Is the wrist blood pressure monitor accurate? Rules for measuring pressure with a tonometer on the wrist and a review of the best models of the device. How to correctly measure blood pressure with a tonometer on the wrist

How to measure blood pressure at home, traveling or in hospital? The rating of wrist tonometers will allow you to make a choice and buy a more compact model that works in autonomous mode instead of a shoulder-mounted one. These devices are equipped with backlighting, memory and a clock mechanism, like in good professional-grade medical devices. The multifunctionality of the systems allows you to operate medical equipment in any situation, as well as control the heart rate, which is necessary for the following problems:

• suffered a stroke or heart attack;
• arrhythmia;
• diabetes mellitus and hypertension;
• sports training.

An experienced specialist in the store, as well as the attending physician and user reviews will tell you which device is better. It is also recommended to purchase a tonometer based on its purpose, functionality and quality. The version with a wrist cuff is characterized by mobility, compactness, light weight and great potential. It is recommended to use it to control heart rate and blood pressure for people under 55 years of age.

Beurer BC 19 tonometer (talking)

Studying reviews of modern functional tonometers on the wrist, we can note the model from German company Beurer - BC 19 with voice. The work is carried out automatically after pressing a button on the control panel.
The wrist tonometer is best used when the body is in a passive position, and the measurement results are displayed and reflected in graphics according to WHO. For people with low vision, manufacturers have equipped their creation with a voice function that is adjustable in volume.

Peculiarities:

• The memory is designed for 2 users with storage of 60 measurements for each.
• Voice notification in case of arrhythmia, results output, system failure and low battery batteries.
• Several languages ​​for setting modes.
• Adjustable cuff for children and adults.
• Automatic shutdown in sleep mode.

Omron R2 tonometer

A wrist tonometer is best suited for those people who need to constantly monitor the functioning of the cardiac system, blood pressure and pulse. The Japanese-made Omron R2 model has a compact size and memory for 30 measurements, which helps the patient regulate medication intake and monitor health.
Due to the adjustable cuff in the range from 13.5 to 21.5 cm, this device is included in the rating of popular tonometers due to its convenience for all age groups.

Peculiarities:

• Indicator of arrhythmia and high blood pressure.
• Convenient case for transporting the device.
• Manual in Russian.
• Large dial.
• Warranty card for 5 years.

Beurer BC30

If there are more than 2 people in a family who need monitoring of the cardio system, then from the rating of devices on the wrist we can highlight the Beurer BC30 model with 3 memory blocks of 40 cells each.
This device In addition to compactness, it has advantages in relation to other measuring systems - WHO scale, arrhythmia indicator, pictogram about heart rhythm failure, etc.

This wrist tonometer is better than its predecessors in this series, and is also convenient for travel and regular use. Does not require outside help, is easily adjusted by an inexperienced patient and the cuff is adjustable in volume for thin and fat arms.

Peculiarities:

• WHO classification, the ability to identify a risk zone.
• The measurement result is stored in memory with date and time.
• In addition to the date, the device displays the charging status of the device.
• The display shows systolic and diastolic blood pressure.
• Manufacturer's warranty 3 years.

Medisana HGF tonometer

One of the good wrist blood pressure monitors is Medisana HGF, manufactured to international standards and clinically tested. Helps you accurately diagnose upper (systolic) and lower (diastolic) blood pressure anytime, anywhere. Due to the built-in memory, you can monitor 2 users simultaneously, recording up to 60 measurements independently of each other.

The oscillometric measurement method makes it possible to optimally accurately determine the state of blood flow through a microprocessor in the cuff of the device. In the event of a malfunction, heart rhythm disturbance, or any abnormal hand position, all indicators are displayed on the device display. The final assessment of the result can be carried out using the WHO scale, which is also a component of Medisana HGF.

Peculiarities:

• The sensitivity of the microprocessor and the admissibility of measurements for the elderly, athletes and for the prevention of ischemic diseases at any age.
• WHO scale.
• Arrhythmia tracking.
• Blood pressure and heart rate results.
• 3 year warranty.
• "Fuzzy logic" measurement technology.

