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Randomised controlled trial
Automated blood pressure readings in primary care demonstrate better correlation to the gold standard of ambulatory monitoring than manual assessment
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  • Published on:
    Accurate, but is it patient-centred?

    Although the accuracy of a mercury sphygmomanometer can be debated, automatic and semi-automatic devices which inflate the cuff often do so to well above the systolic pressure and can cause patients considerable discomfort even when an appropriate cuff size has been used. These devices frequently re-inflate for a variety of reasons, but out of control of the operator who is waiting for a reading.

    Anecdotally, I...

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    Conflict of Interest:
    None declared.
  • Published on:
    Do not discard your mercury sphygmomanometers, yet.

    It would not be surprising to find that the "error" rate in blood pressure determinations with the "old fashioned" sphygmomanometer was due, in part, to a faulty technique by the individuals taking the blood pressures. Remarkably, little or no time is spent in teaching medical students the proper technique for blood pressure determination including the appropriate cuff size to use, the various audible phases, etc. One ca...

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    Conflict of Interest:
    None declared.