{"id":6959,"date":"2025-04-25T17:52:55","date_gmt":"2025-04-25T15:52:55","guid":{"rendered":"https:\/\/family-medicine.org\/blog\/richtig-blutdruck-messen\/"},"modified":"2025-05-12T18:44:26","modified_gmt":"2025-05-12T16:44:26","slug":"blutdruck-fehldiagnosen","status":"publish","type":"post","link":"https:\/\/family-medicine.org\/de\/blutdruck-fehldiagnosen\/","title":{"rendered":"Blutdruck-Fehldiagnosen vermeiden: Armposition und Manschettengr\u00f6\u00dfe"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"6959\" class=\"elementor elementor-6959 elementor-6942\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b95297e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b95297e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-669678b\" data-id=\"669678b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5a43e05 elementor-widget elementor-widget-text-editor\" data-id=\"5a43e05\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Bereits 1897 forderten Hill und Barnard Blutdruckmessung, da die Armhaltung die Ergebnisse beeinflusst (siehe <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2408477\/\">BMJ 1897<\/a>). Eine <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8032042\/\">\u00dcberpr\u00fcfung<\/a> im Jahr 2014 zeigte jedoch, dass in Richtlinien und Studien immer noch unterschiedliche Armhaltungen empfohlen und verwendet werden. Also, hier ist ein &#8222;Standard&#8220;&#8230;  <\/p><p><strong> <\/strong><\/p><h3><strong>Was bedeuten die aktuellen <\/strong><a href=\"https:\/\/academic.oup.com\/eurheartj\/article\/45\/38\/3912\/7741010\"><strong>ESC-Leitlinien<\/strong><\/a><strong> aus dem Jahr 2024 empfehlen?<\/strong><\/h3><ul><li>Bleiben Sie 5 Minuten lang bequem sitzen.<\/li><li>Legen Sie Ihren Arm auf einen Tisch (um isometrische Belastungen zu vermeiden).<\/li><li>Legen Sie Ihren Oberarm frei (vermeiden Sie es, die \u00c4rmel hochzukrempeln, um die Manschette nicht zu behindern).<\/li><li>Verwenden Sie ein validiertes Ger\u00e4t mit der richtigen Manschettengr\u00f6\u00dfe (nur 6% der Ger\u00e4te waren ausreichend validiert).<\/li><\/ul><p><strong> <\/strong><\/p><h3><strong>Wie wichtig ist die richtige Armhaltung?<\/strong><\/h3><p>Eine im Oktober 2024 ver\u00f6ffentlichte <a href=\"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/article-abstract\/2824754\">randomisierte Studie<\/a> testete drei verschiedene Armhaltungen mit 133 Teilnehmern (Durchschnittsalter 57). Die Blutdruckmesswerte zeigten signifikante Unterschiede. Eine falsche Armhaltung kann also zu Fehldiagnosen und \u00dcberversorgung f\u00fchren:  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7328f60 elementor-widget elementor-widget-image\" data-id=\"7328f60\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" data-attachment-id=\"6951\" data-permalink=\"https:\/\/family-medicine.org\/de\/bildschirmfoto-2025-04-25-um-17-55-40-2\/\" data-orig-file=\"https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.40.png\" data-orig-size=\"1048,580\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Bildschirmfoto-2025-04-25-um-17.55.40\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.40-1024x567.png\" width=\"1024\" height=\"567\" src=\"https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.40-1024x567.png\" class=\"attachment-large size-large wp-image-6951\" alt=\"\" srcset=\"https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.40-1024x567.png 1024w, https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.40-300x166.png 300w, https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.40-768x425.png 768w, https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.40.png 1048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" data-attachment-id=\"6951\" data-permalink=\"https:\/\/family-medicine.org\/de\/bildschirmfoto-2025-04-25-um-17-55-40-2\/\" data-orig-file=\"https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.40.png\" data-orig-size=\"1048,580\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Bildschirmfoto-2025-04-25-um-17.55.40\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.40-1024x567.png\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7bee1df elementor-widget elementor-widget-text-editor\" data-id=\"7bee1df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><strong>Wie wichtig ist die richtige Manschettengr\u00f6\u00dfe?