The cuff width influences the toe blood pressure value

VASA ◽  
2004 ◽  
Vol 33 (4) ◽  
pp. 215-218 ◽  
Author(s):  
Påhlsson ◽  
Jörneskog ◽  
Wahlberg
Keyword(s):  
Blood Pressure ◽  
Limb Ischemia ◽  
Limb Ischaemia ◽  
Patients With Diabetes ◽  
History Of ◽  
Blood Pressures ◽  
Cuff Size ◽  
And Control ◽  
Toe Blood Pressure ◽  
Cuff Width

Background: Toe blood pressure is a valuable and often used parameter when lower limb ischaemia is evaluated in patients with diabetes, but little has been done to standardise the method. The aim of this study was to evaluate if the cuff size influences the toe blood pressure values obtained in patients with diabetes. Patients and methods: Eleven patients with diabetes without a history of peripheral vascular disease, and six age matched healthy subjects were investigated. Their blood pressures were measured in the upper arm and at the ankle level repetitively. For measurement of toe blood pressure two different cuff widths were used. Results: All blood pressures were similar in patients and control subjects, as well as over time. The toe blood pressure values were 18 mmHg higher (p < 0.01) if measured with a 2.0-cm compared to a 2.5-cm wide cuff. There was a relationship (r = 0.63, p < 0.05 for patients) between toe circumference and the toe blood pressure value, where smaller halluxes gave lower values. Conclusions: The cuff width influences the obtained toe blood pressure value and needs to be considered when evaluating limb ischemia in patients with diabetes.

Clinical Comparison of Automatic, Noninvasive Measurements of Blood Pressure in the Forearm and Upper Arm With the Patient Supine or With the Head of the Bed Raised 45°: A Follow-Up Study

2006 ◽  
Vol 15 (2) ◽  
pp. 196-205 ◽  
Author(s):  
Kathleen Schell ◽  
Denise Lyons ◽  
Elisabeth Bradley ◽  
Linda Bucher ◽  
Maureen Seckel ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Vital Signs ◽  
Upper Arm ◽  
Mean Values ◽  
Noninvasive Measurements ◽  
Starting Position ◽  
Arm Circumference ◽  
Blood Pressures ◽  
Cuff Size

• Background Noninvasive measurement of blood pressure in the forearm is used when the upper arm is inaccessible and/or when available blood pressure cuffs do not fit a patient’s arm. Evidence supporting this practice is limited. • Objective To compare noninvasive measurements of blood pressure in the forearm and upper arm of medical-surgical inpatients positioned supine and with the head of the bed raised 45°. • Methods Cuff size was selected on the basis of forearm and upper arm circumference and manufacturers’ recommendations. With a Welch Allyn Vital Signs 420 Series monitor, blood pressures were measured in the forearm and then in the upper arm of 221 supine patients with their arms resting at their sides. Patients were repositioned with the head of the bed elevated 45° and after 2 minutes, blood pressures were measured in the upper arm and then the forearm. Starting position was alternated on subsequent subjects. • ResultsPaired t tests revealed significant differences between systolic and diastolic blood pressures measured in the upper arm and forearm with patients supine and with the head of the bed elevated 45°. The Bland-Altman procedure revealed that the distances between the mean values and the limits of agreement were from 15 to 33 mm Hg for individual subjects. • Conclusions Noninvasive measurements of blood pressure in the forearm and upper arm cannot be interchanged in medical-surgical patients who are supine or in patients with the head of the bed elevated 45°.

Dietary sodium restriction and development of hypertension in spontaneously hypertensive rats

1983 ◽  
Vol 245 (6) ◽  
pp. H1081-H1084 ◽  
Author(s):  
C. B. Toal ◽  
F. H. Leenen
Keyword(s):  
Blood Pressure ◽  
Control Diet ◽  
Dietary Sodium ◽  
Sodium Restriction ◽  
Spontaneously Hypertensive ◽  
Basal Blood Pressure ◽  
Blood Pressures ◽  
Dietary Sodium Restriction ◽  
Wistar Kyoto ◽  
And Control

Blood pressure and body weight of conscious spontaneously hypertensive (SHR) and Wistar-Kyoto (WKY) rats were measured up to 16 wk of age in animals started at birth on five different sodium-containing diets. SHR on 9 mumol sodium/g food did not show a rise in basal blood pressure; however, when stressed the SHR still exhibited slightly higher blood pressures than WKY. In SHR on 17 mumol sodium/g food the development of hypertension was blunted compared with that of control (101 mumol/g) diet animals. SHR on 26 or 44 mumol sodium/g diet exhibited a development of hypertension similar to that of SHR on control diet. The 26 mumol/g, 44 mumol/g, and control sodium diet groups, regardless of strain, had similar growth rates. By contrast, on 17 mumol sodium/g food both SHR and WKY showed a substantially reduced growth rate, and all animals on 9 mumol sodium/g diet were severely retarded in growth. The results indicate that dietary sodium restriction can ameliorate the development of hypertension in SHR, but only when the sodium levels are so low as to affect overall growth.

