جستجوی مقالات مرتبط با کلیدواژه « blood pressure measurement » در نشریات گروه « پزشکی »

Many people around the world suffer from hypertension which increases the risk of heart failure and mortality. But most cases are not interested in referring to medical centers to have their blood pressure checked. The aim of this study was to investigate the relationship between demographic and socioeconomic characteristics of attending Barzok Comprehensive Health Services Center for blood pressure measurement. The current cross-sectional study was performed in 76 hypertensive patients. Demographic and socioeconomic information was collected and compared based on referral to Barzok Comprehensive Health Services Center for blood pressure measurement. In this study, out of 76 cases, 10 patients (13.15%) referred to medical centers for blood pressure measurement, 66 cases (86.8%) did not go to medical centers. There was no statistically significant difference in gender and age between the two groups of patients (p>0.05). In addition, the two groups were similar in terms of education level, occupational status, smoking history, and family history of hypertension (P=0.824, P=0.492, P=0.233 and P=0.276, respectively). However, mean systolic blood pressure (118 ± 9.18 mmHg vs 140.55 ± 17.06 mmHg, P<0.001) and diastolic blood pressure (75 ± 8.49 mmHg vs 84.53 ± 8.62 mmHg, P=0.006) in the group of cases referred to Barzok medical center was significantly lower (better) than in cases who did not refer (p<0.05). People at  high risk for hypertension or those with hypertension regardless of their demographic or socio- economic characteristics or even where they live, should be trained  to  refer to comprehensive health service centers by creating motivation and insight.

Errors in blood pressure (BP) measurement are common in the clinical practice. Inaccurate measurements of BP may lead to misdiagnosis and inappropriate treatment of hypertension. The preferred method of BP measurement in the clinical setting is a scultation, using the first and the fifth Korotkoff sounds. However, the use of mercury sphygmomanometer is declining. Automated oscillometric devices are an acceptable alternative method of BP measurements if the proper cuff size is used. Aneroid devices are suitable, but they require frequent calibration. There is increasing evidence that home readings predict cardiovascular events and are particularly useful for monitoring the effects of treatment. At 24 h ambulatory monitoring is also useful for diagnosing white-coat hypertension and resistance hypertension. There is increasing evidence that lack of nocturnal BP dipping during the night may be associated with increased cardiovascular event. This report attempts to address the need for accurate BP measurements in children and adolescents by reducing human and equipment errors and providing clinicians with the accurate measurement of BP, which is essential to classify individuals, to ascertain BP-related CV risks and to guide management.