Wrist tonometer A&D UB-202

Having an automatic blood pressure monitor AND UB-202 for personal use is recommended not only for patients with hypertension, but also for athletes to choose the right sports training program and load on the cardio system.

The Chinese-made model was noted according to test results as a good mini electronic station for home and hospital health monitoring.

Peculiarities:

• Cost-effective with great versatility.
• Simple control with the “Start” button.
• The speed of blood pressure monitoring is 30 sec.
• The battery life is enough for 400 measurements.
• Affordable price.
• Memory for 90 measurements.

Medisana HGC tonometer

Which machine is best for checking blood pressure outside of a medical facility? Among the wide range of products in stores and pharmacies, the leading positions are occupied by German Medisana HGC devices.

In addition to standard equipment with all functions, the device has a voice notification mode, which is convenient for the visually impaired and the elderly, the disabled and passive patients with impaired motor activity.

Peculiarities:

• Computer type device for professional monitoring of blood pressure and heart rate.
• Colored graphic image results according to the WHO scale.
• Built-in memory for 60 readings.
• Illuminated button for people with low vision.
• Voice accompaniment.

Omron R1

For home diagnostics of the cardio system, it is better to buy a wrist tonometer based on owner reviews and doctor’s recommendations. The leading positions in the TOP 10 current devices are occupied by Omron devices.

Omron R1 is suitable for self-monitoring of blood pressure and heart rate on the road, at work and at home. The digital display displays all readings in a short period of time, and the built-in smart measurement system allows you to adjust the intensity of the cuff pocket inflation automatically.

Peculiarities:

• Compact size and storage case.
• Automatic inflation of the cuff.
• 5 years warranty for the device.
• Adjustable wrist cuff.

Final comparison table

Thank you from the bottom of our hearts!

Arterial hypertension is one of the most pressing problems modern man. If your blood pressure rises regularly, you need to monitor the readings and keep a diary so that your doctor can prescribe effective treatment. Blood pressure should be monitored daily in the morning and evening. A pressure measuring device will help you with this.

Which tonometer is better to choose?

Tonometers work on the same principle. As the cuff fills with air, a large artery is compressed. The person carrying out the measurement or the device itself records the readings of the upper and lower pressure. There are 3 main types of devices: automatic, semi-automatic and mechanical tonometer. The machine, in turn, is divided according to the type of cuff fixation into 2 categories: on the shoulder and on the wrist.

• Automatic

The automatic tonometer tops the ranking of the best and most user-friendly devices. The user just needs to fix the cuff and press the button on the body. The automatic tonometer performs all measurements independently and displays the results on the screen.

• The arm cuff of the device is placed on the upper part of the arm.
• The cuff of the device on the wrist is fixed above the hand.

The device for measuring pressure on the wrist is more portable and compact in size compared to models on the shoulder. Age restrictions devices do not, but older patients prefer to use machines.

• Semi-automatic

The best blood pressure monitor for those who would like to save money on purchasing a device. A semi-automatic is cheaper than an automatic. The user inflates the cuff independently using a bulb pump, but the measurement is performed by the device itself and displays the readings on the screen.

• Mechanical

Compression is performed using a bulb, the sounds of blood movement (Korotkoff sounds) are heard with a phonendoscope. The user monitors the readings on the pressure gauge. Mechanical models were included in our rating of tonometers 2018, but since to the average user They are difficult to handle and the device ranks last.

The best manufacturers of tonometers

Pressure measuring devices are produced by many well-known manufacturers. Devices from the following brands differ in quality and accuracy:

• Omron- a company from Japan that produces devices for the prevention and treatment of common diseases.
• Microlife- a manufacturer from Switzerland, creates professional medical equipment that is used at home.
• CS Medica- the company is engaged in the creation and supply to Russia of high-quality medical equipment for home and medical institutions.
• AND- manufacturer from Japan, leader in the creation measuring instruments to maintain health.
• B.Well- a company from England that produces products of the highest quality.

TOP 10 tonometers

When creating the TOP 10 tonometers, we took into account numerous parameters of the devices. The most important of them is measurement accuracy. In addition, ease of use, popularity among users and the presence of additional functions were taken into account.

