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High blood pressure is a highly prevalent, modifiable cause of cardiovascular disease, stroke, and death. Accurate measurement of blood pressure is essential, since a measurement error of 5 mmHg may be a reason to incorrectly classify 84 million people worldwide as hypertensive. This position statement summarizes the procedures for
Optimize observer performance by measuring blood pressure in the office, with special attention to low- and middle-income settings, where this measurement is complicated by resource and time constraints, work overload, and lack of power supply. Many measurement errors can be minimized with proper patient preparation and the use of standardized techniques.
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To simplify measurement and prevent observer errors, validated semi-automatic or automatic cuff tensiometers should be used instead of the auscultation method. The distribution of tasks, the creation of a specific measurement area and the use of semi-automatic or solar charging devices can also help. It is essential to guarantee the initial and periodic training of the members of the
Health. The implementation of low-cost and easily accessible certification programs should be considered with the aim of improving blood pressure measurement.
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