Laryngorhinootologie 2006; 85(11): 794-795
DOI: 10.1055/s-2006-954445
Tipps & Tricks

© Georg Thieme Verlag KG Stuttgart · New York

Problemfälle bei der Blutdruckmessung in der HNO-Praxis: Patienten mit zu dickem Arm

Oversized Patient Arms: A Problem with Blood Pressure Measurements in the ENT-Practice
Further Information

Publication History

Publication Date:
06 November 2006 (online)

 

Summary

The increase in the worldwide prevalence of obesity systematically leads to a higher number of individuals who may be wrongly diagnosed as hypertensive because their arms are too large for standard blood pressure cuffs, which are ordinarily appropriate in patients with normal sized arms. We found however, that 97,8% of patients with an oversized upper arm had a normal sized wrist, appropriate to the most wrist blood measurement devices. The availability of a wrist blood measurement device seems therefore a good recommendation for every practice, to grant correct blood pressure readings also in patients with oversized arms.

Key words

Blood pressure measurement, large arm circumference, wrist blood measurement devices

Literatur

  • 01 Meyer F . Zu Unrecht zum Hypertoniker gemacht: Der teuflische Oberarm.  Allgemeinarzt. 2006;  10 16-17
  • 02 O’Brien E . Asmar R . et al . European Society of Hypertension recommendations for conventional ambulatory and home blood pressure measurement.  J Hypertens. 2003;  21 821-848
  • 03 Meyer F . Meyer Th . Klein R . Qualitätssicherung der Blutdruckmessung: Problemfall "Dicker Arm".  Z Allg Med. 2004;  9 393-394
  • 04 Patyna WD . Börsch B . Patyna M . et al . Informationsdefizite bei der Blutdruck-Selbstmessung.  Dtsch Med Wochenschr. 2004;  129 2466-2469
  • 05 Deutsche Hochdruckliga. Leitlinien für die Prävention, Erkennung, Diagnostik und Therapie der arteriellen Hypertonie. AWMF-Leitlinien-Register Nr. 046/001, 2003. 
    >