scholarly journals Comparison Between Auscultatory and Oscillometric Reading of Blood Pressure Measurement While in Sitting and Supine Position

2019 ◽  
Vol 12 (2) ◽  
pp. 775-781
Author(s):  
Amirul Fikri Rizfan ◽  
Kalvin Ghosh ◽  
Ahmad Mustaqir ◽  
Resni Mona ◽  
Jannathul Firdous ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Medical Students ◽  
Supine Position ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
The Body ◽  
Sitting Position ◽  
Measure Blood Pressure ◽  
The Difference ◽  
Mercury Sphygmomanometer

Due to continuous debate of incompatible results of blood pressure by the two devices such as the automated oscillometer and the traditional mercury sphygmomanometer, a study was carried out to compare the accuracy of the two devices as well as the best position to measure blood pressure. A comparative study regarding the difference in values of BP (mmHg) between traditional auscultatory method and automated oscillometric readings in supine and sitting positions was conducted among medical students. Oscillometer produced high readings than the readings of sphygmomanometer. Besides, the blood pressure readings for systolic and diastolic are higher while sitting when compared to supine position as the blood is unevenly distributed to all part of the body in sitting position. This will lead to the increase in ionotropic effect of the heart to pump blood towards the upper part of the body. The differences between two methods showed there have a major problem or error in measuring blood pressure. It is therefore necessary to improve the method and ways to check the health especially in this area where slight differences may contribute to large errors.

scholarly journals Automated Versus Manual Blood Pressure Measurement: A Randomized Crossover Trial in the Emergency Department of a Tertiary Care Hospital in Karachi, Pakistan: Are Third World Countries Ready for the Change?

2016 ◽  
Vol 4 (3) ◽  
pp. 404-409 ◽  
Author(s):  
Kanaan Mansoor ◽  
Saba Shahnawaz ◽  
Mariam Rasool ◽  
Huwad Chaudhry ◽  
Gul Ahuja ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
P Value ◽  
Care Hospital ◽  
Pressure Measurements ◽  
The Mean ◽  
The Difference ◽  
Manual Blood Pressure ◽  
Mercury Sphygmomanometer

BACKGROUND: Hypertension has proven to be a strong liability with 13.5% of all mortality worldwide being attributed to elevated blood pressures in 2001. An accurate blood pressure measurement lies at the crux of an appropriate diagnosis. Despite the mercury sphygmomanometer being the gold standard, the ongoing deliberation as to whether mercury sphygmomanometers should be replaced with the automated oscillometric devices stems from the risk mercury poses to the environment.AIM: This study was performed to check the validity of automated oscillometric blood pressure measurements as compared to the manual blood pressure measurements in Karachi, Pakistan.MATERIAL AND METHODS: Blood pressure was recorded in 200 individuals aged 15 and above using both, an automated oscillometric blood pressure device (Dinamap Procare 100) and a manual mercury sphygmomanometer concomitantly. Two nurses were assigned to each patient and the device, arm for taking the reading and nurses were randomly determined. SPSS version 20 was used for analysis. Mean and standard deviation of the systolic and diastolic measurements from each modality were compared to each other and P values of 0.05 or less were considered to be significant. Validation criteria of British Hypertension Society (BHS) and the US Association for the Advancement of Medical Instrumentation (AAMI) were used. RESULTS: Two hundred patients were included. The mean of the difference of systolic was 8.54 ± 9.38 while the mean of the difference of diastolic was 4.21 ± 7.88. Patients were further divided into three groups of different systolic blood pressure <= 120, > 120 to = 150 and > 150, their means were 6.27 ± 8.39 (p-value 0.175), 8.91 ± 8.96 (p-value 0.004) and 10.98 ± 10.49 (p-value 0.001) respectively. In our study 89 patients were previously diagnosed with hypertension; their difference of mean systolic was 9.43 ± 9.89 (p-value 0.000) and difference of mean diastolic was 4.26 ± 7.35 (p-value 0.000).CONCLUSIONS: Systolic readings from a previously validated device are not reliable when used in the ER and they show a higher degree of incongruency and inaccuracy when they are used outside validation settings. Also, readings from the right arm tend to be more precise.

Study on Cuff-Less Blood Pressure Measurement Based on Electrocardiography and Photoplethysmography Signal

2019 ◽  
Vol 2 (3) ◽  
pp. 206-214
Author(s):  
Putri Indes Oktabriani ◽  
Fuad Ughi ◽  
Aulia Arif Iskandar
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Monitoring ◽  
Blood Pressure Measurement ◽  
Ecg Signal ◽  
Optimum Location ◽  
Blood Pressure Monitor ◽  
Pressure Monitor ◽  
Left Hand ◽  
Measure Blood Pressure

The continuous blood pressure measurement research is widely known for helpingthe development of ambulatory blood pressure monitoring where it measures blood pressureevery 15 to 30 minutes throughout the day. The cuff is a problem for the patient withAmbulatory Blood Pressure Monitor. It can make a person feel uncomfortable and must staystill when the cuff starts to inflate. It is limiting and disturbing their daily activity when thedevice is starting to measure the blood pressure. Blood pressure measurement without cuff isbeing proposed in this research, called cuff-less blood pressure measurement. It will be based onPhotoplethysmography (PPG) and Electrocardiography (ECG) signal analysis. ECG (Lead 1,Lead 2, and Lead 3) with PPG signal produced from index finger on the left hand are comparedand analyzed. Then the relation of PPG and ECG signal and the optimum location for daily usecan be obtained. The optimum location will be based on the electrode’s position that producedthe optimum ECG lead Signal to measure blood pressure. Based on the result, PPG and ECGsignal have a linear relation with Blood Pressure Measurement and Lead 1 is more stable inproducing the ECG signal. The equation from Lead 1 appeared as one of the optimum equationsfor measuring Systolic Blood Pressure (SBP) or Diastolic Blood Pressure (DBP).

scholarly journals How should we measure blood pressure? Implications of the fourth blood pressure measurement in office blood pressure

2020 ◽  
Author(s):  
Annina S. Vischer ◽  
Thenral Socrates ◽  
Clemens Winterhalder ◽  
Jens Eckstein ◽  
Michael Mayr ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Office Blood Pressure ◽  
Measure Blood Pressure

Blood Pressure Measurement Error in Children: Lessons in Measurement Reliability

2019 ◽  
Vol 27 (1) ◽  
pp. 114-125 ◽  
Author(s):  
Esther J. Varney ◽  
Ashley M. Van Drunen ◽  
Emily F. Moore ◽  
Kristen Carlin ◽  
Karen Thomas
Keyword(s):  
Blood Pressure ◽  
Measurement Error ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Pressure Measurements ◽  
Noninvasive Blood Pressure ◽  
Measure Blood Pressure ◽  
Noninvasive Blood Pressure Measurement ◽  
Manual Blood Pressure ◽  
Acceptable Agreement

Background and PurposeBlood pressure measurement represents the pressure exerted during heart ejection and filling. There are several ways to measure blood pressure and a valid measure is essential. The purpose of this study was to evaluate the approach to noninvasive blood pressure measurement in children.MethodsBlood pressure measurements were taken using the automatic Phillips MP30 monitor and compared against Welch Allyn blood pressure cuffs with Medline manual sphygmomanometers.ResultsA total of 492 measurements were taken on 82 subjects, and they demonstrated comparability between automatic and manual devices.ConclusionsAlthough our study indicated acceptable agreement between automatic and manual blood pressure measurement, it also revealed measurement error remains a concern, with sample size, study protocol, training, and environment all playing a role.

scholarly journals Influence on Calculated Blood Pressure of Measurement Posture for the Development of Wearable Vital Sign Sensors

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Shouhei Koyama ◽  
Hiroaki Ishizawa ◽  
Akio Sakaguchi ◽  
Satoshi Hosoya ◽  
Takashi Kawamura
Keyword(s):  
Blood Pressure ◽  
Calibration Curve ◽  
Pressure Measurement ◽  
Pulse Wave ◽  
Blood Pressure Measurement ◽  
Wave Signal ◽  
Fbg Sensor ◽  
Pressure Calculation ◽  
Measurement Height ◽  
The Difference

We studied a wearable blood pressure sensor using a fiber Bragg grating (FBG) sensor, which is a highly accurate strain sensor. This sensor is installed at the pulsation point of the human body to measure the pulse wave signal. A calibration curve is built that calculates the blood pressure by multivariate analysis using the pulse wave signal and a reference blood pressure measurement. However, if the measurement height of the FBG sensor is different from the reference measurement height, an error is included in the reference blood pressure. We verified the accuracy of the blood pressure calculation with respect to the measurement height difference and the posture of the subject. As the difference between the measurement height of the FBG sensor and the reference blood pressure measurement increased, the accuracy of the blood pressure calculation decreased. When the measurement height was identical and only posture was changed, good accuracy was achieved. In addition, when calibration curves were built using data measured in multiple postures, the blood pressure of each posture could be calculated from a single calibration curve. This will allow miniaturization of the necessary electronics of the sensor system, which is important for a wearable sensor.

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