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Volume 360:2034-2035 May 7, 2009 Number 19
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Blood-Pressure Measurement

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 by Williams, J. S.
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To the Editor: In their Video in Clinical Medicine and accompanying article, Williams et al. (Jan. 29 issue)1 omit an important step in blood-pressure measurement — the determination of orthostatic (postural) blood pressure. Although guidelines on this procedure are not consistent, it is generally recommended that orthostatic blood pressure be measured while the patient is in the standing position every minute during the first 3 minutes after he or she has been lying supine for 5 minutes.2 If the patient cannot stand for this period of time, the lowest systolic blood pressure should be recorded.

Orthostatic hypotension is a physical . . . [Full Text of this Article]




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