1st place - tonometer

Our rating: 10/10

This automatic tonometer tops the rating of the best. The device has high accuracy and reliability. The device takes into account the individual characteristics of the user, is equipped with a memory for two users of 100 cells each and automatically calculates the average readings for each block. It has numerous indicators: arrhythmia, hypertension, correct cuff fixation and movement. This is an economical and convenient device.

2nd place - tonometer

Our rating: 10/10

The optimal price-quality ratio allowed us to include this model to the best blood pressure monitors of 2018. Intellisense technology provides comfortable and accurate measurements. The device is equipped with a fan-shaped cuff, an indicator of arrhythmia, hypertension, movement, correct fixation, as well as a 100-cell memory with calculation of average data. Adapter included.

3rd place - tonometer

Our rating: 10/10

Third place in the TOP 10 tonometers was given to the model with the AFIB function. Thanks to it, the device detects signs of atrial fibrillation. The device is equipped with MAM technology, which allows you to take 3 measurements in a row and calculate the average data. This function is especially important for patients suffering from atrial fibrillation, because Pressure data using the usual measurement method may not be correct. In addition, the device stores 99 readings and is equipped with a cone-shaped cuff. The attractive design deserves special mention.

4th place - tonometer

Our rating: 9/10

This is a classic device for measuring pressure. Equipped with Intellitronics technology, arrhythmia indicator, WHO graphic scale, memory for 90 readings with the ability to calculate arithmetic average data. Economical and convenient, runs on 4 batteries or an AC adapter. Equipped with a carrying case.

5th place - tonometer with speech output

Our rating: 9/10

This model is recommended for monitoring blood pressure in elderly users and patients with low vision. A special feature of the device is the presence of voice accompaniment. The device is equipped with Fuzzy-Logic technology, a universal cuff with a removable cover, memory of the last measurement and an arrhythmia indicator. The device is economical, runs on 4 batteries or an adapter, which is included in the kit.

6th place - wrist tonometer

Our rating: 9/10

This is the best wrist tonometer in terms of price and quality ratio. Equipped with Intellisense technology, ergonomic cuff, arrhythmia, high blood pressure and movement indicator. The device calculates the average readings from the last three measurements and stores the results of 60 procedures. Compact design and battery operation allow you to carry the device with you. A hard case is provided for transportation.

7th place - tonometer

Our rating: 8/10

This gadget made in Germany had to be included in the 2018 tonometer rating. The device is accurate in its measurements, has a modern design, an arrhythmia indicator, a WHO color scale, memory for two users of 500 cells each, and a backlit display. Its main feature is the ability to transfer data to any mobile devices by using Bluetooth technology. This allows blood pressure readings to be stored and transmitted.

8th place - professional tonometer

Our rating: 8/10

The list of “Best blood pressure monitors 2018” includes a professional device for measuring blood pressure. The device is used in many medical clinics around the world. The double measurement technique allows you to obtain the most accurate data. The device is compatible with 5 cuff sizes. The measurement mode is manually selected by the doctor from 4 possible ones. The device is equipped with an arrhythmia and movement indicator and was specially designed for frequent use. The cuff and body are easy to clean, the shockproof body and rubber edging protect electronic unit from blows. It is convenient to carry the device by the handle.

9th place - tonometer with standard cuff M semi-automatic

Our rating: 7/10

This model is the best blood pressure monitor among semi-automatic devices. It is affordable and yet equipped with all the necessary functions. It has a compact design, an indicator of arrhythmia, high blood pressure, errors and a memory for 30 measurements. The device is equipped with Gentle+ technology, which provides comfort when measuring and high accuracy. The set includes a tapered cuff and a pouch bag.

10th place - mechanical tonometer

Our rating: 7/10

The TOP 10 tonometers are completed by an accurate, reliable and affordable mechanical model. It is unlikely that you will be able to measure pressure yourself using the device, because... It is problematic for the patient to recognize the exact values, as is the case with other mechanical tonometers. The device is equipped with an elastic bulb and a universal cuff. Possibility of connecting 5 cuffs different sizes. It is convenient to store and carry the device in a bag.

Let us remind you that even the most accurate device can distort data if used incorrectly. Therefore, be sure to read the instructions before use. We hope our rating of tonometers 2018 will help you choose the right device for measuring pressure!

