Standardization of blood pressure measurements in Pennsylvania

Standardization of blood pressure measurements in Pennsylvania

140 ABSTRACTS: HIGH BLOOD PRESSURE CONTROL A-39 STANDARDIZATION OF BLOOD PRESSURE MEASUREMENTS IN PENNSYLVANIA Norman B. Burke, Vital Signs Inst...

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140

ABSTRACTS: HIGH BLOOD PRESSURE CONTROL

A-39

STANDARDIZATION OF BLOOD PRESSURE MEASUREMENTS IN PENNSYLVANIA Norman B. Burke,

Vital

Signs

Institute,

Philadelphia,

Pennsylvania.

As a major component of the Pennsylvania High Blood Pressure Control Program, the Vital Signs Institute, a non-profit group, was commissioned to prepare teaching a standardized methodology and present seminars throughout the state, that would result in accurate blood pressure measurements. Two basic courses The practicing professional course requires four hours of were prepared. lecture and workshop. The neophyte course requires eight to ten hours of The methodology taught is based upon the work of Ronald lecture and workshop. J. Prineas, M.B.V.S. PhD. in his book Blood Pressure Sound: Their Measurement and Meaning. Utilizinq the Gama Medical Products Corporation's blood pressure teaching program, recognition of the five Korotkoff sounds, and variations to these, are taught within an accuracy level of two mm Hg. A self and group assessment workshop employing multiple mercury sphygmomanometers and multiple stethophones, serves as both a certification tool and as a repetitive methodology learning experience. There are currently three satellite training centers, teaching twelve students per session, and a roving classroom, accommodatinq thirtv-six students per session. To date two thousand students have been certified.

A-40

PREVALENCEOF ADOLESCENT HYPERTENSIONIN STUDENTSATTENDINGAN INNER CITY HIGR SCHOOLAS COMPARED TO STUDENTSATTENDINGA SUBURBANHIGH SCHOOL Margaret Burns, University of Cincinnati, Miami Valley Street, Dayton, Ohio 45409; John Morrison.

Hospital,

One Wyoming

The purpose of this study was to compare the prevalence of hypertension in two economically matched adolescent groups &560), one group from an inner city The hypothesis to be tested was school and one group from a suburban school. that dffferences in blood pressure levels would not occur in economically matched inner city versus suburban adolescent groups. Only one subject was found to be hypertensive by National Institutes of Health Task Force Standards on BloodPressure Control in Children (1977). Results by Wilcoxon-Mann-Whitney U Tests showed inner city residents had higher systolic b=.OOl) and diastolic (p=.O37) blood pressures. Subgroup comparisons also supported the trend of higher blood pressures in the inner city (inner city blacks had higher systolic (pcOO1) and diastolic (p=.OO2) levels; overweight inner city blacks had higher systolic pressures (~~001) than matched suburban peers). High arm muscle circumference subjects had higher systolic Cp