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A minimum systolic value can be roughly estimated by palpation, most often used in emergency situations, but should be used with caution. [10] It has been estimated that, using 50% percentiles, carotid, femoral and radial pulses are present in patients with a systolic blood pressure > 70 mmHg, carotid and femoral pulses alone in patients with systolic blood pressure of > 50 mmHg, and only a ...
A sphygmomanometer (/ ˌ s f ɪ ɡ m oʊ m ə ˈ n ɒ m ɪ t ə r / SFIG-moh-mə-NO-mi-tər), also known as a blood pressure monitor, or blood pressure gauge, is a device used to measure blood pressure, composed of an inflatable cuff to collapse and then release the artery under the cuff in a controlled manner, [1] and a mercury or aneroid manometer to measure the pressure.
[49] [56] According to the 2017 [57] American Heart Association blood pressure guidelines state that a systolic blood pressure of 130–139 mmHg with a diastolic pressure of 80–89 mmHg is "stage one hypertension". [49] For those with heart valve regurgitation, a change in its severity may be associated with a change in diastolic pressure.
The size of the blood pressure cuff is determined by the size of the child's arm or leg. The width of the bladder cuff is two-thirds of the length of the long bone of the extremity on which the blood pressure is taken and the length of the bladder cuff should be about three-fourths the circumference and should not overlap. [18]
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 to 20-40 mmHg higher than the pressure required to occlude the brachial pulse. [4] [5]
Guideline Population Goal blood pressure (mmHg) Initial treatment options ESC 2024 [2] General 120–129/70–79 BP >140/90: Two from different classes: preferably RAS-inhibitor (ACEI or ARB) with either thiazide diuretic/thiazide-like diuretic or dihydropyridine CCB. ESH 2023 [3] General age <65 General age 65–79 General age ≥80 <130/80 ...
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