Hypertension Research
Online ISSN : 1348-4214
Print ISSN : 0916-9636
ISSN-L : 0916-9636
Clinical studies
A New Double Cuff Sphygmotonometer for Accurate Blood Pressure Measurement
Osamu TOCHIKUBOJunko WATANABEKouichi HANADAEiji MIYAJIMAKazuo KIMURA
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2001 Volume 24 Issue 4 Pages 353-357

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Abstract

Accurate measurement of blood pressure (BP) is essential in the diagnosis and treatment of hypertension, but neither auscultatory nor oscillometric methods measure intra-arterial BP accurately in all circumstances. Algorithms for automatic BP-measuring devices differ from manufacturer to manufacturer, and no clear authorized algorithm criteria have yet been established. We have devised a double-cuff sphygmotonometer to measure BP on the basis of clear algorithms, and investigated the accuracy of this new method by comparing it with the photo-oscillometric method, which is the most accurate method for non-invasive measurement of intra-arterial BP. In the new method, a small cuff (3×6 cm) replaces the photo-sensor in the brachial cuff (13×24 cm) of the photo-oscillometric device, and BP is determined by means of the oscillation within the small cuff. The comparison based on procedures of AAMI-protocol was performed in 136 hypertensive patients and 54 normotensive subjects. The difference in systolic BP between the photo-oscillometric and double-cuff methods was −2.26±2.31 mmHg (89% under 5 mmHg), and the corresponding difference in diastolic BP was 1.9±2.50 mmHg (94% under 5 mmHg). In conclusion, we have devised a new double-cuff method which improves on the photo-oscillometric method, and although it seems to be less accurate than the photo-oscillometric method, the clarity of its algorithm makes it superior to the conventional oscillometric and auscultatory methods employing only one cuff. (Hypertens Res 2001; 24: 353-357)

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© 2001 by the Japanese Society of Hypertension
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