Online store 120-80 presents a wide selection of automatic wrist blood pressure monitors. This device will help its owner not only monitor the pulse, but also measure blood pressure at any time. Thanks to the large display, even people with poor vision can easily see the result shown by the wrist tonometer.

On the pages of our online store, you can choose a device for measuring wrist pressure from different brands: Omron; B.Well; A Nissei; Little Doctor; Microlife; Hartmann; Tensoval.

You can buy a wrist blood pressure monitor in the 120-80 online store in just a couple of clicks! If you find it difficult to decide on a model or brand, just contact our specialists and they will help you make a useful and profitable purchase. The cost of a wrist tonometer in our store catalogs varies, it all depends on the brand, country of manufacture and set of functions.

Benefits of wrist tonometers

Each wrist tonometer is very compact, which allows you to take it with you on the road, transport it to any distance, or simply carry it in your bag every day. These devices are capable of measuring blood pressure, pulse rate, and showing their deviations from the norm. Thanks to special technology, they can detect irregular heartbeats and alert the person in time. Wrist blood pressure monitors have memory and can store up to one hundred blood pressure and pulse measurements. If you suddenly make a mistake during measurement, the device will notify the user about this using a special signal. This device will monitor a person’s condition for diseases of the cardiovascular system, save all data, which will allow tracking the dynamics in the treatment of vascular and heart diseases.

It is important to note that this is simply an ideal option for older people: rapid air injection; signaling results; measuring pressure without the help of others; large screen; low cost; data storage, etc.

In the 120-80 online store, you can order wrist blood pressure monitors at different prices from the world's best brands!

Every person with a tendency to high blood pressure should have a home blood pressure monitor. This is especially true for older people, who often face hypertension and other cardiovascular diseases. The choice of tonometers is very large. Many people prefer a wrist blood pressure monitor, primarily because of its compact size. However, this type of pressure meters has a number of disadvantages that you should familiarize yourself with before purchasing.

A wrist tonometer is small device with a narrow cuff. Automatic device does not require any unnecessary manipulations. The person simply places the cuff on their arm and presses a button. Air enters the cuff automatically from an electronic compressor, and the data is displayed on the monitor.

The wrist pressure tonometer has the following advantages:

• compact dimensions;
• mobility;
• ease of use;
• affordable price;
• long service life.

It is convenient to keep it always at hand. Automatic wrist blood pressure monitors can be easily carried in your bag and monitor your blood pressure in any conditions. The device can have two types of power supply at once - a rechargeable battery and regular AA batteries. This allows you to take it with you on trips.

An electronic wrist blood pressure monitor is relatively inexpensive compared to automatic models with a brachial cuff. It is the cost of the device that often becomes the decisive criterion when choosing a tonometer for the home.

Inexpensive wrist blood pressure monitors are highly reliable and have a fairly long service life, of course only if they are made by a reliable manufacturer. In addition, the warranty period for the use of such devices is two years or more, which is a good indicator considering the cost of the tonometer.

Despite its compact dimensions, the screen of such a device is quite large, the numbers are displayed clearly, which is why many people prefer a wrist tonometer for older people.

The main advantage of a wrist tonometer is its compact size.

Disadvantages of the device

It would seem that a compact and inexpensive tonometer with a narrow cuff is the best choice for home use. From a practicality point of view, this is all true, but as a medical device, a tonometer on the wrist is not the best option. Its main drawback is the questionable accuracy of measurement. This is due to the design of the cuff.

The narrow cuff fits the wrist quite tightly. When air enters it, compression of the radial vein occurs. Gradually, the air leaves the cuff, the pressure on the vein is weakened and the pressure is measured. This is the main problem with such devices - the radial vein is too thin, the amplitude between compression and relaxation is small, so the pressure value may be unreliable.

In addition, wrist blood pressure monitors require proper use. When measuring blood pressure, the hand with the cuff should be held exactly at heart level. Such tonometers “fib” if you lower or raise your hand a little. In this case, the deviation can range from several millimeters of mercury to tens of percent. In the first case, this is not important, since at a pressure of 145 and 148 mmHg. the same measures are being taken. But if a person’s blood pressure is 160 over 100, and the tonometer shows 145 over 90, this can become a serious problem in treating hypertension and monitoring the dynamics of pressure changes.