scholarly journals Blood Pressure Screening, Control, and Treatment for Patients With Developmental Disabilities in General Medicine Practices

2016 ◽  
Vol 32 (6) ◽  
pp. 234-239 ◽  
Author(s):  
Steven R. Erickson ◽  
Kayla Kornexl
Keyword(s):  
Blood Pressure ◽  
Developmental Disabilities ◽  
Group Versus ◽  
General Medicine ◽  
Antihypertensive Medications ◽  
Group Outcomes ◽  
History Of ◽  
Special Patient Population ◽  
Primary Care Practices ◽  
And Control

Background: Little is known about the adequacy of screening for and treatment of hypertension for people with developmental disabilities (DD). Pharmacists may assist in identifying and treating this special patient population. Objective: To characterize and compare the screening, treatment, and control of blood pressure (BP) in patients with DD to patients without DD. Methods: This retrospective study identified adult patients of primary care practices within a large academic health system who had DD (DD group) and a comparator group without DD (GenMed group). Outcomes assessed included percentage of patients screened, mean BP, percentage of patients with controlled BP, and antihypertensive medications prescribed. Results: The DD (n = 183) and GenMed groups (n = 497) were nearly all screened for BP. Mean systolic BP was significantly lower in the DD group (119.9 ± 14.6 mm Hg vs 122.8 ± 15.4 mm Hg GenMed, P = .03), while diastolic BP was no different ( P = .7). Stroke was documented significantly more often in the DD group (5.5% vs 1.4%, P = .005). Of patients with uncontrolled BP, the DD group had significantly higher systolic BP (155.8 ± 14.1 mm Hg vs 147.4 ± 9.5 mm Hg GenMed, P = .02). Hypertension was documented in 32% of DD group versus 38.5% of GenMed group, P = .15. Of this group, 88.1% of the DD group had controlled BP versus 78.0% of the GenMed group, P = .09. Antihypertensive prescribing was not different between the groups. Conclusion: DD group patients had similar outcomes for hypertension therapy compared to patients without DD. Those with uncontrolled BP in the DD group tended to have higher systolic BP. Significantly more DD patients had a history of stroke.

scholarly journals External Abdominal Aortic Compression: A Study of a Resuscitation Manoeuvre for Postpartum Haemorrhage

1994 ◽  
Vol 22 (5) ◽  
pp. 571-575 ◽  
Author(s):  
D. P. Riley ◽  
R. W. Burgess
Keyword(s):  
Blood Pressure ◽  
Postpartum Haemorrhage ◽  
Aortic Occlusion ◽  
Medical Assistance ◽  
Arterial Blood ◽  
Abdominal Aortic ◽  
Life Threatening ◽  
Blood Pressures ◽  
A Prospective Study ◽  
And Control

External aortic compression is an emergency manoeuvre proposed to reduce postpartum haemorrhage and permit time for resuscitation and control of bleeding. To assess this technique, a prospective study was performed on twenty normal non-bleeding parturients. The abdominal aorta was compressed by firm pressure with a closed fist just above the umbilicus. Leg and arm arterial blood pressures were measured and femoral artery pulsation felt before, during and after compression. Leg blood pressure was completely obliterated in 55% and significantly reduced (P < 0.01) in a further 10% of subjects. All of these subjects with reduced or absent leg blood pressure also had obliteration of the femoral pulse with compression. Systemic arterial blood pressure was not significantly elevated by successful aortic occlusion. Discomfort with the manoeuvre was significantly increased (P < 0.05) in the group of subjects that had successful aortic occlusion. It is recommended that external aortic compression be considered in severe life-threatening postpartum haemorrhage, particularly during stabilisation or transport of the patient. This simple manoeuvre may be used as an adjunct to other measures and could prove of benefit, especially in locations or situations where advanced medical assistance is geographically or temporally removed.

scholarly journals Awareness, treatment, and control of hypertension and related factors in adult Iranian Population

2020 ◽  
Author(s):  
Mohsen Mirzaei ◽  
Masoud Mirzaei ◽  
Behnam Bagheri-Fahraji ◽  
Ali Dehghani
Keyword(s):  
Blood Pressure ◽  
Health Workers ◽  
Public Awareness ◽  
Public Health Problem ◽  
Iranian Population ◽  
Uncontrolled Hypertension ◽  
National Committee ◽  
Female Sex ◽  
History Of ◽  
And Control

