Automatic blood pressure monitor vs manual

Our study shows that systolic readings from a previously validated device are not reliable when used in the ED. Secondly, if the blood pressure is measured for the right arm then there is a higher chance of an accurate reading. Lastly, even validated devices show great variability and low precision when they are used outside validation setting.

Thus the role of automated blood pressure monitors should be evaluated for their use in the emergency departments. Awareness needs to be spread amongst physicians that there is a higher level of discrepancy when using these devices on hypertensive patients. Researchers are required to test aneroid blood pressure monitors and there is an urgent need for developing low cost but reliable automated blood pressure devices so that the transition of banning mercury sphygmomanometers is smooth.

Competing Interests: The authors have declared that no competing interests exist. National Center for Biotechnology Information , U. Published online Jul Kanaan Mansoor 1 Dr. Gul Ahuja 1 Dr. Sara Shahnawaz 1 Dr. Author information Article notes Copyright and License information Disclaimer.

Ziauddin University Hospital, Karachi, Pakistan. Ziauddin Hospital. E-mail: moc. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

This article has been cited by other articles in PMC. 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.

Keywords: Sphygmomanometers, Automated oscillometer, blood pressure. Introduction One of the most common medical tests done on thousands of patients every day is a blood pressure measurement. Subjects and Methods The study was conducted at a tertiary care hospital in Karachi, Pakistan. Results The Emergency Department is one of the most vital departments in the hospital. Open in a separate window.

Figure 1. Figure 2. Table 1 Differences between manual and electronic readings for the three groups. Table 2 Differences in measurements between the left arm and the right arm.

Right Arm N Mean Std. Deviation Difference in Systolic 7. Deviation Difference in Systolic 98 9. Table 3 Differences in systolic and diastolic blood pressure. Discussion While some studies clearly favour oscillometric devices [ 17 ], others argue that auscultatory measurements are comparatively more accurate [ 18 ].

Footnotes Competing Interests: The authors have declared that no competing interests exist. References 1. Measurement of blood pressure: new developments and challenges. Blood pressure. Abboud H, Henrich WL. Stage IV chronic kidney disease. N Engl J Med. Less atherosclerosis and lower blood pressure for a meaningful life perspective with more brain.

Faruqui A. Hypertension in Pakistan: What are we going to do about it? Pakistan Heart Journal. Blood pressure in Canadian adults.

Health Rep. International Society of Hypertension Global burden of blood-pressure-related disease Reeves RA. Does this patient have hypertension? How to measure blood pressure. Ogedegbe G, Pickering T. Principles and techniques of blood pressure measurement. Cardiology Clinics. Has conventional sphygmomanometry ended with the banning of mercury? There are two main methods for checking your blood pressure, and one of them is the manual way.

For that, you will need two tools: a sphygmomanometer and a stethoscope. Taking your own blood pressure can be complicated, in the sense that the arm which is used for measuring the pressure will be occupied and sits in a fix position. The cardioset heart monitoring device was used for measuring BP and mercury sphygmomanometer with appropriate cuffs was used for manual method.

Then, the mean BP of two methods was compared based on different age, sex, weight, and disease findings. The mean systolic blood pressure SBP was The results of this study suggested that manual method in measurement of BP frequently shows higher BP, especially in patients admitted to hospitals-affecting up to 15 mmHg higher, and this discrepancy is more in critical situations.

Accuracy of blood pressure BP measurement in clinical settings is one of the most concerns despite of considerable promotion in measurement techniques. Recent studies demonstrate that an accurate BP measurement requires at least 14 minutes, including a period of rest and a conversation between physician and patient to reduce the white coat anxiety 3 , 4 which had low likelihood in routine clinics.

This may lead to overestimate BP in healthy individuals. In recognizing the concerns about manual office blood pressure MOBP measurement, new techniques have been recommended.

Proposals for improve assessment of BP status include greater reliance on home and 24 hours ambulatory BP monitoring. Suokhrie et al. In another study performed by Myers et al. We sought to evaluate the difference between automated and manual BP measurement in various clinical conditions among our patients over a 1-year period. This cross-sectional study was conducted in Shariati Hospital of Isfahan, center of Iran, from August to December Patients hospitalized in intensive care unit ICU and coronary care unit CCU and emergency department were enrolled to study.

Totally, patients in ICU, CCU, and emergency department who had been hospitalized for different chief complaint had considered for the study. Eight patients refused consent for entering the study, so the study accomplished with patients.

Standardized questionnaire was used to obtain the information of alcohol consumption, smoking, and medications status. The cardioset heart monitoring device was used for measuring BP with noninvasive BP cuff.

Meanwhile, BPs were measured manually, by an adult size cuff and standard sphygmomanometer. In manual method of measurement, appropriate cuff was chosen.

Intraclass correlation coefficient evaluated agreement between automated and manual BP measurements. During the enrollment period, adults were seen in the CCU, ICU, and emergency department, and agreed to participate in our study.

The mean age of patients was A total of The mean difference between SBP was 3. Mean difference of DBP in female was 4. Mean difference of SBP was 8. Search for:. Home Fredericton Cvs premium automatic blood pressure monitor manual. Fredericton January 11, 0. Post navigation Previous Article Cushman titan hd parts manual. Next Article Cyberlink photo director user manual.