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Non-Invasive True BP Measurement?

06/04/2011 5:11 PM

Anyone aware of a non-invasive method of obtaining true BP? Traditional methods (arm cuff) assume the artery is perfectly elastic, and therefore any hardening of the artery will give BP higher than true. And most of us will have some hardening.

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#1

Re: Non-invasive true BP measurement?

06/04/2011 6:41 PM

Probably the best way currently available is the same technique you'd use to detect mineral buildups in the water pipes in your house - measure the pressure in the basement and on the second floor. The calibration is, I believe, empirical, but is generally known. So, measure BP in the ankle and then in the arm. Obtain a ratio. BUT, you should automatically have consulted a doctor before measuring ankle BP, so now ask him/her what that ratio tells you.

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#6
In reply to #1

Re: Non-invasive true BP measurement?

06/06/2011 12:33 AM

With the viscosity of blood, friction in the arteries due to flow, action of cillia, the microsprite by the aorta with the pinch clamp, etc., you are not going to get the kind of differential BP you will get with basement/attic water pipes. Perhaps if you took arm-in-the-air and ankle invasive measurements and correlated against cuff measurements, you could use this for tracking and changes, but an occasional invasive confirmation/recalibration would seem valuable now and then.

Nice idea though. When you can't measure directly it is the height of technical creativity to figure out how to sneak in with an indirect/relative/differential method.

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#2

Re: Non-invasive true BP measurement?

06/04/2011 9:45 PM

I don't see what this would gain. All of the knowledge and the diagnostics are based on the traditional methods with their imperfections, with what would you compare your perfect results?

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#3
In reply to #2

Re: Non-invasive true BP measurement?

06/05/2011 8:40 AM

What are you looking for? All advances in technology, and that includes medicine, is based on "bootstrapping" existing technology. Consider that, over the years, we managed to build lathes with perhaps 0.00005" runout, starting with one that had maybe 1" runout.

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#4
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Re: Non-invasive true BP measurement?

06/05/2011 10:20 AM

I'm thinking that many people are taking BP meds based on bad info. We need a way to differentiate hypertension from hardening of the arteries, so we can treat the correct problem.

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#7
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Re: Non-invasive true BP measurement?

06/06/2011 8:05 AM

How about treating indicated hypertension for how it presents? If you measure a drop in blood pressure, you know you picked the correct cause. If hypertension persists, go to plan B.

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#8
In reply to #4

Re: Non-invasive true BP measurement?

06/06/2011 8:12 AM

The drug companies don't want accurate information! Are you trying to hurt their profits?? Don't you realize if you're a daily drug addict until you die you're a fantastic revenue stream for them!

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#9
In reply to #2

Re: Non-invasive true BP measurement?

06/06/2011 11:25 AM

Measurements mean something only with comparison to normal and abnormal function. All the correlates that apply to health are correlates to the usual (BP cuff) methods. So any application would have to refer back to BP cuff measurements.

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#10
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Re: Non-invasive true BP measurement?

06/06/2011 2:14 PM

Appreciate the input, DrBob. Could you expand on it; that is, do you think a true BP would be a good thing to have, as opposed to the cuff BP?

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#5

Re: Non-Invasive True BP Measurement?

06/06/2011 12:16 AM

I saw an article recently about a hi-def web cam based application, using a mirror, that permitted accurate non-invasive method of bp measurement.

(this isn't the article I read earlier... but I can't find it right now... same stuff I think)

chris

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