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He built an unwieldy device, the "cardio-pneumo-psychograph," which used a standard cuff to measure blood pressure, and a rubber hose wrapped around the subject's chest to measure his breathing.
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During inclusion in the 3C study, BP was measured twice after 5 minutes in the seated position by using a standard cuff placed around the right arm and an electronic monitor (OMRON M4).
SBP and DBP were measured by using a standard brachial cuff technique after having the patient rest for 10 minutes in a seated position.
Discomfort was related to normal measurement of blood pressure, measured on the upper arm using a standard sphygmomanometer cuff, which was standardised as rating 3. Participants also indicated the level of discomfort by marking a 10 cm visual analogue scale (VAS), with 0 denoting 'no sensation', and 10 indicating 'severe discomfort'.
A standard cuff was used to measure blood pressure in children aged 11 years and over and a small adult cuff was used for children under 11 years, unless overweight.
Blood pressure was measured three times in a sitting position using a standard mercury sphygmomanometer BP cuff with the appropriate cuff size that covered two-thirds of the upper arm after the participant had rested for at least five minutes and no smoking or caffeine 30 minutes before measurement.
A standard cuff size was used, but a larger cuff was available when necessary.
Oscillometric measurements were made by the practice nurse on all limbs using a standard automated blood pressure cuff system (OMRON HEM-907, Omron Healthcare Singapore Pte Ltd, Singapore).
The practice in Flanders that included all eligible patients also determined an ankle-brachial index with the patient in supine position with oscillometric pressure measurements using a standard automated blood pressure cuff system SCVL-20077, Diegel Healthworks®, Auckland, New Zealand).
Vascular function testing was performed using a DynaPulse Pathway instrument (Pulse Metric, San Diego, CA), which derives brachD using pulse dynamic analysis of arterial pressure signals obtained from a standard cuff sphygmomanometer (9).
This device derives brachial artery pressure curves using pulse dynamic analysis of arterial pressure signals obtained from a standard cuff sphygmomanometer to assess distensibility (% Δ/mmHg).
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