全部 标题 作者
关键词 摘要


Mercury versus Oscillometric Device in Measuring Blood Pressure in Elderly: Which Is Authentic?

DOI: 10.4236/oalib.1104353, PP. 1-7

Subject Areas: Public Health, Cardiology, Geriatrics

Keywords: Oscillometric, Blood Pressure, Elderly Mercury, Sphygmomanometer

Full-Text   Cite this paper   Add to My Lib

Abstract

Aim: To compare the systolic and diastolic blood pressure in both arms in elderly patients by mercury sphygmomanometer and oscillometric recorders adopting standard practice of measuring blood pressure. Materials and methods: It is a cross sectional study done in 204 elderly patients aged more than 60 years over a period of two months at teaching hospital, Jaffna, Sri Lanka. Blood pressure was measured in both arms by both devices adopting the standard practice of blood pressure measurements. Results: The mean Systolic Blood Pressure (SBP) by oscillometric recorder on both right and left arm was 4.18mmHg and 3.66 mmHg higher than mercury sphygmomanometer readings. The mean Diastolic Blood Pressure (DBP) by oscillometric recorder on both right arm and left arm was 1.67 and 1.64 mmHg lower than mercury sphygmomanometer readings. There wasn’t any significant difference in inter arm blood pressure measurement. The study group consisted of 54.3% males and 45.7% of females. The mean age of the study group was 69.46 years. Conclusion: Though there is no much difference observed in the gross values in reading the blood pressure by both oscillometric recorders and mercury sphygmomanometers, there is statistically significant discrepancy in blood pressure readings particularly in the elderly population which needs to be studied further in detail.

Cite this paper

Sujanitha, V. , Kumanan, T. , Guruparan, M. and Inthuja, T. (2018). Mercury versus Oscillometric Device in Measuring Blood Pressure in Elderly: Which Is Authentic?. Open Access Library Journal, 5, e4353. doi: http://dx.doi.org/10.4236/oalib.1104353.

References

[1]  Wijewardene, K., Mohideen, M.R., Mendis, S., et al. (2005) Prevalence of Hypertension, Diabetes and Obesity: Baseline Findings of a Population Based Survey in Four Provinces in Sri Lanka. Ceylon Medical Journal, 50, 62-70.
https://doi.org/10.4038/cmj.v50i2.1571
[2]  Katulanda, P., Ranasinghe, P., Jayawardena, R., et al. (2014) The Prevalence, Predictors and Associations of Hypertension in Sri Lanka: A Cross-Sectional Population Based National Survey. Clinical and Experimental Hypertension, 36, 484-491.
https://doi.org/10.3109/10641963.2013.863321
[3]  Kasturiratne, A., Pinidiyapathirage, M.J., Pathmeswaran, A., et al. (2011) Epidemiology of Hypertension in an Urban Population of Sri Lanka. Ceylon Medical Journal, 65, 256.
[4]  Qaseem, A., Wilt, T.J., Rich, R., et al. (2017) Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older to Higher versus Lower Blood Pressure Targets: A Clinical Practice Guideline From the American College of Physicians and the American Academy of Family Physicians. Annals of Internal Medicine, 166, 430-437. https://doi.org/10.7326/M16-1785
[5]  Bliziotis, I.A., Destounis, A. and Stergiou, G.S. (2012) Home versus Ambulatory and Office Blood Pressure in Predicting Target Organ Damage in Hypertension: A Systematic Review and Meta-Analysis. Journal of Hypertension, 30, 1289-1299.
https://doi.org/10.1097/HJH.0b013e3283531eaf
[6]  Hodgkinson, J., Mant, J., Martin, U., et al. (2011) Relative Effectiveness of Clinic and Home Blood Pressure Monitoring Compared with Ambulatory Blood Pressure Monitoring in Diagnosis of Hypertension: Systematic Review. British Medical Journal, 342, d3621.
https://doi.org/10.1136/bmj.d3621
[7]  Rustagi, N. and Singh, R. (2010) Mercury and Health Care. Indian Journal of Occupational and Environmental Medicine, 14, 45-48.
https://doi.org/10.4103/0019-5278.72240
[8]  Shah, A.S. (2012) Comparison of Mercury and Aneroid Blood Pressure Measurement in Youth. Paediatrics, 29, 1205-1210.
https://doi.org/10.1542/peds.2011-3087
[9]  Canzanello, V.J., Jensen, P.L. and Schwartz, G.L. (2001) Are Aneroid Sphyg-momanometers Accurate in Hospital and Clinic Setting. Archives of Internal Medicine, 161, 729-731.
https://doi.org/10.1001/archinte.161.5.729
[10]  Pickering, T.G., Hall, J.E., Appel, L., et al. (2005) Recommendations for Blood Pressure Measurement in Humans and Experimental Animals. Hypertension, 45, 142-161.
https://doi.org/10.1161/01.HYP.0000150859.47929.8e
[11]  Sahu, D. and Bhaskaran, M. (2010) Palpatory Method of Measuring Diastolic Blood Pressure. Journal of Anaesthesiology Clinical Pharmacology, 26, 528-530.
[12]  Pickering, T.G. (2003) What Will Replace the Mercury Sphygmomanometer? Blood Pressure Monitoring, 8, 23-25.
https://doi.org/10.1097/00126097-200302000-00005
[13]  Varughese, G.I. and Lip, G.Y.H. (2005) Good Bye Mercury? Blood Pressure Measurement and Its Future. Journal of the Royal Society of Medicine, 98, 89-90.
https://doi.org/10.1177/014107680509800301
[14]  Pinto, E. (2007) Blood Pressure and Ageing. Postgraduate Medical Journal, 83, 109-114.
https://doi.org/10.1136/pgmj.2006.048371
[15]  Ravishi, C. and Messerli, G. (2016) Isolated Systolic Hypertension: An Update after SPRINT. American Journal of Medicine, 129, 1251-1258.
https://doi.org/10.1016/j.amjmed.2016.08.032
[16]  Bavishi, C., Bangalore, S., Messerli, F.H. (2017) Outcomes of Intensive Blood Pressure Lowering in Older Hypertensive Patients. Journal of the American College of Cardiology, 69, 486-493.
https://doi.org/10.1016/j.jacc.2016.10.077
[17]  Shahbabu, B., Dasgupta, A., Sarkar, K. and Sahoo, S.K. (2016) Which Is More Accurate in Measuring the Blood Pressure? A Digital or an Aneroid Sphygmomanometer. Journal of Clinical and Diagnostic Research, 10, 11-14.
[18]  Orme, S., Ralph, S.G., Birchall, A., et al. (1999) The Normal Range for Inter-Arm Differences in Blood Pressure. Age Ageing, 28, 537-542.
https://doi.org/10.1093/ageing/28.6.537
[19]  Sharma, B. and Ramawat, P. (2016) Prevalence of Inter-Arm Blood Pressure Difference among Clinical Out-Patients. Journal of Environmental Research and Public Health, 10, 229-237.

Full-Text


comments powered by Disqus