Automatic blood pressure monitors can be equipped with various functions, which affects the cost of the device. The basic set of functions is the measurement of upper and lower pressure, as well as pulse rate. Thus, after measuring the pressure, three numbers are displayed on the screen. If a person has arrhythmia, the tonometer data will be incorrect. In addition, some models simply will not work if there is an arrhythmia, and a measurement error message will be displayed on the screen.

It is precisely because of sensitivity to arrhythmia that wrist tonometers are considered not the most best choice for older people who are often diagnosed with this problem.

Models of this type show incorrect results for cardiac arrhythmia

Who is this tonometer suitable for?

Brief summary of the analysis of features wrist tonometers will help you understand in what cases to use them.

The following characteristics are in favor of purchasing this device:

• ease of operation;
• mobility and compactness;
• affordable price.

“Against” a compact tonometer are:

• sensitivity to arrhythmia;
• sensitivity to the position of the arm with the cuff;
• measurement inaccuracy.

At the same time, discrepancies in real pressure values ​​and numbers on the tonometer monitor depend on a number of factors - body position, device charge, pulse, arrhythmia.

Thus, it becomes clear that a compact tonometer cannot be the main and only means for monitoring blood pressure values ​​at home. A wrist sphygmomanometer is a good, and sometimes better, choice for measuring blood pressure. It is convenient to take it with you on a trip, to work, or on a business trip for those who need to constantly monitor their blood pressure.

Advice from cardiologists: for home use, you should choose a blood pressure monitor with a shoulder cuff. A wrist cuff device is suitable as a mobile blood pressure monitor, but is not suitable for precise blood pressure monitoring.

In addition, there is a more convenient alternative to this device - fitness bracelets with a heart rate monitor and blood pressure measurement. Such devices also suffer from a slight measurement error, but are intended for constant wear, as they look like a sports watch with a silicone strap.

A fitness bracelet performs the same functions, but looks like a stylish accessory.

Useful features of wrist blood pressure monitors

If a person decides to opt for a wrist tonometer, he should understand the features different models. Pricing of tonometers largely depends on the set of functions. In addition to two main functions (measurement of blood pressure and pulse), the tonometer can have:

• large amount of memory for storing data;
• built-in calendar and clock;
• sound notification about turning the device on and off;
• combined power supply (battery and batteries);
• large color monitor;
• voice recording of measurement results.

Some of these functions can be abandoned in favor of the cost-effectiveness of the device, but here you must first decide for what purpose the tonometer is being purchased. If the device will serve as an auxiliary meter, and you have a full-fledged tonometer with a shoulder cuff at home, you can safely purchase the simplest basic model. At work or on a short business trip, a simple measurement of blood pressure and pulse will be enough for a person, additional features will not be used.

There are wrist blood pressure monitors for the elderly, as this device may be more difficult for an elderly person to operate. When choosing a tonometer for a person over 65 years of age, one should take into account the acuity of his vision, hearing and memory. For people who have difficulty seeing, a device with a voice function for reading measurement results would be an excellent choice. If a person has a hearing problem, but his vision does not fail him, this function can be easily abandoned.

Often, for older people, doctors prescribe regular blood pressure measurements every day, for example, every day after meals, before going to bed, and immediately after sleep. So that a person does not forget to take measurements, the right choice will be purchasing a device with a reminder function. Simply put, this is a regular alarm clock built into a blood pressure monitor that will emit a sound signal at a given time, reminding the hypertensive patient that it is time to take measurements.

The need for a large amount of memory in a tonometer is a controversial issue. Elderly people are usually instructed by cardiologists to keep a diary of measurements and it is easier for them to do this manually, armed with a regular notepad and pen. For middle-aged people, the function of storing data in the device’s memory often also plays a secondary role, since pressure is measured more for prevention than for the purpose of making a diagnosis. Everyone decides on their own whether they need a function for storing measurement results.

The built-in memory will be convenient if several people use the tonometer at once. More advanced models allow you to customize the device for each family member individually. In this case, when measuring pressure, you will need to select the parameters previously entered into the device’s memory and take the measurement, and the smart tonometer will record the results in the desired directory.

