Document Detail

The diastolic debate: is it time to discard Korotkoff phase IV in favour of phase V for blood pressure measurements in pregnancy?
MedLine Citation:
PMID:  9734579     Owner:  NLM     Status:  MEDLINE    
Current guidelines recommend using Korotkoff phase IV for measuring diastolic blood pressure in pregnant women. However, phase IV does not approximate "true" blood pressure as closely as phase V, is more difficult to detect, and has limited reproducibility. Many practitioners use phase V despite the guidelines. Universal adoption of phase V would improve the reliability of blood pressure measurements.
S P Walker; J R Higgins; S P Brennecke
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  169     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-09-16     Completed Date:  1998-09-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  203-5     Citation Subset:  IM    
Department of Perinatal Medicine, Royal Women's Hospital, Melbourne, VIC.
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MeSH Terms
Blood Pressure / physiology*
Blood Pressure Determination / methods*
Diastole / physiology*
Hypertension / diagnosis,  physiopathology
Pre-Eclampsia / diagnosis,  physiopathology
Pregnancy / physiology*
Reference Values
Sensitivity and Specificity

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