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Recommendations for Blood Pressure Measurement in Humans 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
Open accessAbstract
Accurate measurement of blood pressure is essential to classify individuals, to ascertain blood pressure–related risk, and to guide management. The auscultatory technique with a trained observer and mercury sphygmomanometer continues to be the method of choice for measurement in the office, using the first and fifth phases of the Korotkoff sounds, including in pregnant women. The use of mercury is declining, and alternatives are needed. Aneroid devices are suitable, but they require frequent calibration. Hybrid devices that use electronic transducers instead of mercury have promise. The oscillometric method can be used for office measurement, but only devices independently validated according to standard protocols should be used, and individual calibration is recommended. They have the advantage of being able to take multiple measurements. Proper training of observers, positioning of the patient, and selection of cuff size are all essential. It is increasingly recognized that office measurements correlate poorly with blood pressure measured in other settings, and that they can be supplemented by self-measured readings taken with validated devices at home. There is increasing evidence that home readings predict cardiovascular events and are particularly useful for monitoring the effects of treatment. Twenty-four-hour ambulatory monitoring gives a better prediction of risk than office measurements and is useful for diagnosing white-coat hypertension. There is increasing evidence that a failure of blood pressure to fall during the night may be associated with increased risk. In obese patients and children, the use of an appropriate cuff size is of paramount importance.
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“Many studies utilized 24-hour (or 48-hour) ambulatory BP measurements, considered to be the most accurate method to diagnose hypertension and the best predictor of future cardiovascular risk.154”
From Treatment of Adult Obstructive Sleep Apnea With Positive Airway Pressure: An American Academy of Sleep Medicine Systematic Review, Meta-Analysis, and GRADE Assessment (2019) · cites this paper as [154]
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“Blood pressure recorded at each visit was the mean of two or more BP measurements obtained using the recommended measurement guidelines from the American Heart Association [22].”
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“As with best-practice measurement of BP under resting conditions, operators must follow a standardized protocol to measure exercise BP because deviation from recommended protocols will increase the likelihood of BP measurement error [49].”
From The Identification and Management of High Blood Pressure Using Exercise Blood Pressure: Current Evidence and Practical Guidance (2022) · cites this paper as [49]
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Cigarette smoking worsens systemic inflammation in persons with metabolic syndrome
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“Blood pressure (BP) was measured using a calibrated aneroid sphygmomanometer after at least 5 minutes rest and according to guidelines from the American Heart Association [18].”
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Measurements of arterial pressure and flow in vivo
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Metadata
- Authors
- Pickering, T. G., Hall, J. E., Appel, L. J., Falkner, B. E., Graves, J., Hill, M. N., Jones, D. W., Kurtz, T., Sheps, S. G., & Roccella, E. J.
- ORCID
- Venue
- Hypertension
- Published
- 2005-01
- Volume
- 45
- Issue
- 1
- Pages
- 142-161
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W2160801689
- Semantic Scholar
- cc608ac67b0966145e814f721be04e1b0f95eeb3
- Cited by
- 2,051
- References
- 226
- Citations by year
- 2026: 34 · 2025: 43 · 2024: 48 · 2023: 61 · 2022: 79 · 2021: 77 · 2020: 101 · 2019: 85 · 2018: 113 · 2017: 144 · 2016: 166 · 2015: 161 · 2014: 104 · 2013: 114 · 2012: 133
- FWCI
- 39.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Keywords
- blood pressure measurement, auscultatory method, Korotkoff sounds, mercury sphygmomanometer, aneroid sphygmomanometer, oscillometric method, home blood pressure monitoring, ambulatory blood pressure monitoring, white coat hypertension, cuff size, observer training, pregnant women, laboratory animals, hypertension risk prediction
- MeSH terms
- Adult, Aged, Animals, Auscultation, Automation, Blood Pressure Determination, Calibration, Cardiovascular Diseases, Child, Circadian Rhythm, Clinical Competence, Diagnostic Errors, Equipment Design, Female, Humans, Hypertension, Male, Middle Aged, Obesity, Organ Specificity, Oscillometry, Posture, Predictive Value of Tests, Pregnancy, Self Care, Stress, Psychological, Blood Pressure Monitors, Blood Pressure Monitoring, Ambulatory
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