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Measuring BP accurately and assessing BP in each individual patient in all
different situations has always been challenging to the physician partly because
it requires the physician's extra time and interest and effort in spite of his busy schedule.
Doctors nowadays are more and more dependent upon their nurses and physician assistants
and no longer carry physician bag or BP cuff and do not bother taking BP themselves.
They usually go by what their nurse or PA reports, more routinely in the hospital, perhaps.
This article reviews quite thoroughly the complexity of the principles and techniques of
bp measurements.
If it is challenging to me who practiced Cardiology 43 years, you can imagine what might be
happening to all the patients out there in the real world. Of course, what I am concerned about is
that so many patients suffer unnecessarily because many of them are either overtreated or
undertreated unwittingly because of inaccurate assessments of their BP.
I put this article on this page for my retired alumni as I treat my own hypertension over the years.
When I replaced my old BP cuff with a new one today, the new one registered systolic BP 20 mmHg higher
because the rubber bladder length was one inch shorter than the old one although both cuffs, old and new,
are for a standard adult size. I had to order large adult size and plan to continue to investigate why
there was such a significant difference. There is a table 1 in the article which you may enlarge by clicking
that shows recommended the cuff sizes depending upon the arm circumferences.