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DEFINITION
If Vd. suffers arterial hypertension (HTA), a necessary part of the treatment is to monitor the TA, what can be done at home, by means of devices called esfigmomanómetros.
There is esfigmomanómetros of many types, but in general they all include a bladder of inflatable gum included in a muff of cloth, and a system of measurement of pressure connected to this muff, be with a column of mercury or with a metallic system of diaphragm. The esfigmomanómetros complement each other with a normal phonendoscope, which can be included in the device or to be a separate element.
The tension take, one feel peacefully 5 minutes, without having smoked not even taken coffee and with the empty bladder.
- Put the left arm if it is skillful and vice versa at a height of the heart, supporting it in a table or the arm of the armchair.
- Put the muff about the naked arm, between the shoulder and the elbow.
- Place the bell of the phonendoscope in the flexura of the elbow, I joust below the muff of the esfigmomanómetro.
- Pump the pear with rapidity until the pressure reaches 30 mm Hg more of the awaited maxim.
- Deflate the muff slowly, doing that the pressure diminishes 2 to 3 mm Hg per second. Listen to the sound of the pulse as the pressure falls down. When the beat becomes audible, note down the pressure, which is the maximum TA or sistólica. Keep on deflating. When the beat stops being heard, note down again the pressure, which is the minimal or diastolic TA.
- Repeat the process at least once again to verify the readings.
At present they exist esfigmomanómetros electrnicos, ó more expensive but easier to use since they do not take phonendoscope. An electronic chip does the task of detecting the pulse, and a digital reader reads the TA. The reliability of these systems depends on variables that sometimes make his measurement difficult and as it they have errors. Care.
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