Omron HeartGuide puts blood pressure on a watch Wellness 1. An upper-arm cuff should be your first choice When it comes to at-home monitoring, new guidelines from the AHA only recommend the use of upper-arm cuff oscillometric devices that have successfully passed validation protocols. (Oscillometric devices automatically detect and analyze pulse waves so you don’t have to rely on someone to listen with a stethoscope.) Although other options — like wrist and finger cuffs and wearable sensors — exist, upper arm cuffs are the most accurate, says Yale Medicine cardiologist Erica S. Spatz, MD. The AHA recognizes validation protocols from the following organizations: the German Hypertension League, the Association for the Advancement of Medical Instrumentation, the European Society of Hypertension and the British Hypertension Society — with the BHS protocol’s being the most complex and thorough. A new international universal validation protocol is being developed that may become the new standard, so keep an eye out for that. The Qardio Arm wireless blood pressure monitor has passed British and Irish Hypertension Society validation protocols. Qardio Many blood pressure monitors currently being sold haven’t been validated. So before you buy one, check to make sure it has. You can find a list of validated monitors — like these from Qardio and Omron — on the British and Irish Hypertension Society and Dabl Educational Trust websites. Another important factor is if the person who will be using the blood pressure monitor is a child, pregnant or has atrial fibrillation or a large arm circumference, the monitor you buy should also have been validated within these populations. 2. Find a cuff that fits These days home blood pressure monitors come with a lot of bells and whistles, like smartphone apps and Bluetooth connectivity, but the most important feature to look for is a cuff that fits your arm, properly compressing the brachial artery. “All too often, the fit of the blood pressure cuff is imperfect,” Spatz says. “This can result in under- or overestimation of the blood pressure — and many people may be misdiagnosed [with hypertension].” But here’s the good news: “Guidelines exist for how large a cuff one needs based on the length and circumference of your arm,” says cardiologist Jennifer Haythe, MD, co-director of Columbia Women’s Heart Center. “When you visit your doctor ask them what size cuff is appropriate for you.” You can also take the measurements yourself or with the help of a pharmacist. “The first step is to measure the circumference of the upper arm; use the middle of the upper arm around the bicep,” Spatz says. “Take the circumference, in centimeters, and multiply it by 80% to get the right length and 40% to the get the right width of the bladder cuff. The bladder of the cuff is the part that fills with air, not the extra length of Velcro.” And then use these AHA guidelines: Target:BP “Upper arm cuffs come in an extra-large size, which should fit most large arms,” Haythe says. “If it’s too small, your doctor may recommend a thigh cuff to be used on the upper arm.” According to the AHA, there is data showing this method can be accurate, but research is limited. If you have larger arms that are significantly wider near your shoulder than your elbow, you may also want to get a cone-shaped or “contour” cuff. Research finds that using standard cylindrical cuffs can produce inaccurate measurements because the variation in arm size causes the bladder to expand irregularly. If an extra-large cuff does not fit, the AHA recommends measuring your blood pressure at the wrist. Although measuring at the wrist tends to be less accurate than the upper arm, a meta-analysis shows it tends to be better than the forearm or finger. An example of a contour-style blood pressure cuff. Medline “Arms come in all shapes and sizes, and people with obesity should not feel bad about having a difficult time finding the right cuff size,” Spatz says. “It is really unfortunate that the cuffs have not evolved to match different arm sizes.” If you do end up needing a wrist-based blood pressure monitor, again, check that it’s been validated. And then follow these instructions, with one change: “Rest your elbow on a table and bring the cuff to the level of your heart, as when reciting the pledge of allegiance,” says Spatz. Keep your arm relaxed and your hand resting against your chest until the reading is complete. Read more: 10 accurate blood pressure monitors you can order online Mentioned Above Apple Watch Series 4 GPS (40mm silver aluminum case, white sport band) Aug 31 • iPhone XR vs. iPhone 8 Plus: Which iPhone should you buy? Review • Apple Watch Series 4 review: ECG, and a lot of refinements See It CNET may get a commission from retail offers. See It See It Now playing: Watch this: • Adorama The American Heart Association recommends that people with hypertension measure their blood pressure at home. Canva The Apple Watch’s electrocardiogram app is clear indicator that medical devices are moving out of the doctor’s office and into our homes. And for the most part, that’s a good thing — health and fitness products let people keep tabs on various vital signs without having to pay for an office visit. One wellness area that’s particularly hot is blood pressure. Organizations like