Most Read Articles
29 Mar 2020
Targeting a low-density lipoprotein cholesterol level <70 mg/dL following an ischaemic stroke of atherosclerotic origin helps to avoid one in four subsequent major vascular events without increasing the risk of intracranial haemorrhage over about 5 years of follow-up, according to data from the Treat Stroke to Target trial.
Pearl Toh, 12 Sep 2020
Early initiation of rhythm-control therapy led to a significantly reduced risk of major adverse cardiovascular (CV) outcomes compared with usual care (typically rate control) in patients with newly diagnosed atrial fibrillation (AF) at risk of stroke, reveals the EAST-AFNET 4* trial presented at ESC 2020.
Audrey Abella, 16 Sep 2020
The final results of EVAPORATE* reinforce the plaque-regressing potential of icosapent ethyl (IPE) in patients on statins for elevated triglycerides.
01 Feb 2020
High-intensity statin therapy appears to be seeing increased use in patients with acute coronary syndrome and leads to better lipid control, according to a recent Thailand study.

How to measure BP: on a bare arm, over a sleeve, or below a rolled-up sleeve?

10 Sep 2020

Blood pressure (BP) measurement over a thin sleeve in the office appears to have no significant effect on recorded values, but BP measurement over a thick sleeve may result in a small overestimation, a study has found. Moreover, measuring BP over a thin sleeve must be preferred to rolling it up.

“Several guidelines call for BP measurement on a bare arm, which is not always easy,” the investigators said. “This systematic review aims to synthesize existing evidence concerning the effect of a sleeve on BP measurement.”

The databases of PubMed and Embase were searched for cross-sectional studies comparing BP values measured on a bare arm, over a sleeve, or below a rolled-up sleeve. Then, available data were used to carry out a meta-analysis.

Of the 13 studies selected from 720 references, 12 compared measurements on a bare arm and on a sleeve, four performed measurements below a rolled-up sleeve, with heterogeneous sleeve types and thicknesses. All studies reported BP values.

A high risk of bias was noted in most studies. Three studies had a small overestimation of BP measured over a sleeve, while the other 10 did not find statistically significant differences between measurements.

In meta-analysis, a nonsignificant 0.55-mm Hg (95 percent confidence interval [CI], –0.11 to 1.30; p=0.10) overestimation of systolic (S)BP was observed over a sleeve when the thinnest sleeve was considered for studies that investigated various thickness.

Additionally, there was a nonsignificant 1.10-mm Hg (95 percent CI, –0.21 to 2.40; p=0.10) overestimation of SBP when the thickest sleeve was considered and a nonsignificant 2.76-mm Hg (95 percent CI, –0.96 to 6.47; p=0.15) overestimation of SBP measured below a rolled-up sleeve.

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Most Read Articles
29 Mar 2020
Targeting a low-density lipoprotein cholesterol level <70 mg/dL following an ischaemic stroke of atherosclerotic origin helps to avoid one in four subsequent major vascular events without increasing the risk of intracranial haemorrhage over about 5 years of follow-up, according to data from the Treat Stroke to Target trial.
Pearl Toh, 12 Sep 2020
Early initiation of rhythm-control therapy led to a significantly reduced risk of major adverse cardiovascular (CV) outcomes compared with usual care (typically rate control) in patients with newly diagnosed atrial fibrillation (AF) at risk of stroke, reveals the EAST-AFNET 4* trial presented at ESC 2020.
Audrey Abella, 16 Sep 2020
The final results of EVAPORATE* reinforce the plaque-regressing potential of icosapent ethyl (IPE) in patients on statins for elevated triglycerides.
01 Feb 2020
High-intensity statin therapy appears to be seeing increased use in patients with acute coronary syndrome and leads to better lipid control, according to a recent Thailand study.