Document Detail


Differences in blood pressure levels obtained by auscultatory and oscillometric methods.
MedLine Citation:
PMID:  2378339     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Levels of blood pressure measured by the conventional auscultatory method were compared with those measured by the Dinamap Monitor (Dinamap Monitor 1846 SX, Critikon Inc, Tampa, Fla), an oscillometric device. Triplicate measurements were obtained by the two methods 10 to 15 minutes apart in 381 seated fifth-grade children, ages 10 to 13 years. The width of the air bladder of the blood pressure cuff was selected to be 40% to 50% of the circumference of the upper arm. The mean systolic and diastolic pressures (at the fourth phase of Korotkoff sounds) by the auscultatory method were 6.4 mm Hg lower and 8.7 mm Hg higher than the oscillometric systolic and diastolic blood pressures, respectively. The findings of this study suggest that published normative levels of auscultatory blood pressure may be inappropriate as a standard when blood pressure measurement is obtained by the Dinamap Monitor. Until a new set of normative Dinamap blood pressure levels becomes available, one should use equations (A = 12.8 + 0.82D for systolic, and A = 34.3 + 0.54D for diastolic blood pressures at the fourth phase of Korotkoff sounds, where A is auscultatory blood pressure and D is Dinamap blood pressure) to predict auscultatory blood pressures before Dinamap blood pressures are compared with normative auscultatory blood pressure levels.
Authors:
M G Weaver; M K Park; D H Lee
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of diseases of children (1960)     Volume:  144     ISSN:  0002-922X     ISO Abbreviation:  Am. J. Dis. Child.     Publication Date:  1990 Aug 
Date Detail:
Created Date:  1990-09-06     Completed Date:  1990-09-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370471     Medline TA:  Am J Dis Child     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  911-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, University of Texas Health Science Center, San Antonio 78284.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Auscultation / standards*
Blood Pressure Determination / instrumentation,  methods*
Blood Pressure Monitors / standards*
Child
Evaluation Studies as Topic
Female
Humans
Male
Observer Variation
Oscillometry / instrumentation
Reproducibility of Results

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


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