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Blood Pressure Cuff Bladders Tailored For Koreans
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 Title & Authors
Blood Pressure Cuff Bladders Tailored For Koreans
Hwang, Lark Hoon; Park, Woo Sung; Na, Seung Kwon;
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 Abstract
Hypertension is one of the most common clinical diseases, with an increasing prevalence globally. Hypertension triggers various harmful consequences and affects multiple organs. Life-long care may be required in some cases. According to the Korea Center for Disease Control and Prevention, the prevalence of hypertension is gradually increasing. A 2011 survey revealed that 28.9% of Korean adults had hypertension. The prevalence rates were slightly higher among men than women. Accurate measurement of blood pressure(BP) is crucial to classify patients, to identify BP-related risks, and to inform correct treatment. For accurate blood pressure measurement, the use of a cuff bladder size appropriate for the mid-upper arm circumference(MUAC) is essential. Incorrect sized cuff bladder is one of the main causes of equipment error affecting sphygmomanometer accuracy. When commercial sphygmomanometers were examined, the cuff bladders differed from the dimensions specified in the ISO 81060-1:2007 standards. Undercuffing is responsible for a spurious overestimation of BP in patients with large arms leading to overdiagnosis of hypertension, whereas overcuffing (that is, use of relatively large cuffs with small arms), may be responsible for an opposite problem, leading to erroneous underestimation of BP levels. The cuff bladder sizes recommended by the American Heart Association(AHA) are an arm circumference(AC) of 17-25 cm for small-sized adults, AC of 24-32 cm for adults, AC of 32-42 cm for normal-sized adults, and AC of 42-50 cm for obese adults. In contrast, the AC of Korean adults ranges from 23-31 cm, belonging to a single type of adult bladder. Three types of bladders are necessary for Korean adults with an AC of 23-31cm. Hospitals often use one or two differently-sized Western cuffs for adult patients, which can yield inaccurate BP determinations. Cuff bladders with dimensions based on anthropometric reference data obtained from Koreans will aid hospitals to measure BP more accurately.
 Keywords
arm circumference;blood pressure;hypertension;sphygmomanometer;cuff bladder;
 Language
English
 Cited by
1.
NIBP cuff 사이즈에 따른 정확한 혈압측정에 대한 실험적 연구,강병욱;이태연;신준;

한국기계기술학회지, 2015. vol.17. 5, pp.859-864 crossref(new window)
 References
1.
B. Mishra, N. D. Sinha, H. Gidwani, S. K Shukla, A. Kawatra, and S. Mehta, "Equipment errors: a prevalent cause for fallacy in blood pressure recording - a point prevalence estimate from an Indian health university," Indian J. Community Med., vol. 38, no. 1, pp. 15-21, Jan. 2013. crossref(new window)

2.
Working Group@ World Federation of Public Health Associations, World's Governments Agree to a 2020 Phase Out Date for the Clinical use of Mecury Thermometers and Blood Pressure Devices With Few Exceptions and Phase Down of the Use of Mercury in Dental Restoration(2013), Retrieved May 20, 2013, from http://www.wfpha.org/tl_files/doc/

3.
E. O'Brien, 4 Measurement of blood pressure-Part I Aspects of measurement of blood pressure common to technique and patient(2006), Retrieved May 25, 2013, from http://www.eoinobrien.org/wp-content/uploads/ 2008/01/19chapter-4-measurement-of-blood-pre ssurepart-i.pdf

4.
M. J. Karvonen, "Effect of sphygmomanometer cuff size on blood pressure measurement," Bulletin of the World Health Organization, vol 27, no. 6, pp. 805-808, Feb. 1962.

5.
American Heart Association, Standardization of blood pressure readings; joint recommendations of the American heart association and the Cardiac society of Great Britain and Ireland, Am Heart Jour 1939; 17:95-101.

6.
J. Bordley III, C. A. Connor, W. F. Hammilton, W. J. Kerr, and C. J. Wiggers, "Recommendations for buman blood pressure determinations by sphygmomanometers," Circulation, vol. 4, no. 4, pp. 503-509, Oct. 1951. crossref(new window)

7.
E. D. Frolich, C. Grim, D. R. Labarthe, M. H. Maxwell, D. Perloff, and W. H. Weidman, "Recommendations for human blood pressure determinations by sphygmomanometers: report of a special task force appointed by the steering committee, American Heart Association," Hypertension, vol. 11, no. 77(2):501A- 514A, pp. 209A-222A, Feb. 1988.

8.
O. Gomez-Marin, R. J. Prineas, and L. Rastam, "Cuff bladder width and blood pressure measurement in children adolescents," Hypertension, vol. 10, no. 10, pp. 1235-1241, Oct. 1992. crossref(new window)

9.
D. Perloff, C. Grim, J. Flack, E. D. Frohlich, M. Hill, M. McDonald, B. Z. Morgenstern, "Human blood pressure determination by sphygmomanometry," Circulation, vol. 88. no. 5 Pt. 1, pp. 2460-2470, Nov. 1993. crossref(new window)

10.
T. G. Pickering, J. E. Hall, L. J. Appel, B. E. Falkner, J. Graves, M. N. Hill, D. W. Jones, T. Kurtz, S. G. Sheps, and E. J. Roccela, "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," Circulation, vol. 111, no. 5, pp. 697-716, Feb. 2005. crossref(new window)

11.
E. O'Brien, R. Asmar, L. Beilin, Y. Imai, J. M. Mallion, G. Mancia, et al., "European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement," Hypertension, vol. 21, no. 5, pp. 821-848, May 2003. crossref(new window)

12.
Organisation Internationale De Metrologie Legale(OIML), Non-invasive mechanical Sphygmomanometers, OIML R 16-1, Ed. 2002(E), 2002.

13.
M. H. Maxwell, A. U Waks, P. C. Schroth, M. Karam, and L. P. Dornfeld, "Error in blood pressure measurement due to incorrect cuff size in obese patients," Lancet, vol. 320, no. 8288, pp. 33-36, July 1982. crossref(new window)

14.
American Society of Hypertension, "Recommendations for routine blood pressure measurement by indirect cuff sphygmomanometry," Amer. J. Hypertension, vol. 5, no. 4 Pt. 1, pp. 207-209, Apr. 1992. crossref(new window)

15.
B. Williams et al., "Guidelines for the management of hypertension: report of the fourth working party of the British Hypertension Society, 2004-BHS IV," J. Hum. Hypertension, vol 18, no. 3, pp. 139-185, Mar. 2004. crossref(new window)

16.
M. J. Burke, H. M. Towers, K. O'Malley, D. J. Fitzgerald, and E. T. O'Brien, "Sphygmomanometers in hospital and family practice: problems and recommendations," British Medial J., vol. 285, no. 6340, pp. 469-471, Aug. 1982. crossref(new window)

17.
E. O'Brien, T. Pickering, R. Asmar, M. Myers, G. Parati, J. Staessen, T. Mengden, Y. Imai, B. Waeber, P. Palatini, W. Gerin, et al., "Working Group on Blood Pressure Monitoring of the European Society of Hypertension International Protocol for validation of blood pressure measuring devices in adults," Blood Pressure Monitoring, vol. 7, no. 1, pp. 3-17, Feb. 2002. crossref(new window)

18.
Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR), Mercury Sphygmomanometers in Healthcare and the Feasibility of Alternatives(2009), Retrieved May 25, 2013, from http://ec.europa.eu/health /ph_risk/committees/04_scenihr/docs/scenihr_o _025.pdf.