Brachial or wrist blood pressure in obese patients: which is the best?

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, Mannheim, Germany) in lean (n=15) and obese (n=11) patients. RESULTS:No difference was found in diastolic BP between the two groups, nor between the arm and the wrist. Systolic BP measured at the arm was, however, significantly lower in obese (99+/-9 mmHg, mean+/-SD) than in lean (107+/-14 mmHg; P<0.001) patients, whereas systolic BP determined at the wrist averaged 106 mmHg in both groups. CONCLUSION:The use of validated wrist BP measuring devices appears therefore particularly appealing in obese individuals with a large arm circumference.

journal_name

Blood Press Monit

authors

de Senarclens O,Feihl F,Giusti V,Engelberger RP,Rodieux F,Gomez P,Liaudet L,Waeber B

doi

10.1097/MBP.0b013e3282fd16e3

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

149-51

issue

3

eissn

1359-5237

issn

1473-5725

pii

00126097-200806000-00005

journal_volume

13

pub_type

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