![]() There are several methods for measuring BP, including the mercury sphygmomanometer (MS). Therefore, multiple BP measurements are recommended before the diagnosis of elevated BP. The accommodation effect refers to the fact that BP usually decreases as measurements are repeated. The accommodation effect and measurement device type are 2 critical factors for BP measurement accuracy in children. BP in children can be affected by several factors such as measurement technique, emotional state, and activity level. Before recognizing the BP as normal or high, we must ensure its accurate measurement. Although the prevalence of hypertension in children is lower than that in adults, its early detection is crucial for preventing later complications. Key words: Blood pressure, Child, Mercury, Oscillometry, Auscultatory Key messageīlood pressure (BP) measurement is a common and imperative component of physical examinations in children and adults. Although more research is still needed on their accuracy, many experts expect that mobile application-based BP measurement will effectively reduce medical costs due to increased ease of access and early BP management. In addition, the mobile application-based BP measurement market is growing rapidly with the development of smartphone applications. As the age-related characteristics of the pediatric group are heterogeneous, it is necessary to reconsider the appropriate BP measurement method suitable for this indication. The hybrid method, which combines the auscultatory and electronic methods, solves some of these problems by eliminating the observer bias of terminal digit preference while maintaining measurement accuracy however, the auscultatory method remains limited. The oscillometric method uses an automatic device that eliminates errors caused by human observers and has the advantage of being easy to use however, owing to its measurement accuracy issues, the development of an international validation protocol for children is important. ![]() The aneroid sphygmomanometer, the currently used auscultatory method, is inferior to MS in terms of limitations such as validation and regular calibration and difficult to apply to infants, in whom Korotkoff sounds are not audible. ![]() Noninvasive BP measurement devices are largely divided into auscultatory and oscillometric types. However, because of environmental issues, other alternatives are needed. A mercury sphygmomanometer (MS) has been the gold standard for pediatric blood pressure (BP) measurements, and diagnosing hypertension is critical. ![]()
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