<\/strong><\/h3><p>Im Oktober 2023 wurde die erste <a href=\"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2807853\">randomisierte Studie<\/a> ver\u00f6ffentlicht, in der verschiedene Manschettengr\u00f6\u00dfen an 195 Teilnehmern (Durchschnittsalter 54) getestet wurden. Die Studie ergab, dass die Verwendung der falschen Manschettengr\u00f6\u00dfe zu Fehldiagnosen f\u00fchrte, insbesondere wenn die Manschetten f\u00fcr \u00fcbergewichtige Patienten zu klein waren: <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7753cf5 elementor-widget elementor-widget-image\" data-id=\"7753cf5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" data-attachment-id=\"6953\" data-permalink=\"https:\/\/family-medicine.org\/de\/bildschirmfoto-2025-04-25-um-17-55-51-2\/\" data-orig-file=\"https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.51.png\" data-orig-size=\"1090,514\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Bildschirmfoto-2025-04-25-um-17.55.51\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.51-1024x483.png\" width=\"1024\" height=\"483\" src=\"https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.51-1024x483.png\" class=\"attachment-large size-large wp-image-6953\" alt=\"\" srcset=\"https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.51-1024x483.png 1024w, https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.51-300x141.png 300w, https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.51-768x362.png 768w, https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.51.png 1090w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" data-attachment-id=\"6953\" data-permalink=\"https:\/\/family-medicine.org\/de\/bildschirmfoto-2025-04-25-um-17-55-51-2\/\" data-orig-file=\"https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.51.png\" data-orig-size=\"1090,514\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Bildschirmfoto-2025-04-25-um-17.55.51\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/family-medicine.org\/wp-content\/uploads\/2025\/04\/Bildschirmfoto-2025-04-25-um-17.55.51-1024x483.png\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-906581b elementor-widget elementor-widget-text-editor\" data-id=\"906581b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><strong>Sind Blutdruckmessungen am Handgelenk zuverl\u00e4ssig?<\/strong><\/h3><p>Ein systematischer Review<a href=\"https:\/\/bmjopen.bmj.com\/content\/6\/11\/e012429.long\">(BMJ Open 2016<\/a>) von 20 Studien untersuchte die Genauigkeit von Blutdruckmessungen bei <strong>adip\u00f6sen Erwachsenen mit gro\u00dfem Oberarmumfang<\/strong>. Es zeigte sich, dass bei diesen Patienten eine Messung am Oberarm mit der richtigen Manschettengr\u00f6\u00dfe aussagekr\u00e4ftig war. Wenn die Manschette jedoch zu klein war, erwiesen sich <strong>Messungen am Handgelenk (auf Herzh\u00f6he!)<\/strong> als genauer, mit besserer Sensitivit\u00e4t und Spezifit\u00e4t. In den ESC-Leitlinien von 2024 wird die Messung am Handgelenk (in der Praxis) als m\u00f6gliche Alternative in Betracht gezogen.   <\/p><p><strong> <\/strong><\/p><h3><strong>Sind Blutdruckmessungen mit einer Smartwatch zuverl\u00e4ssig?<\/strong><\/h3><p>J\u00fcngste Beobachtungsstudien kamen zu dem Schluss, dass die Genauigkeit dieser Messungen entweder<a href=\"https:\/\/www.frontiersin.org\/journals\/cardiovascular-medicine\/articles\/10.3389\/fcvm.2022.958212\/full\">&#8222;unzureichend<\/a>&#8220; oder<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9748271\/\">&#8222;angemessen<\/a>&#8220; ist. Es werden mehr und bessere Studien ben\u00f6tigt. <\/p><p><strong> <\/strong><\/p><h3><strong>Ist die Selbstmessung des Blutdrucks zu Hause wirksam?<\/strong><\/h3><p>Im November 2024 wurde ein <a href=\"https:\/\/www.nature.com\/articles\/s41440-024-01981-4\">systematischer Review<\/a> von 65 Studien ver\u00f6ffentlicht. Er zeigte eine signifikante, aber geringe Senkung des Blutdrucks um <strong>3,3\/1,6 mmHg<\/strong>. Es bleibt fraglich, ob diese bescheidene Wirkung klinisch relevant ist und ob sie den Aufwand und die m\u00f6glichen Sorgen der Patienten rechtfertigt.  <\/p><p><strong> <\/strong><\/p><h3><span style=\"text-decoration: underline;\"><strong>Fazit:<\/strong><\/span><\/h3><p>Wenn man den Blutdruck am Oberarm misst, ist es wichtig, <strong>den Arm auf einen Tisch zu legen<\/strong> und die <strong>richtige Manschettengr\u00f6\u00dfe<\/strong> zu verwenden. Bei stark adip\u00f6sen Patienten kann die Messung am Handgelenk eine n\u00fctzliche Alternative sein. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Eine falsche Armhaltung oder Manschettengr\u00f6\u00dfe kann die Blutdruckmesswerte deutlich ver\u00e4ndern, was zu Fehldiagnosen f\u00fchren kann. Infos \u00fcber die richtige Technik und Alternativen wie die Messung am Handgelenk f\u00fcr bestimmte Patientengruppen. <\/p>\n","protected":false},"author":93452803,"featured_media":6947,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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