Many self-measurement devices
of the blood pressure inflate the cuff up to 180 millimetres of mercury
and then deflate it gradually. If this pressure is lower than the systolic
blood pressure, then the device inflates the cuff again until the pressure
is above the systolic blood pressure.
Many self-measurement devices
of the blood pressure have a possibility of presetting the maximal level
of the pressure, such as 140, 170, 200 and 240 millimetres of mercury.
Thus, when the cuff inflates with 140 millimetres of mercury and that
the systolic blood pressure is 190 millimetres of mercury, the cuff inflates
again with 170 and then 200 millimetres of mercury.
The very sophisticated devices
inflate their cuff gradually, hears the noises at the level of the artery
at the same time and stop the inflation as soon as the blood pressure
measured by the device exceeds the systolic blood pressure.
10.3.2 - The deflating of
the cuff
The deflating must be very
meticulous in order not to make an error of measurement of the blood
pressure. If the deflating is too fast, the systolic blood pressure may
be underestimated whereas the diastolic blood pressure may be over-estimated.
The best self-measurement devices
use a deflating programmed at a speed of 2 millimetres of mercury per
second. Other devices use a deflating programmed on the heart pulsations,
but they are valid only when the patient heart rate is between 60 and
80 per minute.
10.3.3- Automatic measurement
Very often, the self-measurement
devices for blood pressure are automatic, i.e. the patient just has to
press on a button to begin the inflation. Many devices are even equipped
with a special program that can measure the blood pressure 3 times in
a row.