If you plan to use the device at home, it is better to purchase a model with an adapter so as not to buy batteries

Main selection criteria

In modern economic realities, the main criterion for choosing a tonometer is its cost. Here you need to understand what a person pays for.

If a tonometer has all imaginable and inconceivable functions, but costs an order of magnitude cheaper than its analogues, there is definitely no need to purchase such a device. Typically, greater functionality and minimal cost are offered by Chinese manufacturers with an untranslatable name. Such devices fail in a matter of weeks, and the measurement results certainly cannot be trusted.

If you want to save money but buy a quality device, you should pay attention to Nissei devices. A tonometer with a minimum of functions will cost a relatively small amount, but will serve faithfully for at least 5 years.

Another important criterion is the method of powering the automatic or semi-automatic blood pressure monitor. It’s better to pay a little extra and purchase a device with a mixed type of power supply, which is equipped with a rechargeable battery, but can also run on regular AA batteries. A tonometer with one battery is not always convenient to take on a trip, and devices that are powered only by batteries begin to “lie” as they fail.

Is this type of blood pressure monitor suitable for the elderly?

Nothing prohibits purchasing a wrist tonometer for an elderly person. But cardiologists strongly recommend leaving these devices for relatively young people leading an active lifestyle. The main advantage of a wrist tonometer is its compactness and mobility; older people usually do not need it. In this case, it is better to give preference to reliability and accuracy of measurement, but not to ease of use.

For older people, blood pressure monitors with a wide cuff designed for the shoulder are recommended. At the same time, the most accurate, affordable and reliable are semi-automatic devices with a mechanical compressor. In addition, they work great even with arrhythmia, taking additional measurements and showing the average value.

Rules for using a wrist tonometer

If a tonometer is used on the wrist or for the hand, the instructions for use must be followed exactly - this will allow you to achieve the most accurate measurement values.

1. When choosing a tonometer, the diameter of the hand is taken into account. The cuff must fit the patient's arm exactly. A cuff that is too wide or too narrow will distort the value results.
2. Before measuring pressure, make sure that the battery is infected. Otherwise, the accuracy of the device cannot be trusted.
3. Having installed the cuff on your wrist, you should rest your hand on a hard surface and hold it at the level of your heart, and only then press the button to start measuring, or start pumping the bulb.

The rating of wrist tonometers will help you choose the best option. You can always test a device you like at a medical equipment store or pharmacy that sells the device. Moreover, it is recommended to simultaneously measure the pressure with a wrist tonometer and a reference device with a shoulder cuff, which is used to calibrate tonometers in specialized stores - this will determine the maximum degree of discrepancy between the values.

Best models

The most affordable, reliable and easy to use is the AND UB-201 tonometer. There is only one button on the device, which starts the cuff inflation process. The main advantage is the large battery charge indicator, which is hard to miss. One set of batteries provides 400 pressure measurements. The downside of the device is that it is not intended for older people. In terms of price, this tonometer is the absolute leader in the rating - its cost ranges from 1200 to 1400 rubles. There is also a more modern model UB-202 on the market, equipped with many useful functions, for which you will have to pay about 2500 rubles.

The peculiarity of AND UB-201 is the presence of only one button

Medisana HGF is a compact automatic wrist tonometer that “can” recognize arrhythmia. In this case, it makes a series of measurements and displays the average value. A fairly comfortable and high-quality device that will last for many years. The cost is a little steep - about 2000 rubles. The main disadvantage of the device is that it is difficult to find on sale.

Medisana HGF can be used even for arrhythmia

The Nissei WS-1000 is an affordable and reliable automatic wrist pressure monitor. It is a sales leader, as it is represented in most large pharmacy chains. The obvious disadvantages of the device are that it is powered only by batteries and the complete lack of additional functions. The main advantage is the cost of about 1,500 rubles and a five-year warranty from the manufacturer.

Omron R5 Prestige is an advanced model with many additional features and an impressive amount of memory. The cost of the device is about 5 thousand rubles. The main advantage is that it is made in Japan.

Having a tonometer in the house will help people of different age groups to timely monitor their blood pressure levels. This device is especially useful for those patients who have been diagnosed with pathologies of the cardiovascular system, because such patients need regular monitoring of blood pressure.

