ESTIMATIVA DA PRESSÃO ARTERIAL DE CRIANÇAS DE 1 A 6 ANOS DE IDADE, COM ESPECIAL REFERÊNCIA À LARGURA DO MANGUITO

Martins, Dyrce Maria Rocha

doi:10.1590/0080-6234198802200300353

Resumos

A autora apresenta as médias e medidas de dispersão - desvios padrão e percentis - das pressões sistólica e diastólica de crianças de 1 a 6 anos de idade. Utilizando um critério segundo o qual a largura do manguito deve ser igual ao diâmetro do braço mais 20%, aproximadamente, a autora demonstra como a largura do manguito interfere significativamente na leitura da pressão arterial.

Pressão Arterial; Crianças

The author presents means and dispersion's mesures - standards deviations and percentiles - of systolic and diastolic pressures in children from one to six years old. The use of a cuff whose width equals the diameter of the child's arm plus an 20% increase was established. The study evidences a significant influence of this width upon the arterial blood pressure readings. So, when a narrower cuff was emplovedn, the average values of the systolic and diastolic pressures were overestimated and when a cuff large than the established one was used, they were underestimated.

Blood pressure; Children

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REFERÊNCIAS BIBLIOGRÁFICAS

¹
ALLEN-WILLIAMS, G.M. Pulse-rate and blood-pressure in infancy and early childhood. Arch. Dis. Child., London, 20:125-8, 1945.
²
ASWORTH, A.M. et al.. Sphygmomanometer for the newborn. Lancet., London, 1: 801-7, Apr. 1959.
³
BARKER, F.H. et al.. Standard method for taking and recording and recording blood pressure readings. J. Amer. Med. Ass., Chicago 113 (4):294-7, July, 1939.
⁴
BERGEN, E.H. von et al.. Comparison of indirect and direct methods of manguina arterial blood pressure. J. Am. Heart Ass., 10 (4):481-90. Oct., 1954.
⁵
BERQUÓ, E.S. et al.. Bioestatística. São Paulo, E.P.U. 1981.
⁶
BORDLEY, J. et al. Recommendations for human blood pressure determinations by sphygmomanometers. J. Am.Med. Ass., Chicago 147 (7):632-6,Oct., 1951.
⁷
BLUMENTHAL, S. et al.. Report of the force on blood pressure control in children. Pediatrics, tevanston, 59 (5): supl. 15-20,1977.
⁸
BRITTON, S.V. Blood pressure measurement and hypertension in children. Pediat. Nurs., Pitman, 7 (4): 13-7, July/Aug. 1982.
⁹
DENES, F.T.et al. Hipertensão arterial na infancia - J. Ped., St. Louis,42 (6): 36-44, gul. 1977.
¹⁰
FIORI, R.N. et al.. Prática pediátrica de urgência. São Paulo,'Artes Médicas, 1975,350 p.
¹¹
FUJIMURA, N.D. et al.. Hipertensão arterial. In: ALCANTARA, P. & MARCONDES, E. Pediatria Básica. H. ed. São Paulo, Sarvier, 1947, p. 256.
¹²
GRAHAM, A.W. et al.. Blood pressure in children between the ages of five and sixteen years. Amer. J. Dis. Child., Chicago, 69 (4): 283-7, Apr., 1945.
¹³
GREENFIELD, D. et al.. Children can have high blood pressure, too. Amer. J. Nurs., New York, 75 (5) :770-2, May 1976.
¹⁴
GONTEROTH, W.G. & NADAS, A.S. Blood pressure measurement in infants and children. Pediat. Clin. N. Amer., Philadelphia, 2:257-63, Feb., 1955.
¹⁵
HAGGERTY, T.J. et al.. Essential hypertension in infancy and childhood. Amer. J. Dis. Child., Chicago, 92:535-49,1956.
¹⁶
JELLIFFE, D.E. Avaluación del estado de nutrición de la comunidad. Genebra., Organizacion Mondial de la Sante, 1968.
¹⁷
KARVONEY, M.J. et al.. Sphygmomanometer cuff size and the accurasy of indirect measurement of blood pressure. Amer. J. Cardiol., New York, 18:688-98, May, 1964.
¹⁸
KIRKENDALL, W.M. et al.. Recomendations for human blood pressure determination by sphygmomanometers. New York, American Heart Association, 1967,23 p.
¹⁹
LANCOUR, J. How to avoid pitfalls in measuring blood pressure. Amer. J. Nurs., New York, 76 (5): 773-5, May, 1976.
²⁰
MARCONDES, E. et al.. Estudo antropométrico de crianças brasileiras de zero a doze anos de idade. An. Nestlè., São Paulo, (84): 3-200, s.d.
²¹
MCLAREN, D.S. et al.. Urinary creatinine and hydroxiproline in relation to childhood malnutrition. Bril. J. Nutr., London, 24:614-51,1970.
²²
MARTINS, D.M.R. Verificação da pressão arterial em crianças: condições e procedimentos. Rev. Esc. e Enf. USP., São Paula, 14 (2): 179-83, ago. 1980.
²³
MARTINS, D.M.R. Estudo da pressão arterial no primeiro ano de vida. São Paulo, 1978 , 85 p. (Dissertação de mestrado - Escola de Enfermagem da USP).
²⁴
MOSS, A.J. & ADAMS, F.H. Auscultatory and intra-arterial pressure: a comparison in children, with special reference to cuff width. Brief. Clin. Lab. Observ., 66 (6): 1094-7, Jun. 1965.
²⁵
MOSS, A.J. et al.. Measurement of arterial blood pressur. In: MOSS, A.J. Heart disease in infants children and adolescents. Baltimore, Williams & Wilkins, 1968, cap. 5 p. 58-66.
²⁶
MURAHOVSCHI, J. et al.. Emergências cardiocirculatórias. In: MURAHOVSCHI, J. Emergências em pediatria Gomes de Mattos. 3. ed. São Paulo, Sarvier, 1976, cap. 6, p. 167-90.
²⁷
ROBINOW, M. et al.. Accuracy of clinical determinations of blood pressure in children: with values under normal and abnormal conditions. Amer. J. Dis. Child., Chicago, 58 (1): 102-18, July, 1989.
²⁸
SPIEGEL, M.R. Estatística. São Paulo, McGraw-Hill do Brasil, 1972.
²⁹
WOODBURY, R.A. et al.. Blood pressure studies on infants. Amer. J. Physiol., Bcthesda, 122 (2):472-9,1988.

