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Pitfalls of Cuff Size and Blood Pressure Measurement-Reply

Authors:
Ishigami J, Appel LJ, Brady TM
Journal:
JAMA Internal Medicine
Summary:

In Reply Accurate measurement of blood pressure (BP) is central to the diagnosis and treatment of hypertension. Hypertension guidelines detail the procedural steps that are essential to obtaining accurate BP measurements,1 including implementing the appropriate rest time prior to measurement; back, arm, and feet support; cuff placement at heart level; and use of an appropriate cuff size. In our study,2 we rigorously tested the effects on BP accuracy of not adhering to 1 of these recommended steps, namely, the use of an appropriately sized cuff.