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 readings in 150 outpatient clinic subjects, who were not given specific instructions as to how to hold their hand during the procedure. If they clenched their fist during the first reading, they were asked to relax their hand during the second reading, and vice versa. Double readings with a relaxed hand on both occasions were registered in 100 matched control patients as well. RESULTS:Twenty-two of 150 patients (15%) spontaneously made a fist during the first reading. No systematic effect (lower or higher blood pressure) from making a fist was observed, but individual effects were often marked, as evidenced by the median absolute differences (regardless of '+' or '-' sign) between the duplicate readings: 5 (range 0-31) versus 3 (0-18) mmHg for systolic blood pressure, and 4 (0-22) versus 2 (0-16) mmHg for diastolic blood pressure in the study group versus the control group, respectively (P < or = 0.05). A different hypertension classification occurred twice as often when a fist was made during one of the two blood pressure readings than with two fistless readings (23 versus 12%, P = 0.04). CONCLUSION:About one out of every seven patients makes a fist during blood pressure taking. This can seriously affect measurement accuracy, and doubles the risk of misclassification of hypertension.
journal_name
Blood Press Monitjournal_title
Blood pressure monitoringauthors
Smulders YM,Godfried MH,van Montfrans GAdoi
10.1097/00126097-200206000-00001subject
Has Abstractpub_date
2002-06-01 00:00:00pages
145-7issue
3eissn
1359-5237issn
1473-5725journal_volume
7pub_type
杂志文章abstract:OBJECTIVE:To evaluate the accuracy of the YuWell YE680B oscillometric upper-arm blood pressure monitor for clinic and home blood pressure measurements in adults according to the American National Standards Institute/the Association for the Advancement of Medical Instrumentation/International Organization for Standardiz...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000405
更新日期:2019-12-01 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::OBJECTIVE: To investigate whether blood pressure monitoring is reproducible. DESIGN: Reproducibility of ambulatory blood pressure monitoring data was assessed by means of traditional and relatively new statistical methods, namely correlation coefficients, regression analysis and agreement analysis. METHODS: Ninety-one...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1996-04-01 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:BACKGROUND:Two devices for self-measurement of blood pressure at the brachial artery-the Omron M5-I and the Omron 705IT-were evaluated according to the international protocol of the European Society of Hypertension. DESIGN:The international validation protocol is divided into two phases: the first phase is performed o...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200306000-00006
更新日期:2003-06-01 00:00:00
abstract::REVIEW IN DEPTH: The cardiovascular system is well organized in time. The blood pressure normally displays a circadian rhythm characterized by a nightly drop which, however, can be disturbed by disease. The 24 h blood pressure and its mechanisms of regulation are very dynamic and rhythmic processes. Ambulatory blood p...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:Waist circumference (WC) and related anthropometric indices have been recognized as useful measures of abdominal obesity. However, little is known about the association of waist-to-sitting-height ratio (WSHtR) with obesity and elevated blood pressure (BP). PARTICIPANTS AND METHODS:Data for this study were o...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000154
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:Handgrip exercise is an emerging strategy for resting blood pressure (BP) reduction requiring minimal time and exercise effort. However, the research literature is currently limited to handgrip protocol designs predominantly prescribing sustained grip contractions, with little assessment of alternative option...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000313
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to determine the accuracy of the Microlife WatchBP O3 monitor for ambulatory blood pressure (BP) measurement according to the new ISO81060-2 2018 protocol. METHODS:The WatchBP O3 was first tested in 97 subjects from the general population (mean age, 71.3 years; 48 men) using four cuf...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000459
更新日期:2020-10-01 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:OBJECTIVE:In this study, we aimed to assess the relationship between radial artery spasm (RAS) and arterial stiffness (AS) measured by the oscillometric method. MATERIALS AND METHODS:A total of 123 consecutive patients scheduled for elective coronary angiography in a single default radial center were enrolled for the ...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000340
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To perform clinical validation of the TM-2564G device for in-hospital blood pressure measurement according to the British Hypertension Society protocol. METHODS:The tests were carried out on 85 patients aged 19-82 years (41 male patients, mean age 50+/-19 years) with systolic blood pressure 75-219 mmHg and d...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200512000-00009
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVE:To determine whether crossing of the legs at the knee or at the ankles during blood pressure measurement in sitting position has an effect on blood pressure. METHODS:One hundred and eleven patients, 60 women, mean age 52+/-17 years (19-80): 49 chronically treated hypertensives, 28 treated diabetics and 34 no...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e3280b083a7