Datas de Publicação

Publicação nesta coleção
Dez 1988

Histórico

Recebido
11 Ago 1987

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

[1] ¹
ALLEN-WILLIAMS, G.M. Pulse-rate and blood-pressure in infancy and early childhood. Arch. Dis. Child., London, 20:125-8, 1945.

[2] ²
ASWORTH, A.M. et al.. Sphygmomanometer for the newborn. Lancet., London, 1: 801-7, Apr. 1959.

[3] ³
BARKER, F.H. et al.. Standard method for taking and recording and recording blood pressure readings. J. Amer. Med. Ass., Chicago 113 (4):294-7, July, 1939.

[4] ⁴
BERGEN, E.H. von et al.. Comparison of indirect and direct methods of manguina arterial blood pressure. J. Am. Heart Ass., 10 (4):481-90. Oct., 1954.

[5] ⁵
BERQUÓ, E.S. et al.. Bioestatística. São Paulo, E.P.U. 1981.

[6] ⁶
BORDLEY, J. et al. Recommendations for human blood pressure determinations by sphygmomanometers. J. Am.Med. Ass., Chicago 147 (7):632-6,Oct., 1951.

[7] ⁷
BLUMENTHAL, S. et al.. Report of the force on blood pressure control in children. Pediatrics, tevanston, 59 (5): supl. 15-20,1977.

[8] ⁸
BRITTON, S.V. Blood pressure measurement and hypertension in children. Pediat. Nurs., Pitman, 7 (4): 13-7, July/Aug. 1982.

[9] ⁹
DENES, F.T.et al. Hipertensão arterial na infancia - J. Ped., St. Louis,42 (6): 36-44, gul. 1977.

