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November 1, 1985

Phlebitis Associated With Noninvasive 24-Hour Ambulatory Blood Pressure Monitor

Author Affiliations

Cardiovascular Center of Northern Virginia Falls Church

JAMA. 1985;254(17):2411. doi:10.1001/jama.1985.03360170051020

To the Editor.—  The ambulatory blood pressure monitor is a recently developed device used in diagnosis and treatment of hypertension. Previous reports have suggested that there have been no adverse effects while using noninvasive 24-hour blood pressure monitors.1 Recently, development of the Rumpel-Leede sign in association with use of a noninvasive ambulatory blood pressure monitor has been reported in JAMA, demonstrating that complications can occur with this device.2We have used 24-hour ambulatory blood pressure monitoring for the past 18 months in both research investigations and in a wide range of clinical circumstances. The blood pressure cuff is applied in the usual fashion and attached to a microprocessor-controlled, battery-powered compressor and worn like a Holter monitor. Cuff inflation causes recurrent, intermittent obstruction to veins, which might lead to the development of thrombophlebitis. This letter reports a malfunction of this device associated with clinical thrombophlebitis occurring in alternate arms