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Measuring Blood Pressure Accurately
New and Persistent Challenges
Daniel W. Jones, MD;
Lawrence J. Appel, MD, MPH;
Sheldon G. Sheps, MD;
Edward J. Roccella, PhD;
Claude Lenfant, MD
JAMA. 2003;289:1027-1030.
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High blood pressure is a major public health issue, affecting approximately 25% of US adults, or roughly 50 million Americans.1 The prevalence of high blood pressure increases dramatically with age, such that the lifetime risk of high blood pressure approaches 100%.2 Despite the availability of effective antihypertensive agents, rates of hypertension treatment and control have remained low and static over the last decade. Control of blood pressure begins with accurate measurement leading to appropriate diagnosis and treatment decisions.
For more than 100 years, clinicians and researchers have used the mercury sphygmomanometer, a simple, gravity-based instrument, for blood pressure measurement. Because of its accuracy and reliability, the mercury sphygmomanometer is generally regarded as the gold standard against which all other devices for blood pressure measurement should be compared.3
In recent years, . . . [Full Text of this Article] Blood Pressure Measurement
Author Affiliations: Department of Medicine, University of Mississippi Medical Center, Jackson (Dr Jones); Department of Epidemiology and International Health, Johns Hopkins Medical Institutions, Baltimore, Md (Dr Appel); Mayo Clinic, Rochester, Minn (Dr Sheps); and National Heart, Lung, and Blood Institute, Bethesda, Md (Drs Roccella and Lenfant).
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