Abstract Background: Hypertension, known as the silent killer, is a major risk factor for cardiovascular disease. Awareness and treatment of hypertension is not appropriate in the world, and this has led to an increase in mortality and morbidity caused by uncontrolled hypertension.This study aims to estimate awareness, treated, and controlled hypertensive and relevant predictors in an adult Iranian population.Methods: This cross-sectional study was conducted on 10000 adults aged 20-69 years in Yazd, Iran. They were selected through multi-stage random cluster sampling in 2015-2016. Blood pressure was measured three-time with standard protocol by trained health workers. Those with a positive history of hypertension and using anti-hypertensive drugs, prescribed by a physician, were considered hypertensive. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic BP of ≥90 mmHg. Uncontrolled hypertension was defined in accordance with recommended treatment targets by the Joint National Committee (JNC7). Logistic regression was used to assess the predictors of hypertension awareness, treatment and control.Results: The prevalence of hypertension was 37.3%, and the prevalence of pre-hypertension was 46.4%. 49.7% of People with hypertension were aware of their disease, and 71.5% of them were using antihypertensive drugs prescribed by physicians. Blood pressure was controlled in 38.9% of the treated patients. In the adjusted model, older age, female sex, and history of diabetes mellitus were positively associated with higher awareness. High physical activity, tobacco smoking, and diabetes are the only predictors of treated high blood pressure. Younger age, female sex, and higher education were determinants of controlled hypertension. Having health insurance was significantly correlated with awareness and control of hypertension.Conclusion: Hypertension is a public health problem in this population, which is not well controlled. Half of the patients were unaware. Intervention for increased screening coverage is needed. It should plan to raise public awareness about hypertension and improve hypertension control under the supervision of physicians. Implement a family physician program is recommended in the health system.

scholarly journals Blood Pressure Screening Campaign in Jamaica: May Measurement Month 2017

2019 ◽  
Vol 32 (12) ◽  
pp. 1186-1191
Author(s):  
Magdalene Nwokocha ◽  
Cesar A Romero ◽  
Cheryl Holder ◽  
Natalie Whylie ◽  
Hiu Wong ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Urban Areas ◽  
Disease Burden ◽  
Antihypertensive Drugs ◽  
Demographic Data ◽  
Hypertensive Patients ◽  
High Prevalence ◽  
Patients With Diabetes ◽  
And Control ◽  
Significant Disease

Abstract BACKGROUND Hypertension (HTN) is responsible for a significant disease burden in Jamaica. We are reporting the results of the 2017 blood pressure (BP) screening campaign May Measurement Month in Jamaica that aimed to increase the awareness of HTN. METHODS Adults, 18 years old and older, from different parishes of Jamaica were invited to participate during May to June 2017. Demographic data were collected. BP, weight, and height were measured and recorded. RESULTS Five hundred sixty-six participants (n = 566) were enrolled, 91.6% (519) from urban areas, and 72.6% (410) were females. The average age was 53.7 (18–95) years old and body mass index was 28.2 ± 6.6 kg/m2. The prevalence of HTN was 47.3% (267/566), without gender or living areas differences (both P > 0.1). Prevalence of HTN was lower in those who self-identified as Interracial ethnicity, in comparison with Afro-Caribbean (33% vs. 48.3%; P = 0.04). About third of the hypertensive patients were not aware of the high BP (89/267; 35.6%). Between hypertensive patients, 64.4% (172/267) were receiving antihypertensive drugs. The rate of BP control was 32% of the hypertensive patients and 50% of those receiving antihypertensive medication. Significant lower BP control was observed between diabetic vs. nondiabetic patients (34.3% vs. 60%; P < 0.001). CONCLUSION We found a high prevalence of HTN in this population, especially in patients with diabetes or previous cardiovascular diseases. We report an increase in HTN awareness in Jamaica but more advances need to be performed to increase HTN treatment and control.

Increased Erythrocyte Lithium-Sodium Countertransport in Essential Hypertension: Its Relationship to Family History of Hypertension

1981 ◽  
Vol 61 (s7) ◽  
pp. 13s-15s ◽  
Author(s):  
M. Canali ◽  
L. Borghi ◽  
E. Sani ◽  
A. Curti ◽  
A. Montanari ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Essential Hypertension ◽  
Family History ◽  
High Blood Pressure ◽  
Degree Relative ◽  
Mean Values ◽  
The Family ◽  
History Of ◽  
Family History Of Hypertension ◽  
And Control

