<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0186-4866</journal-id>
<journal-title><![CDATA[Medicina interna de México]]></journal-title>
<abbrev-journal-title><![CDATA[Med. interna Méx.]]></abbrev-journal-title>
<issn>0186-4866</issn>
<publisher>
<publisher-name><![CDATA[Edición y Farmacia S.A. de C.V.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-48662018000400002</article-id>
<article-id pub-id-type="doi">10.24245/mim.v34i4.1688</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Diferencia de la presión arterial medida en el brazo vs antebrazo en pacientes con circunferencia de brazo mayor a 34 cm]]></article-title>
<article-title xml:lang="en"><![CDATA[Difference of blood pressure measured in the arm vs forearm in patients with arm circumference higher than 34 cm.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jaramillo-Ramírez]]></surname>
<given-names><![CDATA[Hiram Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Alfaro]]></surname>
<given-names><![CDATA[Edgar Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chacón-Loyola]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero-Hernández]]></surname>
<given-names><![CDATA[Juan Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilera-Zárate]]></surname>
<given-names><![CDATA[Raul]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Mexicali  ]]></institution>
<addr-line><![CDATA[Mexicali Baja California]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>34</volume>
<numero>4</numero>
<fpage>517</fpage>
<lpage>521</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-48662018000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-48662018000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-48662018000400002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO Determinar si existe diferencia entre la medición de la presión arterial en el brazo con brazalete de tamaño adecuado para el paciente (circunferencia del brazo &gt; 34 cm) vs medición de la presión arterial en el antebrazo con brazalete estándar (circunferencia de brazo 22-33 cm) en pacientes con circunferencia de brazo &gt; 34 cm.  MATERIAL Y MÉTODO Estudio prospectivo, observacional y transversal realizado de enero a junio de 2017. Se incluyeron pacientes de consulta externa del Hospital General de Mexicali con circunferencia del brazo &gt; 34 cm. Se midió la presión arterial en el antebrazo con brazalete estándar, se realizó una segunda toma de la presión arterial en el brazo con brazalete para pacientes con diámetro de brazo mayor a 33 cm.  RESULTADOS Se incluyeron 320 pacientes, 67% eran mujeres, con media de edad de 41 años, la circunferencia promedio del brazo fue de 38 cm. En hombres, la media fue de 35 años, con circunferencia promedio del brazo de 38 cm. La media de la presión sistólica en el antebrazo fue de 128.6 ± 12.5 vs 125.5 ± 13.6 mmHg en el brazo, con diferencia de 3.54 con valor p = 0.0007. La media de la presión arterial diastólica en el antebrazo fue de 83.42 ± 8.95 vs 79.21 ± 8.88 mmHg en el brazo, con diferencia entre ambos de 4.21, p &#8804; 0.0001.  CONCLUSIONES  La obtención de la presión arterial en el antebrazo con un brazalete estándar en pacientes con circunferencia del brazo mayor a 34 cm cuando no se cuente con un brazalete apropiado proporcionará cifras similares a las obtenidas con un brazalete adecuado, con lecturas mayores, pero con diferencias por debajo de 5 mmHg.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE To determine if there is a difference between measuring blood pressure in the arm with and adequate size bracelet for patients (arm circumference &gt; 34 cm) vs measuring blood pressure in the forearm with a standard bracelet (arm circumference &lt; 22-33 cm) in patients with arm circumference &gt; 34 cm.  MATERIAL AND METHOD  A prospective, observational, cross-sectional study was done from January to June 2017. Sample: patients from external consult of Hospital General de Mexicali with arm circumference &gt; 34 cm. Blood pressure was measured in the forearm of the patient with a standard bracelet, blood pressure was measured again in the arm with an adequate bracelet (for patients with an arm circumference &gt; 33 cm).  RESULTS  320 patients were included for this study, 67% were women, with an average age of 41 years, average arm circumference was of 38 cm. In men, the average age was 35 years with an average arm circumference of 38 cm. Average of the systolic pressure in the forearm was 128.6 ± 12.5 vs 125.5 ± 13.6 mmHg in the arm, with a difference of 3.54 with a p = 0.0007. The average of the diastolic pressure in the forearm was 83.42 ± 8.95 vs 79.21 ± 8.88 mmHg in the arm with a difference of 4.21, p &#8804; 0.0001.  CONCLUSIONS Measurement of blood pressure in the forearm with a standard bracelet in patients with an arm circumference &gt; 34 cm when we don&#8217;t have the adequate bracelet will give us similar values compared to the blood pressure in the arm with an adequate bracelet, with higher values but differences below 5 mmHg.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Presión arterial]]></kwd>
<kwd lng="es"><![CDATA[presión arterial sistólica]]></kwd>
<kwd lng="es"><![CDATA[presión arterial diastólica]]></kwd>
<kwd lng="en"><![CDATA[Blood pressure]]></kwd>
<kwd lng="en"><![CDATA[Systolic pressure]]></kwd>
<kwd lng="en"><![CDATA[Diastolic pressure]]></kwd>
</kwd-group>
</article-meta>
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