Selection And Data Extraction
To determine inclusion or exclusion of each potential study, GI and JH independently reviewed the results of the search by title/abstract and when required by the full text of the study. The resulting list of citations was then reviewed for inclusion and a third author arbitrated the final selection decisions.
A standardised data extraction form was used to identify study characteristics and results for each included publication which were independently extracted by GI and JH. Study quality was assessed using Quality Assessment of Diagnostic Accuracy Studies 2 . Where possible, data were extracted into 2×2 contingency tables. All authors were contacted directly if insufficient data were available in the published report of a given study and to request individual patient data.
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A& d Blood Pressure Cuff Sizes
A& D offers a fit chart that lists the correct cuff size to use with their products based on your arm size. While many peoples arms will fall into the 8.6- to 16.5-inch circumference range covered by the standard AccuFit Plus Wide Range cuff , which is available with most A& D blood pressure monitors, including the UA-651BLE commonly used by MyNurse members, you may need a larger or smaller cuff.
If your arm circumference is larger than 16.5 inches and you want to stick with an A& D monitor, youll need the X-Large cuff , which is only compatible with the UA-789AC blood pressure monitor. If you suspect this is the case or need help with measuring your arm, contact us and well be happy to help you find a cuff or new device that suits your needs.
Things To Consider Before Taking Your Blood Pressure
Once youve picked out your new blood pressure cuff, youll want to familiarize yourself with it and some of the best practices before use. Meaning, know what to do and what to avoid before using your new cuff and blood pressure monitor to get an accurate reading.
Here are only a few things to consider before you take your blood pressure:
- Avoid caffeine, food, tobacco & alcohol at least 30 minutes before taking a measurement
- Sit quietly both before and during monitoring
- Place the cuff on bare skin for accurate readings
- Take multiple readings, generally three to five minutes apart
- Best to take blood pressure in the morning before taking any medications and eating and again at night
- Make sure to support your arm so that your elbow is at the same level as your heart
- Keep a record either in a notebook or with the help of an app on your phone.
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Welch Allyn Home Blood Pressure Monitor And Upper Arm Cuff
The Welch Allyn Home 1700 Series Blood Pressure Monitor features an easy-to-use, one-button operation to provide readings you can trust in just 20 seconds. The same SureBP technology used by doctors and hospitals worldwide enables an accurate measurement in half the time of the leading competitor without over-inflating or causing unnecessary discomfort.
Aneroid Sphygmomanometers With Extra Large Blood Pressure Cuffs
An aneroid sphygmomanometer is what doctor offices uses and can be used at home too. This is especially true if you have a home aide or a nurse visiting the home. In addition, some people learn how to use one themselves.
The cuff has a gauge and a bulb attached to inflate the cuff. A stethoscope is used to listen to the blood flow in the arm.
1. ADC Diagnostix Aneroid Sphygmomanometer with Extra Large Cuff
This sphygmomanometer comes with the following cuff:
- ADC Extra Large Cuff: 17.32 25.98
This extra large cuff is manufactured specifically for large, conical shaped arms 7. A conical shaped arm is larger towards the shoulder than the elbow. This often makes it difficult for a cuff to wrap around and make contact with the entire circumference of the arm.
This bariatric cuff has a curved design, so the bottom of the cuff is narrower than the top. This cuff is the perfect design if you have a conical shaped upper arm between 17.32 and 25.98.
- Check the current price on Amazon: ADC Extra Large Cuff .
2. ADC Diagnostix Aneroid Sphygmomanometer with Extra Large Cuff
ADC has a whole line of aneroid sphygmomanometers that has an extra large which can be used on the upper arm too. The thigh size cuff is the following:
- ADC Thigh Extra Large Cuff: 17.32 25.98
The following ADC Diagnostic models come with the thigh cuff which can also be used on the upper arm:
- ADC Diagnostix 700+
- ADC Diagnostix 703+
- ADC Diagnostic 720+
- ADC Thigh Extra Large Cuff: 17.32 25.98
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Get The Most From Your Monitor
The AHA recommends the following:
Over 40 Years of Proven Accuracy
When you see a “Clinically Validated for Accuracy” symbol on an A& D Medical product, it means that the product has been rigorously tested and validated by an independent party to meet global clinical standards and protocols.
Plus, all of A& Dâs blood pressure monitors have 510 clearance. See our website to find the clinical validation studies that have been published in medical journals.
