Blood Pressure Measurement
Blood pressure measurement is a non-invasive medical procedure used to assess the force of blood against the walls of arteries as it circulates throughout the body.
Methodology
The most common method of measuring blood pressure is by using a sphygmomanometer, which consists of an inflatable cuff and a gauge to measure pressure. The procedure involves:
- Wrapping the cuff around the upper arm, at heart level
- Inflating the cuff to a pressure higher than the expected systolic blood pressure
- Slowly deflating the cuff while listening with a stethoscope for the sounds of blood flow (Korotkov sounds)
- Recording the pressure at which the sounds first appear (systolic blood pressure) and disappear (diastolic blood pressure)
Types of Blood Pressure Measurements
There are several types of blood pressure measurements, including:
- Systolic blood pressure: the highest pressure in the arteries, occurring when the heart beats (contracts)
- Diastolic blood pressure: the lowest pressure in the arteries, occurring between heartbeats (when the heart relaxes)
- Pulse pressure: the difference between systolic and diastolic blood pressure
- Mean arterial pressure: the average pressure in the arteries throughout the cardiac cycle
Units of Measurement
Blood pressure is typically measured in millimeters of mercury (mmHg) or kilopascals (kPa).
Classification of Blood Pressure
The American Heart Association (AHA) classifies blood pressure into several categories, including:
- Normal blood pressure: less than 120/80 mmHg
- Elevated blood pressure: 120-129/80 mmHg
- Stage 1 hypertension: 130-139/80-89 mmHg
- Stage 2 hypertension: 140 or higher/90 or higher mmHg
Importance of Blood Pressure Measurement
Blood pressure measurement is an essential tool for diagnosing and managing cardiovascular diseases, such as hypertension, heart failure, and kidney disease. It can also help identify individuals at risk of developing these conditions.
Automated Blood Pressure Monitoring
Automated blood pressure monitors are electronic devices that use oscillometric or auscultatory methods to measure blood pressure. They are commonly used in clinical settings and for home monitoring.
Digital Blood Pressure Monitors
Digital blood pressure monitors use electronic sensors to measure blood pressure and display the results on a screen. They are often used for home monitoring and can provide accurate readings when used correctly.
Article last updated on: 6th June 2025.
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