Recommendations for Blood Pressure Measurement in Human and Experimental Animals; Part 1: Blood Pressure Measurement in Humans
2006; Lippincott Williams & Wilkins; Volume: 48; Issue: 1 Linguagem: Inglês
10.1161/01.hyp.0000229661.06235.08
ISSN1524-4563
AutoresBruce S. Alpert, Brian W. McCrindle, Stephen R. Daniels, Barbara A. Dennison, Laura L. Hayman, Mark Z. Jacobson, Larry T. Mahoney, Albert P. Rocchini, Julia Steinberger, Elaine M. Urbina, Richard D. Williams,
Tópico(s)Cardiovascular and exercise physiology
ResumoHomeHypertensionVol. 48, No. 1Recommendations for Blood Pressure Measurement in Human and Experimental Animals; Part 1: Blood Pressure Measurement in Humans Free AccessLetterPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessLetterPDF/EPUBRecommendations for Blood Pressure Measurement in Human and Experimental Animals; Part 1: Blood Pressure Measurement in Humans and Bruce Alpert Brian McCrindle Stephen Daniels Barbara Dennison Laura Hayman Marc Jacobson Larry Mahoney Albert Rocchini Julia Steinberger Elaine Urbina Richard Williams University of Tennessee at Memphis, Memphis, Tennessee and Bruce AlpertBruce Alpert University of Tennessee at Memphis, Memphis, Tennessee Brian McCrindleBrian McCrindle The Hospital for Sick Children, Toronto, Ontario, Canada Stephen DanielsStephen Daniels University of Colorado, Denver, Colorado Barbara DennisonBarbara Dennison New York State Department of Health, Albany, New York Laura HaymanLaura Hayman New York University, New York, New York Marc JacobsonMarc Jacobson Schneider Childrens Hospital, New York, New York Larry MahoneyLarry Mahoney University of Iowa Hospital, Iowa City, Iowa Albert RocchiniAlbert Rocchini University of Michigan, Ann Arbor, Michigan Julia SteinbergerJulia Steinberger University of Minnesota, Minneapolis, Minnesota Elaine UrbinaElaine Urbina Cincinnati Childrens Hospital, Cincinnati, Ohio Richard WilliamsRichard Williams University of Utah, Salt Lake City, Utah and For the Atherosclerosis, Hypertension, and Obesity in the Young Committee of the American Heart Association Council on Cardiovascular Disease in the Young Originally published12 Jun 2006https://doi.org/10.1161/01.HYP.0000229661.06235.08Hypertension. 2006;48:e3Other version(s) of this articleYou are viewing the most recent version of this article. Previous versions: June 12, 2006: Previous Version 1 To the Editor:The members of the Atherosclerosis, Hypertension, and Obesity in the Young Committee of the American Heart Association Council on Cardiovascular Disease in the Young believe it is of clinical importance to point out a discrepancy in the cuff size section of the recent American Heart Association Scientific Statement "Recommendations for Blood Pressure Measurement in Humans."1 On page 705 of that document, the report states that "the 'ideal' cuff should have a bladder length that is 80% and a width that is at least 40% of arm circumference." The statement quotes a study by Marks and Groch2 that "concluded that the error in measurement of blood pressure is minimized with a cuff width of 46% of the arm circumference."Immediately after these 2 statements is a series of 4 bullets giving cuff recommendations. The dimensions given in the bullets call for only 2 cuff widths, 12 and 16 cm, rather than the original text, which called for widths of 10, 13, 16, and 20 cm. If one calculates the percentage of arm circumference that the 16-cm cuff would be in the largest arms (45 to 52 cm), the results range from 35.5% to a low of 30.7%, far from the 46% recommended by Marks and Groch2 and the "at least 40%" within the same statement (5 lines before the 4 bullets).We realize that there may be some practical reasons to deviate from "ideal," but 30.7% of the arm circumference would give an artifactually high blood pressure reading (small cuff effect). With the epidemic of obesity currently spreading throughout the United States, we do not think it is scientifically acceptable to recommend an "adult thigh" cuff so far out of line with an evidence-based approach. The scientific statement indicates that cuffs of 20 to 24 cm "would not be clinically usable." We do not know why this would be true. We use cuffs of those widths in the clinical setting regularly without apparent difficulty.We would like the authors of the statement to respond to our concerns. We are confident that the published guidelines will result in artifactual elevation of blood pressure in a large number of Americans who require a large adult or thigh blood pressure cuff.DisclosuresNone.1 Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, Jones DW, Kurtz T, Shepp SG, Roccella EJ. Recommendations for blood pressure measurement in human and experimental animals; part 1: blood pressure measurement in humans. A statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Circulation. 