[10] ¹⁰
FIORI, R.N. et al.. Prática pediátrica de urgência. São Paulo,'Artes Médicas, 1975,350 p.

[11] ¹¹
FUJIMURA, N.D. et al.. Hipertensão arterial. In: ALCANTARA, P. & MARCONDES, E. Pediatria Básica. H. ed. São Paulo, Sarvier, 1947, p. 256.

[12] ¹²
GRAHAM, A.W. et al.. Blood pressure in children between the ages of five and sixteen years. Amer. J. Dis. Child., Chicago, 69 (4): 283-7, Apr., 1945.

[13] ¹³
GREENFIELD, D. et al.. Children can have high blood pressure, too. Amer. J. Nurs., New York, 75 (5) :770-2, May 1976.

[14] ¹⁴
GONTEROTH, W.G. & NADAS, A.S. Blood pressure measurement in infants and children. Pediat. Clin. N. Amer., Philadelphia, 2:257-63, Feb., 1955.

[15] ¹⁵
HAGGERTY, T.J. et al.. Essential hypertension in infancy and childhood. Amer. J. Dis. Child., Chicago, 92:535-49,1956.

[16] ¹⁶
JELLIFFE, D.E. Avaluación del estado de nutrición de la comunidad. Genebra., Organizacion Mondial de la Sante, 1968.

[17] ¹⁷
KARVONEY, M.J. et al.. Sphygmomanometer cuff size and the accurasy of indirect measurement of blood pressure. Amer. J. Cardiol., New York, 18:688-98, May, 1964.

[18] ¹⁸
KIRKENDALL, W.M. et al.. Recomendations for human blood pressure determination by sphygmomanometers. New York, American Heart Association, 1967,23 p.

[19] ¹⁹
LANCOUR, J. How to avoid pitfalls in measuring blood pressure. Amer. J. Nurs., New York, 76 (5): 773-5, May, 1976.

[20] ²⁰
MARCONDES, E. et al.. Estudo antropométrico de crianças brasileiras de zero a doze anos de idade. An. Nestlè., São Paulo, (84): 3-200, s.d.

[21] ²¹
MCLAREN, D.S. et al.. Urinary creatinine and hydroxiproline in relation to childhood malnutrition. Bril. J. Nutr., London, 24:614-51,1970.

[22] ²²
MARTINS, D.M.R. Verificação da pressão arterial em crianças: condições e procedimentos. Rev. Esc. e Enf. USP., São Paula, 14 (2): 179-83, ago. 1980.

[23] ²³
MARTINS, D.M.R. Estudo da pressão arterial no primeiro ano de vida. São Paulo, 1978 , 85 p. (Dissertação de mestrado - Escola de Enfermagem da USP).

[24] ²⁴
MOSS, A.J. & ADAMS, F.H. Auscultatory and intra-arterial pressure: a comparison in children, with special reference to cuff width. Brief. Clin. Lab. Observ., 66 (6): 1094-7, Jun. 1965.

[25] ²⁵
MOSS, A.J. et al.. Measurement of arterial blood pressur. In: MOSS, A.J. Heart disease in infants children and adolescents. Baltimore, Williams & Wilkins, 1968, cap. 5 p. 58-66.

[26] ²⁶
MURAHOVSCHI, J. et al.. Emergências cardiocirculatórias. In: MURAHOVSCHI, J. Emergências em pediatria Gomes de Mattos. 3. ed. São Paulo, Sarvier, 1976, cap. 6, p. 167-90.

[27] ²⁷
ROBINOW, M. et al.. Accuracy of clinical determinations of blood pressure in children: with values under normal and abnormal conditions. Amer. J. Dis. Child., Chicago, 58 (1): 102-18, July, 1989.

[28] ²⁸
SPIEGEL, M.R. Estatística. São Paulo, McGraw-Hill do Brasil, 1972.

[29] ²⁹
WOODBURY, R.A. et al.. Blood pressure studies on infants. Amer. J. Physiol., Bcthesda, 122 (2):472-9,1988.

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