Document Detail

Arm position and blood pressure: an audit.
MedLine Citation:
PMID:  15151677     Owner:  NLM     Status:  MEDLINE    
Although arm position significantly alters blood pressure, this aspect of clinical behaviour has not been evaluated. Consequently, an audit of arm position preference involving 182 clinicians including physicians, general practitioners and nurses was performed. A marked variation in standing and sitting arm position preference, both between and within the three groups, was recorded, although approximately two-thirds of clinicians preferred the same arm position in the standing and sitting position. In particular, only 8 and 4% of clinicians chose the horizontal arm position in sitting and standing subjects, respectively. Choosing the dependent arm is a behaviour likely to lead to the overdiagnosis of hypertension and inappropriate treatment of hypertension because the dependent arm falsely elevates both systolic and diastolic blood pressure. These results should encourage national and international organizations to reaffirm the importance of the horizontal arm in the measurement of blood pressure.
A Mourad; S Carney
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Internal medicine journal     Volume:  34     ISSN:  1444-0903     ISO Abbreviation:  Intern Med J     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-05-20     Completed Date:  2004-09-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  101092952     Medline TA:  Intern Med J     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  290-1     Citation Subset:  IM    
Department of Nephrology, John Hunter Hospital, Newcastle, New South Wales, Australia.
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MeSH Terms
Blood Pressure*
Blood Pressure Determination / methods*
Diagnosis, Differential
Hypertension / diagnosis*,  physiopathology
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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