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June 1, 2000Blood Pressure Monitoring

Optimizing cuff width for noninvasive measurement of blood pressure

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Key result

The optimum cuff width for indirect blood pressure measurement is proportional to the logarithm of arm circumference (cuff width=9.34 log10 arm circumference), reducing error to near zero.

Why the study?

Does adjusting blood pressure cuff width to 40% of arm circumference accurately measure blood pressure compared to direct radial artery measurement?

Population

50 subjects

Comparison

Indirect blood pressure measurement using the… vs Direct blood pressure measurement using a radial…

Design

Cross-sectional, nonblinded

Authors

LMLloyd A. MarksSt. Christopher's Hospital for ChildrenAGAnthony J. GrochSt. Christopher's Hospital for Children

Discussion

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Implication

May reduce BP measurement error via log-proportional cuff sizing; leaves open prospective validation before clinical adoption.

Study Design

Type

Cross-Sectional (n=50)

Blinding

Nonblinded

Structured PICO

Does adjusting blood pressure cuff width to 40% of arm circumference accurately measure blood pressure compared to direct radial artery measurement?

P
Population
50 subjects who underwent direct blood pressure measurement via radial artery line and indirect measurement via the Korotkov method.
E
Exposure
Indirect blood pressure measurement using the Korotkov method with cuff width:arm circumference ratio varied from 30-55% in 5% increments
C
Comparator
Direct blood pressure measurement using a radial artery line
O
Outcome
Error in blood pressure measurement (defined as indirect blood pressure minus direct blood pressure)surrogate

The optimum cuff width for indirect blood pressure measurement is proportional to the logarithm of the arm's circumference, challenging the standard AHA recommendation of a fixed 40% ratio.

Cite This Study

Marks et al. (2000) reported a cross-sectional. Indirect blood pressure measurement with varying cuff width to arm circumference ratios vs. Direct blood pressure measurement via radial artery line was evaluated on Error (defined as indirect blood pressure minus direct blood pressure). The optimum cuff width for indirect blood pressure measurement is proportional to the logarithm of arm circumference (cuff width=9.34 log10 arm circumference), reducing error to near zero.

synapsesocial.com/papers/6a63f5f47ff024ad283857b1https://doi.org/10.1097/00126097-200006000-00002
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Factors affecting the validity of the standard blood pressure cuff,1993 · 26 citations
  2. 2Discrepancies Between Direct and Indirect Blood Pressure Measurements Using Various Recommendations for Arm Cuff Selection2002 · 60 citations
  3. 3Simplifying Blood Pressure Measurements in Clinical Settings2022
  4. 4Effect of standard cuff on blood pressure readings in patients with obese arms. How frequent are arms of a ‘large circumference’?2003 · 72 citations
  5. 5Optimal size of cuff bladder for indirect measurement of arterial pressure in adults1989 · 70 citations