1. Erythrocyte lithium—sodium counter-transport was measured in 46 normotensive healthy controls without family history of hypertension, 15 subjects with essential hypertension, but without evidence of family history of high blood pressure, and 43 subjects with essential hypertension and at least one hypertensive first-degree relative. 2. Mean values (mmol h−1 l−1 of erythrocytes) were 0.248 ± 0.092 in controls, 0.258 ± 0.087 in hypertensive subjects without family history (not significant vs controls), 0.360 ± 0.115 in hypertensive subjects with family history of hypertension (P &lt; 0.001 vs controls), 0.334 ± 0.117 in all hypertensive subjects, both with and without family history (P &lt; 0.001 vs controls). 3. Our data confirm the finding of an increased erythrocyte lithium-sodium counter-transport, but with a significant overlap between essential hypertension and control values. Lithium-sodium countertransport is higher only in hypertensive subjects with at least one hypertensive first-degree relative. 4. We suggest that the increase of lithium-sodium countertransport in erythrocytes is not a consistent marker of essential hypertension. It seems to be associated with the family prevalence and/or the hereditability of hypertension, rather than with high blood pressure per se.

scholarly journals HYPERTENSION

2015 ◽  
Vol 22 (02) ◽  
pp. 250-255
Author(s):  
Nasim Ilyas ◽  
Kashif Rahim ◽  
Azka Waqar
Keyword(s):  
Blood Pressure ◽  
Family History ◽  
Urban Areas ◽  
Preventive Measures ◽  
Causative Factor ◽  
Rural And Urban Areas ◽  
Frequent Use ◽  
Rural And Urban ◽  
History Of ◽  
And Control

Hypertension is a common term to define a state of raised blood pressure, and theraised blood pressure is 140 mm Hg mean systolic blood pressure of and mean diastolic bloodpressure of at least 90 mm Hg. Objectives: To assess awareness about Hypertension amongpatients attending Medical OPD at THQ Hospital Hassan Abdal. Materials and Methods: A totalof 150 male, female patients belonging to both rural and urban areas attending Medical OutPatient Department at THQ Hospital Hassan Abdal using a self constructed mixed questionnaire(In English and Urdu). Results: Following findings were observed among patients attendingTHQ hospital, Hassan Abdal: Family history of HTN was found to be 49% and 26% was unawareof family history of HTN. 33% found to have diabetes, 38% were unaware of having or not.29.3% found to have HTN, 48.6% were unaware of having HTN or not. 34% of hypertensivepatients showed compliance to the anti-hypertensive treatment while (66%) showed noncompliance.60.6%, 78%, 62%, 74%, 68% considered the obesity, lack of exercise, cigarettesmoking, anxiety and high cholesterol respectively as causative factor of HTN. Excessive intakeof salt was considered by 56% as causative factor of HTN. 29% considered diabetes Mellitus ascausative factor of HTN. 42%, 31%, 46% and 34% considered the cardiac disease, renal failure,brain hemorrhage and loss vision respectively as complication of HTN. Stroke was consideredcomplication by (54%). 55%, 65%, 53% and 58% considered the regular exercise reduced saltintake, no smoking and keeping weight under-Control respectively as preventive measures ofHTN. Less than half of the respondents considered frequent use of vegetables, excessive intakeof sweets, as the preventive measures of HTN. Conclusions: The assessment of awarenessabout Hypertension among population of various areas can be beneficial in effective planningfor disease prevention and control.

scholarly journals Awareness, Treatment, and Control of Hypertension Among 10663 Adults in Kherameh: A Population-Based Study

2021 ◽  
Author(s):  
Abbas Rezaianzadeh ◽  
Fatemeh Jafari ◽  
Seyed Ebrahim Sadeghi ◽  
Salar Rahimikazerooni ◽  
Ehsan Bahramali ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Diseases ◽  
Antihypertensive Drugs ◽  
Population Based ◽  
Related Factors ◽  
Cross Sectional ◽  
Dependent Variables ◽  
History Of ◽  
And Control ◽  
Second Degree

Abstract Background: Hypertension (HTN) is known to be a modifiable risk factor for Cardiovascular Disease (CVDs), stroke, and kidney disease. The present study aimed to determine awareness, treatment, and control of HTN and the related factors in Kherameh, Iran.Methods: This cross-sectional study was performed on 10663 individuals over 40 years of age using Kherameh cohort data. HTN was defined as either Systolic/Diastolic Blood Pressure (SBP/DBP) ≥140/90 mmHg or taking medications. Logistic regression was used to examine the relationship between awareness, treatment, and control and their related factors. Results: Awareness, treatment, and control rates were 80.3%, 78%, and 53.6%, respectively among the individuals with HTN. Age, gender, body mass index, and CVD were associated with all dependent variables in the regression model. In addition, occupation, diabetes, chronic diseases, history of CVD in the first- and second-degree relatives, and history of chronic diseases in the second-degree relatives were related to all dependent variables, except for treatment.Conclusion: The results indicated that despite the high level of awareness, the proportion of patients under treatment and control gradually decreased, such a way that about half of the patients had abnormal blood pressure. Hence, educational intervention is recommended to increase the patients’ awareness to ensure the continuous use of antihypertensive drugs in order to help control the disease more efficiently.

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