The device will help you quickly find out your pulse and blood pressure without forcing a person to go to a medical facility. Many core patients are interested in a modern mechanism - a tonometer on the wrist, which stands out for its compactness and amazingly simple technical side. What kind of mechanism this is and how it differs from other types of tonometers will be discussed below.

Which blood pressure monitor is better - on the wrist or on the forearm? There is no definite answer to this question, because both types of devices have their own strengths and weaknesses. But today most patients prefer more modern views devices for measuring blood pressure. Compared to a traditional tonometer, which needs to be mounted on the shoulder and then manually perform the appropriate actions, the wrist device stands out more favorably due to its small size, as well as the high-quality performance of its main function - determining the level of blood pressure and blood pressure.

The device for measuring pressure on the wrist is capable of remembering information about the last several measurements, has a built-in stress indicator sensor, special tables for establishing parameters for deviations from the normal indicator, and indicators.

Which is better to buy a blood pressure monitor, a device for the wrist or for the forearm? A wrist meter is suitable for hypertensive patients under forty years of age, for example, Medisana HGN, but devices with a cuff on the shoulder are recommended for older people, for example, AND UA 604 tonometer.

The age limitation is explained by the fact that over time our blood vessels “wear out”, the elasticity of their walls decreases significantly, and the hands are often subject to various microtraumas (bruises, fractures, sprains, etc.) and changes (deformations and diseases of the joints). Moreover, the area on the wrist suffers the most, and obtaining an accurate measurement result requires good condition of the limbs.

What is the operating principle of the device?

A manual tonometer on the wrist works according to this scheme:

• When measuring blood pressure, the membrane of the stethoscope is adjacent to the fold inside the elbow.
• The cuff is tightly fixed on the forearm, air is pumped into it until the artery is compressed. This interval is determined by the disappearance of noise - this means that blood circulation has stopped. Next, blood pressure is slightly increased (this is necessary to obtain a more accurate result).
• After this, the slow release of air begins, the artery opens slightly, and blood flow is restored. The first noises appear, and the indicator on the pressure gauge corresponds to the upper pressure.
• The pressure drops further. At the moment, the lumen in the artery is very small, which causes characteristic sounds.
• As soon as the lumen in the artery opens completely, the sounds disappear. The device shows the lower blood pressure.

Operating principle of automatic wrist tonometer:

• The electronic system of the device records the movement of air pressure in the bracelet, which is formed under the influence of blood circulation in the area of ​​​​clamping of the artery, converting them into electrical signals.
• Next, the device analyzes them and converts them into numerical indicators.

Today, pharmacy chains and medical supply stores offer a huge selection of tonometers various models and types. The average buyer is often lost in this assortment and does not know which device to buy. So, in order to buy a really high-quality blood pressure meter, we pay attention to the following nuances.

Device cuff

It is an important element of the tonometer. A good cuff should have no protruding threads, and the seams should be perfectly straight. You should also check its size, whether it will fit your wrist, it should be securely fastened. In this case:

1. Don't fall down.
2. Don't press.
3. Do not cause discomfort.

If a person has a non-standard wrist width, it is necessary to consider purchasing another tonometer.

Functionality

Many modern tonometers have a whole list of useful functions that significantly simplify the measurement of blood pressure, making it more accurate, and in some cases can even help diagnose the disease in a timely manner. For example, Omron automatic tonometers have a built-in Intellisense intelligent measurement system, which creates optimal pressure in the cuff, thereby reducing the duration of the procedure and completely eliminating the likelihood of painful discomfort.

Some types of wrist tonometers are equipped with:

1. Arrhythmia indicator.
2. Blood pressure indicator.
3. The function of calculating indicators from three previous measurements in 10 minutes.

Devices with similar capabilities will be the best option for hypertensive patients.

Indication error

All types of tonometers have an acceptable small measurement error; usually its value is indicated in the device passport.

Price

The price range depends on the presence of additional functions of the tonometer, but not on its accuracy. If you plan to use it periodically and not on an ongoing basis, then it is better to purchase a model at a lower price.

