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Department of Clinical and Experimental Medicine, University of Padua, Padua, Italy.

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nts stated by the 2002 IP, fulfilled the standards stated by the AAMI, and on the basis of the standards indicated by the 1993 modified BHS protocol, can be classified as 'A' grade both for SBP and DBP. Therefore, SunTech 247 may be recommended for clinical use, (ii) IP and BHS protocol provide complementary features for device validation; the comparison of total deviance and between-subject variance confirms the estimates of IP authors for SBP.

Vroegindeweij, D. Tielbeek, A V. Buth, J. van Kints, M J. Landman, G H. Mali, W P.

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<p>Supervising Foley Editor: Aran Tanchum</p>

Bias and variability in blood pressure measurement with ambulatory recorders.

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<p>Supervising Sound Editor: Craig Henighan, MPSE</p>

[Journal Article. Research Support, Non-U.S. Gov't. Validation Studies]

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Angeli F. Sardone M. Angeli E. Repaci S. Gattobigio R. Verdecchia P.

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BHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.

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A comparison of noninvasive blood pressure measurement on the wrist with invasive arterial blood pressure monitoring in patients undergoing bariatric surgery.

Mendes RB. Santos SF. Dorigo D. Mansoor GA. Crowley ST. White WB. Peixoto AJ.

Department of Internal Medicine A, Bnai Zion Medical Center and the Bruce Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.

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gmomanometers. Staff knowledge about manual devices was adequate as was their ability to accurately measure blood pressure using standardised videotape. Forty-two per cent of 31 nurses who completed the test were correct in 9 of 12 blood pressures. A comparison of this result with a comparable group of nurses tested in 1990 did not detect a significant change in competence. Direct evaluation of the commonly used Dinamap 8100 in 47 hospital patients demonstrated a poor correlation with a mercury sphygmomanometer with a D grade (fail) for systolic and a C grade for diastolic pressure. In summary, maintenance of manual sphygmomanometers was very poor, probably due to their lack of use by clinical staff. This was particularly true for units attached to bedside walls. Nursing staff demonstrated significant deficiencies in manual sphygmomanometer use although their skills were similar to those measured several years earlier. Because of the demonstrated inaccuracy of the Dinamap 8!

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<p>Supervising Music Editor: Sharyn Gersh</p>

BACKGROUND: It is clear that numerous factors influence an individual's blood pressure measurement. However, guidelines for accurately measuring blood pressure inconsistently specify that the patient should keep feet flat on the floor. OBJECTIVE: To determine if the crossing of a leg at the knee during blood pressure measurement has an effect on the patient's blood pressure reading. METHODS: A convenience sample of 100 hypertensive male subjects was selected from various outpatient clinics in an inner-city acute-care veterans' hospital. The first 50 subjects positioned their feet flat on the floor while their blood pressure was measured. After 3 minutes, the blood pressure was measured again with the subject's leg crossed at the knee. The procedure was reversed for the second 50 subjects. RESULTS: The results indicated that both systolic and diastolic blood pressure increased significantly (p 160/100 mmHg), the Profilomat II was less accurate in the high pressure range, achieving a D/C grading, and failed the AAMI criteria for systolic and diastolic blood pressures. The mean and standard deviation of the first mercury sphygmomanometer measurements !

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