the American Heart Association recommend that people with high blood pressure measure it at home and the heart health industry has stepped up to help make that happen. From a blood pressure cuff that doubles as a smartwatch to smartphone apps that measure your systolic and diastolic blood pressure using just the tip of your finger, monitors are becoming more compact and easier to use. But, the AHA warns, that doesn’t mean they’re accurate. But before you buy just any old home blood pressure monitor, here are two big things cardiologists want you to know. $399 Preview • Apple Watch Series 4 review in progress (updated) Aug 31 • Your phone screen is gross. Here’s how to clean it $399 $349 Apple News • Apple Watch Series 4 vs. Galaxy Watch Active: What’s the best smartwatch? See All $349 Apple The 17 best health and fitness apps for Apple Watch reading • The 2 most important things to look for in a blood pressure monitor Apple Watch Series 4 How To • How to use the Apple Watch ECG app The information contained in this article is for educational and informational purposes only and is not intended as health or medical advice. 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Friends TV show NetflixWarner Bros. Television/Getty ImagesFriendship Day 2019 is almost upon us and like every year, we are going to celebrate this day with our close friends. On this day, we are also going to talk about certain reel life friends who have set friendship-goals for us.1. Friends – Joey Tribbiani and Chandler BingChandler and Joey’s friendship is one of the best displays of friendship on TV till date. From Chandler always supporting Joey in his acting career to going through a major fight when Chandler fooled around with Joey’s girlfriend (Kathy) to Joey supporting Chandler in his relationship with Monica – we have seen them standing beside each other from and a plethora of instances where the duo made us feel that a friendship like theirs is a must.This Friendship Day binge-watch all the episodes of Friends together and cherish all your Joey and Chandler moments.The Friends Tv show is currently streaming on Netflix in India.2. How I met your Mother – Ted and MarshallTed and Marshall’s friendship is one of a kind. From being in college together to being there for each other till the end. Ted and Marshal have not only checked all the boxes of friendship but also aced them.Eating a sandwich — check Surviving College together — check, Going on a road trip, concerts and even birthing classes — Check, check and CHECK!Relive those precious moments with your best friends when you watch HIMYM this friendship day.HIMYM is currently airing on Star World. How I Met Your MotherFacebook/HowIMetYourMother3. Sherlock – Sherlock and Doctor WatsonThough they are portrayed as partners who solve mysteries together we all know that their relationship is way more than that. In one of the episodes, Doctor Watson describes their relationship as “We solve crimes, I blog about it and he forgets his pants” after which both of them burst into laughter. And not to forget Sherlock’s best man speech at John’s wedding, truly epic. At one point they had to mention that they were not dating, wherever they go and once you need to pull something like that off, you know you’ve found a gem!! From the first to the very last episode they stood for each other no matter what.Sherlock is currently airing on AXN and can also be streamed on Netflix.4. Brooklyn Nine-Nine – Jake and CharlesJake and Charles aka Truest Bromance in the history of Television. Boyle has always wanted best for Jake and Jake has always kept Boyle out of problems. Boyle has always trusted Jake with his life and Jake has lived up to the honour. Remember “Best friends are there for you in sickness and in health, for better or for worse, and most importantly, to shave off the sick-nasty moustache that’s taken up residence on your face.” Brooklyn Nine Nine spoilers.Facebook/ Brooklyn Nine NineThis friendship day twin with your best friend, give them a loophole high-five and binge on Brooklyn Nine-Nine together.Brooklyn Nine-Nine is currently streaming on Netflix and Comedy Central in India.5. Game of Thrones – Arya and The HoundArya Stark and Ser Clegane aka The Hound have a bittersweet friendship. Their journey began when they took a road trip together in Game of Thrones season 4. Well not exactly a road trip, the Hound had kidnapped her and planned to sell her at the Eyrie. But they again meet in season 8 where they catch up, fight white walkers and the Hound saves Arya from the wights in The Great Hall. The bond that they shared is beyond expression. So this Friendship Day, plan a road trip with your best friend and make memories that you can cherish forever.Game of Thrones is currently streaming on Star World in India.
Prothom Alo illustrationA 21-year-old man has been arrested for allegedly raping a seventh grader in the Sadar upazila, reports UNB.Rapid Action Battalion on Tuesday announced that it arrested Milon Morshed, the accused, on Sunday night.He was the victim’s neighbour at Zirakhali Union’s Bhabanipur area.Milon has been named in a case filed with Kushtia Sadar police station after the rape.RAB-12 Kushtia CPC-1 unit commander Ruhul Amin said they arrested Milon from the town’s Chourhash bus terminal area acting on a tip-off.