It’s Important to Know Your Numbers
Your blood pressure can vary throughout the day by as much as 30 to 50mmHg. Things like stress, exercise, and even when you eat, drink or smoke can impact your numbers.
That’s why it’s important to consistently take your blood pressure at the same time every day so you know what’s normal for you. Speak to your doctor about what your target range should be and what to do if your readings are outside of that range.
Don’t forget to log your measurements! You can use a paper logbook or save them electronically in an app, like the A& D Connect app, where you can enter your measurements manually or automatically with a bluetooth connected device.
Omron Platinum: Most Accurate
*Amazon.com list price as of 04/09/2021 at 10:11 a.m. . Read full disclaimer
The Omron Platinum packs accuracy and storage into one powerful device. This blood pressure monitor comes with TruRead technology for precise results, and its mobile app can store unlimited readings from an equally endless number of users..
Even without the mobile app, the monitor tracks readings for two users, so another family member can use it. It has enough storage space for 200 readings . This high memory storage tracks your history longer to help your doctor know if your medication works properly.
The Omron Platinum is also very accurate because it uses advanced averaging and TruRead technology. Advanced averaging gives an average result of your last three consecutive tests for more consistent results. TrueRead takes advanced averaging a step further by performing all three readings during the same session. Its not as fast as a regular test but helps provide precise results.
There are two downsides to this Omron blood pressure monitor: the cuff and the mobile app. The cuff tends to be larger, so it might not be as accurate if you have small arms. But the mobile app is a bigger problem, with most user reviews citing poor performance and an inability to sync readings on their smartphones properly. Overall, we recommend the Omron Platinum more for its accurate readings than its mobile app.
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Omron Silver Blood Pressure Monitor
The OMRON Silver Wireless Upper Arm home blood pressure monitor measures, stores, and lets you review up to 80 readings for one user with date and time stamps. OMRON Connect makes it easy to track your health by viewing your blood pressure at any time, checking for patterns, and emailing data to your physicians. Simplify how you manage your blood pressure with Alexa. Store and track readings and even share them with your doctor.
Which Blood Pressure Monitor With Extra
If you need to monitor your blood pressure, its imperative to have the proper equipment to measure accurately. Not having a cuff that fits appropriately will lead to inaccurate results, which can be life-threatening. Some blood pressure monitors can use extra-large cuffs purchased after the fact, but buying the monitor and cuff together is simpler and more cost-effective.
The best combination is the Life Source Upper-Arm Blood Pressure Monitor With Extra-Large Cuff. It fits biceps up to 23.6 inches in circumference.
Blood Pressure Monitors With Plus
Image description: Part of a fat persons bare arm and torso are shown, forming an abstract shape.
This post may contain affiliate links, which allow us to earn commissions on products we recommend. All opinions are our own.
Health isnt an obligation, a barometer of worthiness, or entirely within our control. Peoples health and looks are going to change over time.
The first thing you need to understand about your larger body and blood pressure is that high blood pressure is not your fault, and its not a moral failing. High blood pressure, or hypertension, affects many people, many of whom arent fat, and it can be caused by many factors, including genetics, stress, chronic illness, certain other health conditions, food intake and life factors that prevent you from spending much time in movement.
The second thing you need to know about large bodies and blood pressure is that using the proper size cuff really does make a difference in your numbers possibly enough to put you in the high blood pressure category when that might not be accurate. If your doctor tells you you have high blood pressure, you have the right to ask which size cuff theyre using, and to request a larger cuff. Every doctors office should have large cuffs in addition to the medium size thats used by default .
Here are 13 extra-large blood pressure cuffs to try out on your extraordinary, worthy large body.
Common Sources Of Error In Blood Pressure Monitoring
The American Heart Association recommends that a cuff bladder width be 40% of the arm circumference and that a cuff bladder length be 80% of the arm circumference.¹
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Omron Professional Intellisense Blood Pressure Monitor
All the following blood pressure cuffs come with the Omron Professional Intellisense:
- Extra Large Cuff: Fits upper arms 17 to 20 in circumference
- Large Cuff: Fits upper arms 13 to 17 in circumference
- Medium Cuff: Fits upper arms 9 to 13 in circumference
- Small Cuff: Fits upper arms 7 to 9 in circumference
Common Features Available:
Check Current Price On Amazon: Omron Professional Intellisense Blood Pressure Monitor
If Cuff Fit Isnt The Issue
If youre experiencing intense arm pain when you take your blood pressure even after youve measured your arm circumference and made sure you have a cuff that fits, double check your cuff placement to be sure the monitor is able to correctly detect your blood pressure. If the device cant get the signals it needs because the cuff is not in the right place, it may end up over-inflating. Similarly, if youre moving during the reading, your monitor may be thrown off and the cuff may remain inflated for a longer period in order to take a measurement.