Equipment

When choosing a wrist blood pressure monitor, pay attention to its configuration. It is better to buy a device that comes with an additional storage case. It will protect the device from contamination, dust, moisture and damage from an accidental fall or other mechanical actions.

The included journal is also a good option, which can be used to record the results of blood pressure measurements. This data can help the doctor determine the correct diagnosis and prescribe the correct therapy.

Availability of guarantee

Each tonometer has warranty period operation, for high-quality devices it is 5 years or more. If the warranty is no more than 1-2 years, it is better to refuse to purchase such a tonometer.

Batteries and accumulators

If the pressure measurement will be carried out outside the home, it is better to choose a device that can be powered by a battery or rechargeable battery.

Necessary and additional functions of the device

A hand tonometer for measuring blood levels can have a number of important functions:

Advantages and disadvantages of the model

A wrist pressure meter allows you to set your blood pressure with a very small error while traveling or on a business trip, while at work or on a picnic without spending a lot of time on it. Many hypertensive patients are interested in what are the advantages and disadvantages of this type of device?

The main criteria for the benefits of a wrist tonometer:

1. Easy to use, does not require special skills or knowledge.
2. Measures blood pressure quickly (the small size of the bracelet contributes to high-speed air injection, compared to similar mechanisms for the shoulder).
3. Amazing portability (its dimensions are a little more than a watch, you can carry it with you, it does not take up much space even in a handbag, which allows you to monitor pressure in any environment).
4. Possibility of comparing the results of measurements and establishing the dynamics of changes.
5. Highly accurate. Always accurately shows your blood pressure level.
6. The bracelet has a universal size (from 13.5 to 21.5 cm), so it is suitable for both a child and an adult with a thin arm.

However, wrist tonometers also have some disadvantages:

1. You must carefully adhere to the process of measuring blood pressure - the accuracy of the device’s readings depends on this, so you need to carefully study the information in the instructions.
2. Health restrictions. Contraindications for the use of these types of tonometers are the presence of tremors and diseases of the joints and blood vessels; they are also not suitable for those people who have a broken wrist, burns and scars.
3. The display size is small, which may cause discomfort for people with low vision.
4. Age restrictions. The walls of blood vessels in the wrist area in older people lose their elasticity, so a wrist meter will not be particularly suitable for them, and the measurement accuracy will have significant errors.
5. Due to the limited size of the bracelet (maximum - 21 cm), it will not suit small children or those with wide wrists or thick hands.

Many new owners of this device do not know how to correctly measure pressure with a tonometer on the wrist. First of all, you need to study the instructions, basically, most devices have a similar operating mechanism, that is, they work one at a time standard principle, but with some individual nuances. So, to measure the pressure, you need to:

1. It is recommended to measure blood pressure 1-2 hours after eating, consuming alcoholic beverages or smoking. The bracelet is placed on the left hand.
2. To correctly measure blood pressure and pulse, it is necessary to remove all jewelry from the wrist on which blood pressure will be measured.
3. If the sleeve is long, it must be rolled up so that the fabric does not interfere with the measurement and does not pinch the blood vessels.
4. The person measuring blood pressure should sit or lie down in a comfortable position and straighten their back. Be sure to try to relax.
5. Take the device out of the case and turn it on.
6. Place your hand so that your thumb is pointing up.
7. The cuff needs to be wrapped tightly around the hand so that there is no gap between them. free space. In this case, the display must be turned upward.
8. Place the hand with the tonometer on the opposite shoulder, the palm should be turned down, and the device itself should be in line with the heart and press the “Start” button.
9. Wait until the device finishes pumping air into the cuff, determines blood pressure and shows the full result on the screen.
10. Remove the device and record the readings obtained.

To correctly measure pressure and avoid obtaining inaccurate measurement results, during the procedure you cannot:

• Tilt your wrist back.
• Clench your palm into a fist.
• Move your wrist forward.
• Support the cuff with your other free hand.

We offer a selection of models of wrist tonometers that enjoy a popular rating.

A wrist tonometer is a necessary and useful thing, especially for an elderly hypertensive patient. In order for the device to work correctly and show accurate pressure readings, you must follow the rules during the measurement process, as well as other recommendations specified in the annotation for the device.