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1.The cuff is placed around the arm of the patient, when the cuff is inflated, the circulation in the artery is blocked temporarily, and when the cuff is deflated, sounds are generated because of the blood throbbing inside the artery.The cuff is placed around the upper arm and rapidly inflated to pressure 30 mmHg above the prospective systolic blood pressure, occluding the blood flow in the brachial artery.2.1 Auditory method This method usually employs a mercury column, an occlusive cuff, and a stethoscope.The principle of blood pressure measurement using this technique depends on the transmission of intra-arterial pulsations through the occluded arm.The oscillations on the arterial pressure are processed to establish an oscillometric curve to calculate the Both numbers automatically and display the result in the monitor.Then the cuff is deflated gradually while the detecting system, by means of a pressure sensor, detects the oscillometric signal step by step.The most common site for indirect measurement is the upper arm where the brachial artery is located, although many other sites may be used.When the sounds disappear, we have the diastolic pressure.2.


Original text


  1. Introduction
    High blood pressure, also called hypertension, is one of the main reasons for which people
    visit doctors; this suffering could have very serious consequences, even death.
    Before it was required a trained person to be able to measure the blood pressure of another
    person, because a mercury sphygmomanometer and a stethoscope were required, until the
    automated blood pressure monitors appeared.

  2. Noninvasive blood pressure measurement techniques
    The indirect measurement is also called noninvasive measurement because the body is not
    invaded in the process. The most common site for indirect measurement is the upper arm
    where the brachial artery is located, although many other sites may be used. The most
    commonly used indirect methods are the auscultation and oscillometry, explained below.
    2.1 Auditory method
    This method usually employs a mercury column, an occlusive cuff, and a stethoscope. The
    cuff is placed around the arm of the patient, when the cuff is inflated, the circulation in the
    artery is blocked temporarily, and when the cuff is deflated, sounds are generated because
    of the blood throbbing inside the artery.
    These sounds are monitored with a stethoscope placed on the brachial artery (Korotkoff
    sounds). When the first sound is heard, the blood pressure is verified in the meter: this is the
    systolic blood pressure, considered equal to the pumping pressure. When the sounds
    disappear, we have the diastolic pressure. This is the pressure in the arteries when the heart
    relaxes between pulses.
    The highest number or the strongest sound is when the blood flows. Both numbers are
    important.
    2.2 Oscillometric method
    Electronic pressure monitors based on oscillometry have become popular in recent years
    due to their simplicity of use.
    The principle of blood pressure measurement using this technique depends on the
    transmission of intra-arterial pulsations through the occluded arm. The cuff is placed around
    the upper arm and rapidly inflated to pressure 30 mmHg above the prospective systolic
    blood pressure, occluding the blood flow in the brachial artery. Then the cuff is deflated
    gradually while the detecting system, by means of a pressure sensor, detects the
    oscillometric signal step by step. The oscillations on the arterial pressure are processed to
    establish an oscillometric curve to calculate the Both numbers automatically and display the
    result in the monitor.


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