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Segmental blood pressure is used to measure actual limb blood pressure, to assess and locate arterial occlusion. On the legs, pressure is measured at the ankle, below the knee, above the knee, and mid-thigh. On the arm, measurements are taken at the wrist, below the elbow, above the elbow, and mid-upper arm. [1]
The ankle-brachial pressure index (ABPI) or ankle-brachial index (ABI) is the ratio of the blood pressure at the ankle to the blood pressure in the upper arm (brachium). Compared to the arm, lower blood pressure in the leg suggests blocked arteries due to peripheral artery disease (PAD).
The ABI is a simple, non-invasive test that measures the ratio of systolic blood pressure in the ankle to the systolic blood pressure in the upper arm. This is based on the idea that if blood pressure readings in the ankle are lower than those in the arm, a blockage in the arteries that provide blood from the heart to the ankle is suspected. [55]
For example, if a person’s actual blood pressure is 134, and blood pressure is measured on a dangling arm, the reading could end up over 140, which is considered to be stage 2 hypertension.
He also recommends having both feet on the ground and yours eyes closed during the reading. Regarding ideal numbers, the famous M.D. says: "Your blood pressure is supposed to be under 140 over 90 ...
When measuring blood pressure in the home, an accurate reading requires that one not drink coffee, smoke cigarettes, or engage in strenuous exercise for 30 minutes before taking the reading. A full bladder may have a small effect on blood pressure readings; if the urge to urinate arises, one should do so before the reading.
Aortic pressure, also called central aortic blood pressure, or central blood pressure, is the blood pressure at the root of the aorta. Elevated aortic pressure has been found to be a more accurate predictor of both cardiovascular events and mortality, as well as structural changes in the heart, than has peripheral blood pressure (such as ...
It is therefore recommended to palpate and auscultate when manually recording a patient's blood pressure. [3] Typically, the blood pressure obtained via palpation is around 10 mmHg lower than the pressure obtained via auscultation. In general, the examiner can avoid being confused by an auscultatory gap by always inflating a blood pressure cuff ...
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