2005; 111: 697–716.LinkGoogle Scholar2 Marks LA, Groch A. Optimizing cuff width for noninvasive measurement of blood pressure. Blood Pressure Monit. 2000; 5: 153–158.CrossrefMedlineGoogle Scholar Previous Back to top Next FiguresReferencesRelatedDetailsCited By Garshick M, Block R, Drenkova K, Tawil M, James G and Brenna J (2022) Statin therapy upregulates arachidonic acid status via enhanced endogenous synthesis in patients with plaque psoriasis, Prostaglandins, Leukotrienes and Essential Fatty Acids, 10.1016/j.plefa.2022.102428, 180, (102428), Online publication date: 1-May-2022. Greenwood-Hickman M, Zhou J, Cook A, Mettert K, Green B, McClure J, Arterburn D, Florez-Acevedo S and Rosenberg D (2022) Exploring Differences in Older Adult Accelerometer-Measured Sedentary Behavior and Resting Blood Pressure Before and During the COVID-19 Pandemic, Gerontology and Geriatric Medicine, 10.1177/23337214221096007, 8, (233372142210960), Online publication date: 1-Apr-2022. Che B, Chen H, Wang A, Peng H, Bu X, Zhang J, Ju Z, Xu T, He J, Zhong C and Zhang Y Association Between Plasma L-Carnitine and Cognitive Impairment in Patients with Acute Ischemic Stroke, Journal of Alzheimer's Disease, 10.3233/JAD-215376, 86:1, (259-270) Cong X, Zhang J, Sun R and Pu Y (2022) Short-term ambient particulate air pollution exposure, microRNAs, blood pressure and lung function, Environmental Pollution, 10.1016/j.envpol.2021.118387, 292, (118387), Online publication date: 1-Jan-2022. Sá C, Jiménez M, Rosa M, Arlindo E, Ayub A, Cardoso R, Kreitchmann R and El Beitune P (2020) Evaluation of Angiogenic Factors (PlGF and sFlt-1) in Pre-eclampsia Diagnosis, Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics, 10.1055/s-0040-1713916, 42:11, (697-704), Online publication date: 1-Nov-2020. Liu Z, Zhou B, Li Y, Tang M and Miao F (2020) Continuous Blood Pressure Estimation From Electrocardiogram and Photoplethysmogram During Arrhythmias, Frontiers in Physiology, 10.3389/fphys.2020.575407, 11 Andriani H, Kosasih R, Putri S and Kuo H (2020) Effects of changes in smoking status on blood pressure among adult males and females in Indonesia: a 15-year population-based cohort study, BMJ Open, 10.1136/bmjopen-2020-038021, 10:4, (e038021), Online publication date: 1-Apr-2020. Wahlström M, Rosenqvist M, Medin J, Walfridsson U and Rydell-Karlsson M (2019) MediYoga as a part of a self-management programme among patients with paroxysmal atrial fibrillation – a randomised study, European Journal of Cardiovascular Nursing, 10.1177/1474515119871796, 19:1, (74-82), Online publication date: 1-Jan-2020. Tudor-Locke C, Schuna J, Swift D, Dragg A, Davis A, Martin C, Johnson W and Church T Evaluation of Step-Counting Interventions Differing on Intensity Messages, Journal of Physical Activity and Health, 10.1123/jpah.2018-0439, 17:1, (21-28) Chan , Cooper , Hosanee , Welykholowa , Kyriacou , Zheng , Allen , Abbott , Lovell , Fletcher and Elgendi (2019) Multi-Site Photoplethysmography Technology for Blood Pressure Assessment: Challenges and Recommendations, Journal of Clinical Medicine, 10.3390/jcm8111827, 8:11, (1827) Hansen L, Ettrup-Christensen A and Bülow K (2019) Feasibility of continuous noninvasive arterial pressure monitoring in a prehospital setting, measurements during emergency transfer, European Journal of Emergency Medicine, 10.1097/MEJ.0000000000000562, 26:5, (334-339), Online publication date: 1-Oct-2019. Sydó N, Sydó T, Gonzalez Carta K, Hussain N, Merkely B, Murphy J, Squires R, Lopez-Jimenez F and Allison T (2018) Significance of an Increase in Diastolic Blood Pressure During a Stress Test in Terms of Comorbidities and Long-Term Total and CV Mortality, American Journal of Hypertension, 10.1093/ajh/hpy080, 31:9, (976-980), Online publication date: 3-Aug-2018. Allen S, Foulds J, Pachas G, Veldheer S, Cather C, Azzouz N, Hrabovsky S, Hameed A, Yingst J, Hammett E, Modesto J, Krebs N, Zhu J, Liao J, Muscat J, Richie J and Evins A (2017) A two-site, two-arm, 34-week, double-blind, parallel-group, randomized controlled trial of reduced nicotine cigarettes in smokers with mood and/or anxiety disorders: trial design and protocol, BMC Public Health, 10.1186/s12889-016-3946-4, 17:1, Online publication date: 1-Dec-2017. Martini D, Rossi S, Biasini B, Zavaroni I, Bedogni G, Musci M, Pruneti C, Passeri G, Ventura M, Di Nuzzo S, Galli D, Mirandola P, Vitale M, Dei Cas