The Influence of Different Positions and Korotkoff Sounds on the Blood Pressure Measurements in Pregnancy
作者:
Klas Wichman,
Gunnar Rydén,
Mette Wichman,
期刊:
Acta Obstetricia et Gynecologica Scandinavica
(WILEY Available online 1984)
卷期:
Volume 63,
issue S118
页码: 25-28
ISSN:0001-6349
年代: 1984
DOI:10.3109/00016348409157118
出版商: Blackwell Publishing Ltd
数据来源: WILEY
摘要:
Abstract.The influence of the patient's posture on the measurement of arterial blood pressure has been studied during pregnancy. The blood pressure (BP) measured on the right arm in the left lateral recumbent position is significantly lower than in the supine, sitting, or erect positions. This difference is assumed to be due to hydrostatic factors. The diastolic BP should be read off at Korotkoff IV because the hyperkinetic circulation during pregnancy causes a pronounced variation in BP values when measurements are performed at Korotkoff sound V. The roll‐over test seems inappropriate as a screening test to predict pre‐eclampsia, because of the numerous false‐positive tests. The importance of measuring the BP under standardized conditions during pregnancy in order to detect minimal changes in BP as indicative of pathophysiology in pre‐eclampsia is emp
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