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:Measurement of blood pressure remains the most commonly performed screening test in medical practice. With the likely removal of mercury sphygmomanometers from the workplace alternative devices are required. Of these the aneroid sphygmomanometer is popular both in the community and hospital setting. We inves...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200212000-00003
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:It is commonly believed that the associations of left ventricular mass and cardiovascular morbidity/mortality with blood pressure are stronger for 24-h ambulatory pressure than for conventional clinic or casual pressure. METHODS:The investigation comprised a review of relevant studies, with particular empha...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,meta分析
doi:10.1097/00126097-200202000-00006
更新日期:2002-02-01 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:Fixed-ratio and slope-based algorithms are used to derive oscillometric blood pressure (BP). However, a paucity of published data exists assessing the accuracy of these methods. Our objective was to determine the accuracy of fixed-ratio and slope-based algorithms in healthy adults and in adults with cardiova...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0000000000000356
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:There is a growing tendency for physicians to prescribe exercise in accordance with the 'exercise is medicine' global health initiative. However, the exercise-pharmacologic interactions for controlling blood pressure are not well described. Our purpose was to study whether angiotensin II receptor type 1 block...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,随机对照试验
doi:10.1097/MBP.0000000000000328
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To compare the methods of office blood pressure (BP) measurement and ambulatory blood pressure monitoring (ABPM) to ensure optimal BP control in hypertensive anticoagulated patients. PATIENTS AND METHODS:Seventy-eight patients who were receiving antihypertensive drugs and warfarin in a dose-adjusted approach...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000084
更新日期:2015-02-01 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:We aimed to analyze the difference in 24-h blood pressure values during Ramadan of fasting and nonfasting individuals with no previous history of hypertension. PATIENTS AND METHODS:This study was planned as a multicenter research study in the cities of Izmit, Zonguldak, Sivas, and Adana. The percentage chang...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,多中心研究
doi:10.1097/MBP.0000000000000244
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:The aim of this study was to validate the Omron HEM-907 blood pressure (BP) measuring device according to the international validation protocol. DESIGN:The international validation protocol is divided into two phases: the first phase is performed on 15 selected subjects and if the device passes this phase, ...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200208000-00006
更新日期:2002-08-01 00:00:00
abstract::BACKGROUND: Hypertension is responsible for substantial morbidity in end-stage renal disease. Ambulatory blood pressure monitoring has been used to understand the behavior of blood pressure in renal failure, especially during the interdialytic period for patients on hemodialysis. OBJECTIVE: To review the published dat...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::BACKGROUND: Blood pressure measurements taken in the clinic or laboratory are assumed to generalize to the world outside. This is true both of casual blood pressure measurements and of changes in blood pressure responses to stress. Such generalizability is crucial to the usefulness of blood pressure measurements as pr...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVES:The extent of morning blood pressure (BP) surge upon wakening has been associated with increased incidence of stroke and cardiovascular mortality. This trial investigated the antihypertensive efficacy and effects on the morning BP surge of awakening versus bedtime administration of nifedipine in essential hy...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,随机对照试验
doi:10.1097/MBP.0b013e32832e0d80
更新日期:2009-08-01 00:00:00
abstract::OBJECTIVE: To assess the spontaneous changes in clinic blood pressure, ambulatory blood pressure (ABP) and left ventricular structure in untreated subjects with white-coat hypertension (WCH). DESIGN: A prospective observational study. PATIENTS AND METHODS: In 83 untreated subjects with WCH, 24 h non-invasive ABP monit...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1996-06-01 00:00:00
abstract::Although self-measured blood pressure and ambulatory blood pressure are widely used for research and clinical purposes, reference values are still scarcely supported by prospective outcome data. For self-measured blood pressure, values of 135 mmHg systolic and 85 mmHg diastolic (an average of two measurements in the m...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:10.1097/00126097-200112000-00011
更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:Arterial hypertension is associated with cardiovascular morbidity and mortality. It was previously shown that left atrium volume increase associated with mortality and atherosclerotic heart disease. The aim of the present study was to demonstrate the value of endothelial dysfunction in predicting left atrium...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000419
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVE:Psoriasis is a chronic inflammatory disorder, which is associated with high risk of metabolic comorbidities. Hypertension (HTN) is among the most common and serious associations. In this study, we aimed to evaluate HTN in psoriatic patients through office and ambulatory blood pressure monitoring (ABPM). MATE...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000489
更新日期:2020-12-01 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