January 1, 1989Journal of Hypertension
Is early diagnosis of hypertension a function of cuff width?
Why the study?
Does blood pressure measurement using a cuff of the correct width compared to a standard-width cuff improve the early diagnosis of hypertension in lean persons?
Population
11 subjects with slight or established hypertension diagnosed 5 years previously using a correct width cuff…
Comparison
Blood pressure measurement using a cuff of the… vs Blood pressure measurement using a…
Design
Cohort
Follow-up
5 years
Authors
Discussion
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Member takes
Implication
May support appropriate cuff sizing in lean patients; hypothesis-generating and should not yet change practice.
Structured PICO
Does blood pressure measurement using a cuff of the correct width compared to a standard-width cuff improve the early diagnosis of hypertension in lean persons?
P
Population
11 subjects with slight or established hypertension diagnosed 5 years previously using a correct width cuff (but normal with standard cuff), particularly lean persons
I
Intervention
Blood pressure measurement using a cuff of the correct width (appropriate to arm circumference)
C
Comparator
Blood pressure measurement using a standard-width cuff (12 cm)
O
Outcome
Difference in blood pressure readings between the correct width cuff and standard-width cuffsurrogate
Using a standard-width blood pressure cuff can underestimate blood pressure in lean individuals, masking the early diagnosis of hypertension.
Cite This Study
Arcuri et al. (1989) studied this question.