, mechanical vibration, artifactual sounds and observer variability make standard manual techniques problematic. This...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200410000-00007
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to validate the blood pressure (BP) measurement device Erkameter 125 PRO according to the International Protocol revision 2010 of the European Society of Hypertension (ESH-IP2). PATIENTS AND METHODS:In 33 patients aged 32-79 years, BP measurements were performed alternately u...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0000000000000216
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:There is increasing evidence that the method of calibration directly influences the association between brachial systolic blood pressure (bSBP) and estimated aortic systolic blood pressure (aSBP) and subsequently affects prognostic and diagnostic differentiation power of the latter. OBJECTIVE:The aim of thi...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0000000000000319
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:To compare readings obtained using two automated blood pressure (BP) recording devices, BpTRU and Omron 907, in a clinical setting. METHODS:Two series of 50 patients attending a hypertension unit for 24-h ambulatory BP monitoring had BP recorded either every 1 or every 2 min using BpTRU and Omron 907 devices...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e32831e314f
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Measuring blood pressure with mercury-independent alternatives is rapidly gaining attention. Mercury will be phased out of clinical use as a result of environmental, health and safety concerns and it is of vital importance that any alternative to mercury has to be of a recognized standard. We assessed the ac...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200304000-00005
更新日期:2003-04-01 00:00:00
abstract::BACKGROUND: Ambulatory measurement for the QKD interval is a new method for evaluation of the rigidity of large arterial trunks. Reliable indices of arterial rigidity can be distilled from the large number of measurements (usually around 100) obtained during 24 h monitoring. OBJECTIVE: To describe a shorter standardiz...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVE:The independent prognostic significance of ambulatory blood pressure variability in the elderly is incompletely clear. We investigated the prognostic value of average real variability of 24-hour blood pressure in elderly treated hypertensive patients. METHODS:The occurrence of a combined end-point including ...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000381
更新日期:2019-08-01 00:00:00
abstract:OBJECTIVE:To investigate the influence of arm circumference (AC) on the brachial blood pressure (BP) measured with an adult cuff. PARTICIPANTS AND METHODS:This study included 208 patients (150 men, 61.0±8.0 years) for coronary angiography. Intra-aortic BP and noninvasive right brachial oscillometric BP (noninvasive BP...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000141
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:Current guidelines for office blood pressure (BP) measurement recommend mercury devices, both arms measurement in the initial assessment and at least duplicate measurements at follow-up visits. This study presents the design and a pilot application study of an automated device that fulfils American, European,...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e3283057a84
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:Blood pressure measurements during exercise are difficult to obtain but are used widely in clinical practice. The objective of this study was to investigate the repeatability of blood pressure measurements and gas exchange parameters during treadmill exercise. METHODS:Participants were 10 healthy and nonsmok...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0b013e328351de5c
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to perform a blood pressure (BP) safety evaluation in patients with an overactive bladder receiving solifenacin (an antimuscarinic agent), mirabegron (a β3-adrenoceptor agonist), or both compared with placebo in the SYNERGY trial. PATIENTS AND METHODS:Patients were randomized to rec...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/MBP.0000000000000320
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to validate the ScottCare 320 ambulatory blood pressure monitor (ABPM) using both group-level and individual-level validation procedures. The group-level validation followed a modified protocol of the European Hypertension Society's validation protocol. The individual-level vali...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0b013e32835f4fc7
更新日期:2013-06-01 00:00:00
abstract::The terms 'self-blood pressure' and 'home blood pressure' are being used to describe measurements of blood pressure taken by the patients at home. However, home measurements are not always self-measurements, because these are often taken by the patients' relatives. There is little evidence on the effect of self-measur...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:10.1097/00126097-200308000-00007
更新日期:2003-08-01 00:00:00
abstract::Hypertension is highly prevalent in pediatric patients with end-stage renal disease (ESRD). Ambulatory blood pressure monitoring (ABPM) has been used to characterize the altered circadian blood pressure patterns in ESRD in order to improve our understanding of the blood pressure dysregulation that occurs in these chil...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVE:The validation of sphygmomanometer is important in accurate blood pressure measurement. This study presents the validation results by the Medipro MediCare 100f upper arm blood pressure monitor according to the European Society of Hypertension International Protocol (ESH-IP) revision 2010. METHODS:The ESH-IP ...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e328346d715
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:In patients with hypertensive intracerebral hemorrhage (HICH), intravenous nicardipine is primarily used to lower blood pressure (BP). However, there are few studies investigating the role of oral antihypertensives administered after intravenous nicardipine to prevent BP from rising. Angiotensi...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,随机对照试验
doi:10.1097/MBP.0000000000000225
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:To perform validation for an arm-type oscillometric TM-2655 device (A&D Company Ltd, Tokyo, Japan) for blood pressure measurement according to the British Hypertension Society protocol. METHODS:Eighty-five study participants (33 men and 52 women) were included in the study. Mean age was 52.9+/-15.0 years, sy...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/01.mbp.0000200484.49540.12
更新日期:2006-04-01 00:00:00