A, Bonadonna R and Del Rio D (2017) Claimed effects, outcome variables and methods of measurement for health claims proposed under European Community Regulation 1924/2006 in the framework of protection against oxidative damage and cardiovascular health, Nutrition, Metabolism and Cardiovascular Diseases, 10.1016/j.numecd.2017.01.008, 27:6, (473-503), Online publication date: 1-Jun-2017. Men X, Sun W, Fan F, Zhao M, Huang X, Wang Y, Liu L, Liu R, Sun W, Peng Q, Qin X, Tang G, Li J, Zhang Y, Cai Y, Hou F, Wang B, Xu X, Cheng X, Sun N, Huang Y and Huo Y (2017) China Stroke Primary Prevention Trial: Visit‐to‐Visit Systolic Blood Pressure Variability Is an Independent Predictor of Primary Stroke in Hypertensive Patients, Journal of the American Heart Association, 6:3, Online publication date: 1-Mar-2017. Correia Lima R, Coutinho De Oliveira C, De Brito Gomes J, Pereira Da Silva C, De Souza A, Rabay A, Barbosa Da Silva T, Dos Santos M and De Freitas Brito A Blood Pressure Responses after a Session of Functional Training in Young Adults and the Elderly: A Pilot Study, Human Movement, 10.1515/humo-2017-0004, 18:1 Tudor-Locke C, Swift D, Schuna J, Dragg A, Davis A, Martin C, Johnson W and Church T (2014) WalkMore: a randomized controlled trial of pedometer-based interventions differing on intensity messages, BMC Public Health, 10.1186/1471-2458-14-168, 14:1, Online publication date: 1-Dec-2014. Fox B, Brantley L, White C, Seigler N and Harris R (2014) Association beween resting heart rate, shear and flow-mediated dilation in healthy adults, Experimental Physiology, 10.1113/expphysiol.2014.080960, 99:10, (1439-1448), Online publication date: 1-Oct-2014. Schroll S, Sériès F, Lewis K, Benjamin A, Escourrou P, Luigart R, Pfeifer M and Arzt M (2013) Acute haemodynamic effects of continuous positive airway pressure in awake patients with heart failure, Respirology, 10.1111/resp.12193, 19:1, (47-52), Online publication date: 1-Jan-2014. Morgan R, Ives S, Lesniewski L, Cawthon R, Andtbacka R, Noyes R, Richardson R and Donato A (2013) Age-related telomere uncapping is associated with cellular senescence and inflammation independent of telomere shortening in human arteries, American Journal of Physiology-Heart and Circulatory Physiology, 10.1152/ajpheart.00197.2013, 305:2, (H251-H258), Online publication date: 15-Jul-2013. Zeng W, Undurraga E, Nyberg C, Eisenberg D, Parida S, Zycherman A, Magvanjav O, Reyes-García V, Tanner S and Godoy R (2013) Sibling composition during childhood and adult blood pressure among native Amazonians in Bolivia, Economics & Human Biology, 10.1016/j.ehb.2012.08.002, 11:3, (391-400), Online publication date: 1-Jul-2013. Bellavia A, Urch B, Speck M, Brook R, Scott J, Albetti B, Behbod B, North M, Valeri L, Bertazzi P, Silverman F, Gold D and A. Baccarelli A (2013) DNA Hypomethylation, Ambient Particulate Matter, and Increased Blood Pressure: Findings From Controlled Human Exposure Experiments, Journal of the American Heart Association, 2:3, Online publication date: 20-May-2013. Quan L, Dong J, Li Y and Zuo L (2011) The effectiveness of intensive nursing care on seasonal variation of blood pressure in patients on peritoneal dialysis, Journal of Advanced Nursing, 10.1111/j.1365-2648.2011.05833.x, 68:6, (1267-1275), Online publication date: 1-Jun-2012. Ergör G, Soysal A, Sözmen K, Ünal B, Uçku R, Kılıç B, Günay T, Ergör A, Demiral Y, Saatlı G, Meseri R, Baydur H, Şimşek H, Budak R, Arık H and Karakuş N (2011) Balcova heart study: rationale and methodology of the Turkish cohort, International Journal of Public Health, 10.1007/s00038-011-0309-x, 57:3, (535-542), Online publication date: 1-Jun-2012. Baccarelli A, Barretta F, Dou C, Zhang X, McCracken J, Díaz A, Bertazzi P, Schwartz J, Wang S and Hou L (2011) Effects of particulate air pollution on blood pressure in a highly exposed population in Beijing, China: a repeated-measure study, Environmental Health, 10.1186/1476-069X-10-108, 10:1, Online publication date: 1-Dec-2011. Pickering T, Hall J, Appel L, Falkner B, Graves J, Hill M, Jones D, Kurtz T, Sheps S and Roccella E (2006) Response to Recommendations for Blood Pressure Measurement in Human and Experimental Animals; Part 1: Blood Pressure Measurement in Humans and Miscuffing: A Problem With New Guidelines: Addendum, Hypertension, 48:1, (e5-e6), Online publication date: 1-Jul-2006. July 2006Vol 48, Issue 1 Advertisement Article InformationMetrics https://doi.org/10.1161/01.HYP.0000229661.06235.08PMID: 16769991 Originally publishedJune 12, 2006 PDF download Advertisement SubjectsHypertension
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