Keep in mind, too, that your cuff needs to inflate to a higher pressure than your systolic blood pressure in order to take a measurement so if your blood pressure is especially high, the cuff may inflate to a higher level than usual and cause some pain.
If you find that arm pain frequently occurs at the doctors office with an automatic blood pressure monitor, you can ask your nurse or doctor to measure your blood pressure manually with a pump instead to see if that helps.
And if you cant seem to find a way to take your blood pressure without experiencing pain, talk to your doctor. You could be dealing with an underlying injury or other condition thats causing your discomfort.
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Automatic Home Monitors With Extra Large Blood Pressure Cuffs
The two most popular methods of checking your blood pressure are with automatic home monitors and aneroid sphygmomanometers.
An automatic home monitor is used by securing the cuff and then pressing a button on the monitor which automatically measures blood pressure. This is the most common method of measuring blood pressure at home.
1. LifeSource Home Blood Pressure Monitor
The LifeSource monitor comes with an extra large cuff only, but the medium and large cuffs can be purchased separately. The following extra large cuff is included:
- LifeSource Extra Large Cuff: 16.5 23.6
This monitor only comes with the extra large size cuff 1. The extra large cuff can only be used with this monitor. Therefore, you cannot purchase a less expensive LifeSource monitor and use the extra large cuff with it.
The other LifeSource monitors are not engineered for the extra large cuff. I verified this by calling their technical support number and by visiting their websites blood pressure compatibility chart 2.
2. Welch Allyn Home 1700 Series Blood Pressure Monitor
The 1700 series comes with the standard size cuff, but the extra large cuff can be ordered separately 3. The cuffs can be changed easily within seconds. Ive owned my Welch Allyn 1700 series for three years and store it with the cuff disconnected.
The following are the standard and extra large blood pressure cuff sizes:
- Welch Allyn 1700 Standard Size BP Cuff: 8.75 16.5
- Welch Allyn 1700 Extra Large Size BP Cuff: 15.75 21.25
A& d Medical Large Replacement Cuff
This large blood pressure cuff fits upper arms 12.2 to 17.7 and is only compatible with A& D Medical and LifeSource brand blood pressure monitor models. The tapered fit is designed to snugly and comfortably fit around your arm. All A& D Medical blood pressure cuffs are durable and come with a 2-year warranty.
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Withings Bpm Wireless Blood Pressure Monitor
This wireless blood pressure monitor is easy to operate, highly accurate, and can automatically send all your data to your smartphone, making tracking and monitoring simple.
Users simply need to slip the cuff onto their arm, turn it on and the Health Mate app will automatically launch. Follow some simple instructions, and youll be on your way to taking your blood pressure.
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How To Choose A Blood Pressure Cuff/monitor
When it comes to choosing a good home blood pressure cuff, it can get a little overwhelming considering there are so many different monitors on the market and in a wide range of prices. How do you know if the $15 monitor is any less efficient than the $100 monitor?
Truth be told, while some of the higher priced monitors can provide users with more information, some of the most basic models can do just enough to be beneficial.
So how do you go about choosing a monitor? The American Heart Association recommends an automatic, cuff-style, bicep monitor. These are considered the most reliable models for users. Finger and wrist monitors can be used, but they can be a little finicky and provide less reliable readings.
Best With Fast Shipping: Drkea Blood Pressure Monitor With Large Cuff
Compared with other monitors in this category, the Drkea Blood Pressure Monitor With Large Cuffs has a convenient design. The drkea blood pressure monitor with large cuff is easier to use, has see readings and it is very durable. No additional purchase is required to set up your drkea bp monitor. In addition, the monitor offers $1 for good reviews and it comes with a satisfaction guarantee.
Finally, the drkea blood pressure monitor with large cuffs is good value, is safe and it is self explanatory.
Most customers found that the monitor was fast, easy and no directions were needed. Moreover, they say that the monitor is simple to use and its accurate. Further, a few strongly agree that the machine picks up your vitals to get an accurate reading. To sum up, for almost all customers, it was the most suitable.
Top Customer Quotes:
- It measures 17 around and it fits fine.
- It is easy to use and has a large memory bank.
- This will cause e1 error and make a good reading.
- This comes with great packaging, gives accurate readings and it is informative.
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