What does this research mean for the field?

Using standard-width blood pressure cuffs on populations with smaller mid-arm circumferences, such as healthy adults in Nepal, results in artificially lower blood pressure readings that could misclassify borderline hypertensives as normotensive. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To determine whether standard sphygmomanometer cuff dimensions contribute to unexpectedly low blood pressure values observed in healthy individuals.

March 18, 2015Open Access

Apparently less value of blood pressure among healthy people: is the cuff width responsible?

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Why the study?

Does standard cuff width cause falsely low blood pressure readings in a population with smaller mid-arm circumferences?

Population

91 healthy students and staff at a medical college in Nepal.

Design

Cross-sectional

Authors

TPT PramanikIndian Institute of Technology Delhi SSSanjit ShresthaSomerset Hospital AGA. K. GhoshBhabha Atomic Research Centre

Discussion

Member takes

Implication

May underestimate BP in smaller arms; leaves open whether cuff-size adjustment improves hypertension classification.

Key Points

To determine whether standard sphygmomanometer cuff dimensions contribute to unexpectedly low blood pressure values observed in healthy individuals.
Measured blood pressure in healthy young adults in Nepal using a mercury sphygmomanometer equipped with a standard Riva-Rocci cuff.
Determined mid-arm circumference using a measuring tape to calculate the standard 40% cuff width requirement for each subject.
Mean blood pressure was 115/77 mmHg in male subjects and 107/73 mmHg in female subjects.
Mid-arm circumference averaged approximately 25 cm in males and 23 cm in females, corresponding to 40% cuff width requirements of approximately 10 cm and 9 cm, respectively.
The standard cuff width exceeded the recommended 40% mid-arm circumference threshold (<12 cm) in this population, causing artificially lower blood pressure recordings.

Structured PICO

Does standard cuff width cause falsely low blood pressure readings in a population with smaller mid-arm circumferences?

Population

91 healthy students and staff (age 18-35 years, normal BMI 18-25, 41 male, 50 female) at a medical college in Nepal.

Intervention

Blood pressure measurement using a standard Riva-Rocci cuff (12 cm width) and mid-arm circumference measurement.

Outcome

Blood pressure values and mid-arm circumference.surrogate

Using a standard 12 cm blood pressure cuff in populations with smaller arm circumferences may result in falsely low blood pressure readings, risking the misclassification of borderline hypertensives as normotensives.

Cite This Study

Pramanik et al. (2015) studied this question.

synapsesocial.com/papers/6a1de5c3cd67cee37334fddf https://doi.org/10.15167/2421-4248/jpmh2007.48.3.97

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Bookmark

Apparently less value of blood pressure among healthy people: is the cuff width responsible?

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Apparently less value of blood pressure among healthy people: is the cuff width responsible?

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider