Recommendations for blood pressure measurement in large arms in research and clinical practice: position paper of the European society of hypertension working group on blood pressure monitoring and cardiovascular variability.

Journal of Hypertension
Paolo PalatiniEuropean Society of Hypertension Working Group on Blood Pressure Monitoring, Cardiovascular Variability, the International S

Abstract

: Blood pressure measurement in obese individuals can be challenging because of the difficulty in properly cuffing large upper arms. Achieving a proper cuff fit can be problematic especially in people with a shorter arm length relative to circumference. This expert statement provides recommendations on blood pressure measurement in large arms for clinical use and research purposes. Tronco-conically shaped cuffs should be used in people with large arms, especially with arm circumferences greater than 42 cm as they better fit on the conical arm shape. Cuffs with frustum of the cone slant angle of 85° should satisfy most conditions. In individuals with short upper-arm that does not allow application of a properly sized cuff, wrist or forearm measurement might be used in clinical practice, but not for validation of automatic devices. Wide-range cuffs coupled to oscillometric devices provided with special software algorithms can also be used as alternatives to standard cuff measurement, provided they are independently validated per AAMI/ISO 81060-2 protocol. For validation studies, the intraarterial measurement is generally considered as the gold standard, yet for possible methodological pitfalls and ethical concerns, it is not reco...Continue Reading

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Citations

Mar 17, 2020·Blood Pressure·Paolo PalatiniFrancesca Saladini
Jan 5, 2021·Hypertension·Dean S PiconeUNKNOWN Invasive Blood Pressure Consortium
Feb 6, 2021·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Maria Lorenza MuiesanUNKNOWN Italian Society of Hypertension
Mar 13, 2021·Journal of Hypertension·George S StergiouUNKNOWN European Society of Hypertension Council and the European Society of Hypertension Working Group on Blood Pressure Monitoring

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