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September 9, 1950


Author Affiliations

Hot Springs National Park, Ark.

JAMA. 1950;144(2):201. doi:10.1001/jama.1950.02920020121025

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To the Editor:—  More than thirty years ago my partner commented on the fact that almost every patient, especially male, when told that his blood pressure was to be taken, would begin to unbutton his cuff button and roll his sleeve up to a point about where the deltoid muscle is inserted, thereby making a roll of cloth which frequently left barely enough space between it and the elbow for the blood pressure cuff to be placed. In the winter time those who wore long sleeve underwear would add to the bulk of this roll and make a tight band above the pressure cuff.He reasoned that the blood pressure cuff was simply an appliance used to cut off the circulation for the time necessary to get a reading and that this could be easily done by placing the cuff over the shirt sleeve while it was down, and then

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